Autosomal dominant Marfan syndrome caused by a previously reported recessive FBN1 variant

Eline Overwater, Rifka Efrat, Daniela Q C M Barge-Schaapveld, Phillis Lakeman, Marjan M Weiss, Alessandra Maugeri, J Peter van Tintelen, Arjan C Houweling

Research output: Contribution to journalArticleAcademicpeer-review


BACKGROUND: Pathogenic variants in FBN1 cause autosomal dominant Marfan syndrome but can also be found in patients presenting with apparently isolated features of Marfan syndrome. Moreover, several families with autosomal recessive Marfan syndrome caused by pathogenic variants in FBN1 have been described. The aim of this report was to underline the clinical variability that can be associated with the pathogenic variant c.1453C>T, p.(Arg485Cys) in FBN1.

METHODS: We provide the clinical details of two autosomal dominant families with this specific FBN1 variant, which was previously associated with autosomal recessive Marfan syndrome.

RESULTS: Clinical data of 14 individuals carrying this variant from these two families were collected retrospectively. In both families, the diagnosis of autosomal dominant Marfan syndrome was established based on the characteristics of the variant and the phenotype which includes aortic aneurysms and dissections. Of interest, in one of the families, multiple relatives were diagnosed with early onset abdominal aortic aneurysms.

CONCLUSION: In conclusion, FBN1 variant c.1453C>T, p.(Arg485Cys) is a pathogenic variant that can cause autosomal dominant Marfan syndrome characterized by a high degree of clinical variability and apparently isolated early onset familial abdominal aortic aneurysms.

Original languageEnglish
Article numbere00518
JournalMolecular Genetics and Genomic Medicine
Issue number2
Early online date28 Nov 2018
Publication statusPublished - Feb 2019

Cite this