A de novo pathogenic BMP2 variant-related phenotype with the novel finding of bicuspid aortic valve

Am J Med Genet A. 2021 Feb;185(2):575-578. doi: 10.1002/ajmg.a.61992. Epub 2020 Nov 27.

Abstract

A rare autosomal dominant syndrome with craniofacial dysmorphisms, skeletal abnormalities, short stature, and congenital heart defects has recently been described, associated with monoallelic truncating and frameshift bone morphogenetic protein 2 (BMP2) variants and deletions. We describe a patient harboring a novel de novo BMP2 nonsense variant, who exhibited craniofacial and skeletal features previously described for this trait and the novel findings of bicuspid aortic valve (BAV) and aortic root and ascending aortic aneurysm. This first instance of aortic valve involvement provides another potential cause of BAV and confirms the role of BMP2 in left ventricular outflow development.

Keywords: BMP2; aortic aneurysm; bicuspid aortic valve; syndromic.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aorta / diagnostic imaging
  • Aorta / pathology
  • Aortic Aneurysm / complications
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / genetics*
  • Aortic Aneurysm / pathology
  • Aortic Valve / pathology
  • Bicuspid Aortic Valve Disease / complications
  • Bicuspid Aortic Valve Disease / diagnosis
  • Bicuspid Aortic Valve Disease / genetics*
  • Bicuspid Aortic Valve Disease / pathology
  • Bone Morphogenetic Protein 2 / genetics*
  • Craniofacial Abnormalities / complications
  • Craniofacial Abnormalities / diagnosis
  • Craniofacial Abnormalities / genetics*
  • Craniofacial Abnormalities / pathology
  • Dwarfism / complications
  • Dwarfism / diagnosis
  • Dwarfism / genetics
  • Dwarfism / pathology
  • Female
  • Humans
  • Male
  • Phenotype
  • Young Adult

Substances

  • BMP2 protein, human
  • Bone Morphogenetic Protein 2