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Heterogeneity in families with ATTRV30M amyloidosis: a historical and longitudinal Portuguese case study impact for genetic counselling

dc.contributor.authorPedroto, Maria
dc.contributor.authorCoelho, Teresa
dc.contributor.authorFernandes, Joana
dc.contributor.authorOliveira, Alexandra
dc.contributor.authorJorge, Alípio
dc.contributor.authorMoreira, João Mendes
dc.contributor.authorOliveira, Alexandra
dc.date.accessioned2025-11-03T14:55:08Z
dc.date.available2025-11-03T14:55:08Z
dc.date.issued2024-04-08
dc.description.abstractHereditary transthyretin amyloidosis (ATTRv amyloidosis) is an inherited disease, where the study of family history holds importance. This study evaluates the changes of age-of-onset (AOO) and other age-related clinical factors within and among families affected by ATTRv amyloidosis. We analysed information from 934 trees, focusing on family, parents, probands and siblings relationships. We focused on 1494 female and 1712 male symptomatic ATTRV30M patients. Results are presented alongside a comparison of current with historical records. Clinical and genealogical indicators identify major changes. Overall, analysis of familial data shows the existence of families with both early and late patients (1/6). It identifies long familial follow-up times since patient families tend to be diagnosed over several years. Finally, results show a large difference between parent-child and proband-patient relationships (20–30years). This study reveals that there has been a shift in patient profile, with a recent increase in male elderly cases, especially regarding probands. It shows that symptomatic patients exhibit less variability towards siblings, when compared to other family members, namely the transmitting ancestors’ age of onset. This can influence genetic counselling guidelines. Abbreviations: AOO: age-at-onset, age-of-onset; ATTRv: hereditary transthyretin amyloidosis (v stands for variant); ATTRV30M: specific genetic mutation associated with transthyretin; coef.var: coefficient of variation; DPD: diphosphono-propanodicarboxylic acid scintigraphy; ECG: electrocardiogram; GLM: generalised linear model; NMR: not most recent cases; OMR: only most recent cases; SD: standard deviation; UCA: Unidade Corino de Andradepor
dc.identifier.citationPedroto, M., Coelho, T., Fernandes, J., Oliveira, A., Jorge, A., & Mendes-Moreira, J. (2024). Heterogeneity in families with ATTRV30M amyloidosis: A historical and longitudinal Portuguese case study impact for genetic counselling. Amyloid, 31(3), 168–178. https://doi.org/10.1080/13506129.2024.2332679
dc.identifier.doi10.1080/13506129.2024.2332679
dc.identifier.eissn1744-2818
dc.identifier.issn1350-6129
dc.identifier.urihttp://hdl.handle.net/10400.22/30734
dc.language.isoeng
dc.peerreviewedyes
dc.publisherTaylor&Francis
dc.relationLA/P/0063/2020
dc.relation.hasversionhttps://www.tandfonline.com/doi/full/10.1080/13506129.2024.2332679
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectATTRv amyloidosis
dc.subjectEpidemiological study
dc.subjectGenealogical data
dc.subjectPortuguese families
dc.titleHeterogeneity in families with ATTRV30M amyloidosis: a historical and longitudinal Portuguese case study impact for genetic counsellingpor
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.endPage178
oaire.citation.issue3
oaire.citation.startPage168
oaire.citation.titleAmyloid-The Journal of Protein Folding Disorders
oaire.citation.volume31
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameOliveira
person.givenNameAlexandra
person.identifier.ciencia-id161A-55D9-C256
person.identifier.orcid0000-0001-5872-5504
person.identifier.scopus-author-id56340903500
relation.isAuthorOfPublicationd6f940a1-3dba-41d2-9a5e-dc1f313eec07
relation.isAuthorOfPublication.latestForDiscoveryd6f940a1-3dba-41d2-9a5e-dc1f313eec07

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