Phenotypic Findings Associated with Variation in Elastin.

Unlabelled: Variation in the elastin gene ( ) may contribute to connective tissue disease beyond the known disease associations of Supravalvar Aortic Stenosis and Cutis Laxa. Exome data from MyCode Community Health Initiative participants were analyzed for rare variants (mean allele frequency <1%, not currently annotated as benign). Participants with variants of interest underwent phenotyping by dual chart review using a standardized abstraction tool. Additionally, all rare variants that met inclusion criteria were collapsed into an gene burden score to perform a Phenome-wide Association Study (PheWAS). Two hundred and ninety-six eligible participants with relevant variants were identified from 184,293 MyCode participants. One hundred and three of 254 living participants (41%) met phenotypic criteria, most commonly aortic hypoplasia, arterial dilation, aneurysm, and dissection, and connective tissue abnormalities. variation was significantly (P <2.8×10 ) associated with "arterial dissection" in the PheWAS and two connective tissue Phecodes approached significance. Variation in is associated with connective tissue pathology beyond classic phenotypes.

Etoc Blurb: Carriers of variants of interest in the elastin gene ( ) were evaluated for presence of findings that could be associated with the variation. Chart review and Phenome-wide Association Studies were used. Results are consistent with variation in being associated with findings affecting elastic tissues beyond classic phenotypes.