{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T07:15:41Z","timestamp":1781853341803,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T00:00:00Z","timestamp":1627430400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Molec Gen &amp;amp; Gen Med"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vascular Ehlers\u2013Danlos syndrome (vEDS) is a heritable connective tissue disorder caused by defects in the type III collagen protein. It is generally considered the most severe form of Ehlers\u2013Danlos syndrome (EDS) due to an increased risk of spontaneous artery or organ rupture. vEDS has an extremely heterogeneous presentation and muscle rupture is considered a minor diagnostic criterium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A patient with a long history of inconclusive examinations and investigations was referred to our unit. The clinical picture was mainly characterized by muscle ruptures, whereas the cardiovascular involvement was limited to mitral regurgitation. We performed a panel analysis of genes associated with inheritable heart diseases using the TruSight Cardio kit (Illumina). A skin biopsy was then performed for functional studies to analyze the different forms of collagen molecules produced in vitro by cutaneous fibroblasts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient presented the novel variant c.3478A&gt;G (p.Ile1160Val) in <jats:italic>COL3A1<\/jats:italic> (NM_000090.3), whose pathogenicity was supported by biochemical analysis of type III collagen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this report, we describe a case of vEDS with predominant and severe musculoskeletal involvement. Our findings provide insight into genetic variants and clinical expression of vEDS, broadening the clinical scenario of the syndrome.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mgg3.1753","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T08:46:18Z","timestamp":1627461978000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["A novel mutation in <i>COL3A1<\/i> associates to vascular Ehlers\u2013Danlos syndrome with predominant musculoskeletal involvement"],"prefix":"10.1002","volume":"9","author":[{"given":"Federica","family":"Ruscitti","sequence":"first","affiliation":[{"name":"DINOGMI Department University of Genoa Genoa Italy"},{"name":"Medical Genetics Unit IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8608-4342","authenticated-orcid":false,"given":"Lucia","family":"Trevisan","sequence":"additional","affiliation":[{"name":"DINOGMI Department University of Genoa Genoa Italy"},{"name":"Medical Genetics Unit IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5949-803X","authenticated-orcid":false,"given":"Giulia","family":"Rosti","sequence":"additional","affiliation":[{"name":"DINOGMI Department University of Genoa Genoa Italy"},{"name":"Medical Genetics Unit IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Gotta","sequence":"additional","affiliation":[{"name":"Medical Genetics Unit IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annalia","family":"Cianflone","sequence":"additional","affiliation":[{"name":"DINOGMI Department University of Genoa Genoa Italy"},{"name":"Medical Genetics Unit IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Geroldi","sequence":"additional","affiliation":[{"name":"DINOGMI Department University of Genoa Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Origone","sequence":"additional","affiliation":[{"name":"DINOGMI Department University of Genoa Genoa Italy"},{"name":"Medical Genetics Unit IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Pichiecchio","sequence":"additional","affiliation":[{"name":"Neuroradiology Department IRCCS Mondino Foundation Pavia Italy"},{"name":"Department of Brain and Behavioral Sciences University of Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simona","family":"Viglio","sequence":"additional","affiliation":[{"name":"Biochemistry Unit Department of Molecular Medicine University of Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Iascone","sequence":"additional","affiliation":[{"name":"Medical Genetics Laboratory Hospital Papa Giovanni XXIII Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3123-3512","authenticated-orcid":false,"given":"Paola","family":"Mandich","sequence":"additional","affiliation":[{"name":"DINOGMI Department University of Genoa Genoa Italy"},{"name":"Medical Genetics Unit IRCCS Ospedale Policlinico San Martino Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.18165"},{"key":"e_1_2_9_3_1","volume-title":"GeneReviews\u00ae","author":"Byers P. 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