Control Subjects, Marfan Related Disorders, Marfan Syndrome
Conditions
Keywords
Marfan syndrome, blood test, aortic root size, Marfan related disorders
Brief summary
The objective of this study is to determine whether a simple blood test can be a useful clinical tool for monitoring aortic disease in Marfan syndrome and Marfan-related disorders.
Detailed description
The primary objective of this study is to determine whether increased quantitites of circulating microfibril fragments, measured with a simple blood test, are associated with aortic root size and increased growth of the aortic root in Marfan syndrome and related disorders. The secondary objectives of this study are to: (1) Determine a Marfan signature profile of circulating microfibril fragments. (2) Determine if high concentrations of fibrillin-1 fragments are associated with large aortic root diameters. (3) Determine which fibrillin-1 fragments are good biomarkers for aortic root growth and size in Marfan syndrome. (4) Determine the relation between fibrillin-1, aortic root diameter, and medical and lifestyle factors reported on questionnaires.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 4-26 years of age for all participants * Diagnosis of Marfan syndrome, Loeys-Dietz syndrome, vascular Ehlers-Danlos syndrome, or Familial Thoracic Aortic Aneurysm and Dissection for inclusion in Marfan and Marfan-related disorders groups * Diagnosis of unaffected by Marfan syndrome and Marfan-related disorders for inclusion in control group * Able and willing to sign informed consent/assent * Signed HIPPA compliant research authorization
Exclusion criteria
* Other known cardiovascular disorder for unaffected controls
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| microfibril fragments | measured yearly over 5 years | Plasma will be tested using sandwich ELISAs and standard curves to quantitate fragments of fibrillin-1, fibrillin-2, and fibulin-4. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Aortic root growth | yearly for five years | Aortic root growth will be correlated with concentrations of circulating microfibril fragments. |
Other
| Measure | Time frame | Description |
|---|---|---|
| medical and lifestyle issues | yearly for five years | Information from questionnaires will be associated with aortic root growth and concentrations of circulating microfibril fragments. |
Countries
United States