Hereditary Hemorrhagic Telangiectasia
Conditions
Keywords
hereditary hemorrhagic telangiectasia
Brief summary
Patients with hereditary hemorrhagic telangiectasia (HHT) suffer from an inherited disorder leading to systemic vascular malformations. Mutations in several genes of the transforming growth factor (TGF)-β superfamily pathway influence angiogenesis in patients with HHT. The genetic loss of ALK1 or ENG alone are not sufficient to induce AVMs; environmental insults that could trigger angiogenesis (e.g. wounding) are also needed. In this study it will be analyzed if hypoxic induced factors could have an influence on the disease HHT.
Detailed description
Hereditary hemorrhagic telangiectasia (HHT) is characterized by systemic vascular malformations leading to recurrent bleedings and shunt formation especially in the liver, lungs and the brain. The underlying pathogenic HHT mechanism remains unclear. The wide variability in age of onset and severity of symptoms amongst patients, even within the same family, suggests several factors contribute to the complexity of this disease. Mutations in several genes of the transforming growth factor (TGF)-β superfamily pathway influence angiogenesis in patients with HHT. The genetic loss of ALK1 or ENG alone are not sufficient to induce AVMs; environmental insults that could trigger angiogenesis (e.g. wounding) are also needed. In this study it will be analyzed if hypoxic induced factors could have an influence on the disease HHT.
Interventions
hypoxic induced factors analyzed in blood sample
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosed HHT (genetic testing and/ or fulfill at least 3 Curacao Criteria) * older than 17 years * ability to consent
Exclusion criteria
* if inclusion Criteria are not met
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Differences in hypoxic induced factors | 12 months | Differences in hypoxic induced factors analyzed in blood samples from patients with HHT and healthy controls |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlation of level of hypoxic induced factors and disease severity | 12 months | Correlation of level of hypoxic induced factors in patients' blood sample and their disease severity |
Countries
Germany