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IGFBP7 – Familial Retinal Arterial Macroaneurysm

Familial retinal arterial macroaneurysm (FRAM) is an uncommon vascular disorder characterized by aneurysmal dilatations of retinal arteries leading to vision loss. To date, a single report describes a 30-year-old male proband with FRAM harboring an IGFBP7 gene mutation who developed an acute coronary syndrome due to a large left anterior descending artery aneurysm, representing the first systemic vascular manifestation linked to IGFBP7 in FRAM ([PMID:35514799]). No familial segregation or functional assays have been performed to corroborate pathogenicity, and the variant spectrum remains undefined. Genetic testing of IGFBP7 in individuals with retinal arterial macroaneurysm may identify at-risk patients for systemic vascular screening and guide clinical management.

References

  • American journal of ophthalmology case reports • 2022 • Left anterior descending artery aneurysm in a young patient with familial retinal arterial macroaneurysm: A case report. PMID:35514799

Evidence Based Scoring (AI generated)

Gene–Disease Association

Limited

Single proband with IGFBP7 mutation in FRAM ([PMID:35514799]) and no segregation or functional confirmation

Genetic Evidence

Limited

One reported case of IGFBP7 mutation in FRAM without family segregation ([PMID:35514799])

Functional Evidence

None

No experimental studies evaluating IGFBP7 function in FRAM have been reported