Echocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfecta
Abstract Background Very little is known about the characteristics of echocardiographic abnormalities and joint hypermobility in Chinese patients with osteogenesis imperfecta (OI). The aim of our study was to investigate the characteristics, prevalence and correlation of echocardiographic abnormalit...
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| Language: | English |
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BMC
2024-03-01
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| Series: | Orphanet Journal of Rare Diseases |
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| Online Access: | https://doi.org/10.1186/s13023-024-03089-x |
| _version_ | 1797259019068375040 |
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| author | Yazhao Mei Yunyi Jiang Li Shen Zheying Meng Zhenlin Zhang Hao Zhang |
| author_facet | Yazhao Mei Yunyi Jiang Li Shen Zheying Meng Zhenlin Zhang Hao Zhang |
| author_sort | Yazhao Mei |
| collection | DOAJ |
| description | Abstract Background Very little is known about the characteristics of echocardiographic abnormalities and joint hypermobility in Chinese patients with osteogenesis imperfecta (OI). The aim of our study was to investigate the characteristics, prevalence and correlation of echocardiographic abnormalities and joint hypermobility in Chinese patients with OI. Methods A cross-sectional comparative study was conducted in pediatric and adult OI patients who were matched in age and sex with healthy controls. Transthoracic echocardiography was performed in all patients and controls, and parameters were indexed for body surface area (BSA). The Beighton score was used to evaluate the degree of joint hypermobility. Results A total of 48 patients with OI (25 juveniles and 23 adults) and 129 age- and sex-matched healthy controls (79 juveniles and 50 adults) were studied. Four genes (COL1A1, COL1A2, IFITM5, and WNT1) and 39 different mutation loci were identified in our study. Mild valvular regurgitation was the most common cardiac abnormality: mild mitral and tricuspid regurgitation was found in 12% and 36% of pediatric OI patients, respectively; among 23 OI adults, 13% and 17% of patients had mild mitral and tricuspid regurgitation, respectively, and 4% had mild aortic regurgitation. In multiple regression analysis, OI was the key predictor of left atrium diameter (LAD) (β=-3.670, P < 0.001) and fractional shortening (FS) (β = 3.005, P = 0.037) in juveniles, whereas for adults, OI was a significant predictor of LAD (β=-3.621, P < 0.001) and left ventricular mass (LVM) (β = 58.928, P < 0.001). The percentages of generalized joint hypermobility in OI juveniles and adults were 56% and 20%, respectively. Additionally, only in the OI juvenile group did the results of the Mann‒Whitney U test show that the degree of joint hypermobility was significantly different between the echocardiographic normal and abnormal groups (P = 0.004). Conclusions Mild valvular regurgitation was the most common cardiac abnormality in both OI juveniles and adults. Compared with OI adults, OI juveniles had more prevalent and wider joint hypermobility. Echocardiographic abnormalities may imply that the impairment of type I collagen is more serious in OI. Baseline echocardiography should be performed in OI patients as early as possible. |
| first_indexed | 2024-04-24T23:02:46Z |
| format | Article |
| id | doaj.art-8efaf979d4b6432ba17a4b929c548e2d |
| institution | Directory Open Access Journal |
| issn | 1750-1172 |
| language | English |
| last_indexed | 2024-04-24T23:02:46Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
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| series | Orphanet Journal of Rare Diseases |
| spelling | doaj.art-8efaf979d4b6432ba17a4b929c548e2d2024-03-17T12:38:11ZengBMCOrphanet Journal of Rare Diseases1750-11722024-03-0119111110.1186/s13023-024-03089-xEchocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfectaYazhao Mei0Yunyi Jiang1Li Shen2Zheying Meng3Zhenlin Zhang4Hao Zhang5Shanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Disease, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Disease, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineClinical Research Center, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineDepartment of Ultrasound, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Disease, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineShanghai Clinical Research Center of Bone Disease, Department of Osteoporosis and Bone Disease, Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of MedicineAbstract Background Very little is known about the characteristics of echocardiographic abnormalities and joint hypermobility in Chinese patients with osteogenesis imperfecta (OI). The aim of our study was to investigate the characteristics, prevalence and correlation of echocardiographic abnormalities and joint hypermobility in Chinese patients with OI. Methods A cross-sectional comparative study was conducted in pediatric and adult OI patients who were matched in age and sex with healthy controls. Transthoracic echocardiography was performed in all patients and controls, and parameters were indexed for body surface area (BSA). The Beighton score was used to evaluate the degree of joint hypermobility. Results A total of 48 patients with OI (25 juveniles and 23 adults) and 129 age- and sex-matched healthy controls (79 juveniles and 50 adults) were studied. Four genes (COL1A1, COL1A2, IFITM5, and WNT1) and 39 different mutation loci were identified in our study. Mild valvular regurgitation was the most common cardiac abnormality: mild mitral and tricuspid regurgitation was found in 12% and 36% of pediatric OI patients, respectively; among 23 OI adults, 13% and 17% of patients had mild mitral and tricuspid regurgitation, respectively, and 4% had mild aortic regurgitation. In multiple regression analysis, OI was the key predictor of left atrium diameter (LAD) (β=-3.670, P < 0.001) and fractional shortening (FS) (β = 3.005, P = 0.037) in juveniles, whereas for adults, OI was a significant predictor of LAD (β=-3.621, P < 0.001) and left ventricular mass (LVM) (β = 58.928, P < 0.001). The percentages of generalized joint hypermobility in OI juveniles and adults were 56% and 20%, respectively. Additionally, only in the OI juvenile group did the results of the Mann‒Whitney U test show that the degree of joint hypermobility was significantly different between the echocardiographic normal and abnormal groups (P = 0.004). Conclusions Mild valvular regurgitation was the most common cardiac abnormality in both OI juveniles and adults. Compared with OI adults, OI juveniles had more prevalent and wider joint hypermobility. Echocardiographic abnormalities may imply that the impairment of type I collagen is more serious in OI. Baseline echocardiography should be performed in OI patients as early as possible.https://doi.org/10.1186/s13023-024-03089-xOsteogenesis imperfectaType I collagenEchocardiographyJoint hypermobility |
| spellingShingle | Yazhao Mei Yunyi Jiang Li Shen Zheying Meng Zhenlin Zhang Hao Zhang Echocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfecta Orphanet Journal of Rare Diseases Osteogenesis imperfecta Type I collagen Echocardiography Joint hypermobility |
| title | Echocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfecta |
| title_full | Echocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfecta |
| title_fullStr | Echocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfecta |
| title_full_unstemmed | Echocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfecta |
| title_short | Echocardiographic abnormalities and joint hypermobility in Chinese patients with Osteogenesis imperfecta |
| title_sort | echocardiographic abnormalities and joint hypermobility in chinese patients with osteogenesis imperfecta |
| topic | Osteogenesis imperfecta Type I collagen Echocardiography Joint hypermobility |
| url | https://doi.org/10.1186/s13023-024-03089-x |
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