TY - JOUR
TI - Epidemiological, clinical and genetic study of familial amyloidotic polyneuropathy in Cyprus
AU - Dardiotis, E.
AU - Koutsou, P.
AU - Papanicolaou, E.Z.
AU - Vonta, I.
AU - Kladi, A.
AU - Vassilopoulos, D.
AU - Hadjigeorgiou, G.
AU - Christodoulou, K.
AU - Kyriakides, T.
JO - Amyloid: The Journal of Protein Folding Disorders
PY - 2009
VL - 16
TODO - 1
SP - 32-37
PB - 
SN - 1350-6129, 1744-2818
TODO - 10.1080/13506120802676948
TODO - prealbumin;  prealbumin, adult;  aged;  article;  autonomic neuropathy;  clinical feature;  Cyprus;  familial amyloid polyneuropathy;  female;  gene mutation;  heterozygote;  human;  incidence;  major clinical study;  male;  neuropathic pain;  nucleotide sequence;  onset age;  prevalence;  priority journal;  sensorimotor neuropathy;  adolescent;  Cyprus;  genetics;  heterozygote detection;  middle aged, Adolescent;  Adult;  Age of Onset;  Aged;  Amyloid Neuropathies, Familial;  Cyprus;  Female;  Heterozygote Detection;  Humans;  Incidence;  Male;  Middle Aged;  Prealbumin;  Prevalence
TODO - Objectives. To define the incidence and prevalence of familial amyloidotic polyneuropathy (FAP) TTRVal30Met on the island of Cyprus. To study the clinical phenotype and genetic features of FAP TTRVal30Met in the Cypriot population. Methods. The clinical and neurogenetic databases were used to identify probands with FAP TTRVal30Met and detailed family trees were constructed. Potential carriers of the mutation were identified from the family trees and assessed clinically and genetically. Transthyretin was completely sequenced in patients and potential carriers. Results. Thirty-six patients carrying the TTRVal30Met mutation (one homozygote) from 22 families were identified. On 1 December 2003 the prevalence of FAP was 3.72/100,000 while the incidence is estimated to be 0.69/100,000 per year. The phenotype observed was characteristic for a length dependent sensorimotor and autonomic neuropathy with neuropathic pain. Mean age of onset was 46 years. Penetrance is estimated to be 28% and positive anticipation in the age of onset is found. Conclusion. FAP is relatively prevalent in Cyprus which may be considered as another endemic focus of the disease in Europe. The mean age of onset and penetrance is different from the Portuguese and Swedish populations. Understanding the biological factors that determine these differences could potentially lead to therapeutic advances.
ER -