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Screening for pulmonary veno-occlusive disease in heterozygous EIF2AK4 variant carriers

Benoit Lechartier, Barbara Girerd, Mélanie Eyries, Antoine Beurnier, Marc Humbert, David Montani
European Respiratory Journal 2022 60: 2200760; DOI: 10.1183/13993003.00760-2022
Benoit Lechartier
1Assistance Publique – Hôpitaux de Paris (AP-HP), Department of Respiratory and Intensive Care Medicine, Pulmonary Hypertension National Referral Centre, DMU 5 Thorinno, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
2Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France
3INSERM UMR_S 999 “Pulmonary Hypertension: Pathophysiology and Novel Therapies”, Hôpital Marie Lannelongue, Le Plessis-Robinson, France
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Barbara Girerd
1Assistance Publique – Hôpitaux de Paris (AP-HP), Department of Respiratory and Intensive Care Medicine, Pulmonary Hypertension National Referral Centre, DMU 5 Thorinno, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
2Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France
3INSERM UMR_S 999 “Pulmonary Hypertension: Pathophysiology and Novel Therapies”, Hôpital Marie Lannelongue, Le Plessis-Robinson, France
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Mélanie Eyries
4Département de Génétique, Hôpital Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France
5UMR_S 1166 Sorbonne Université, Paris, France
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Antoine Beurnier
2Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France
6Assistance Publique – Hôpitaux de Paris (AP-HP), Department of Physiology – Pulmonary Function Testing, DMU 5 Thorinno, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
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Marc Humbert
1Assistance Publique – Hôpitaux de Paris (AP-HP), Department of Respiratory and Intensive Care Medicine, Pulmonary Hypertension National Referral Centre, DMU 5 Thorinno, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
2Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France
3INSERM UMR_S 999 “Pulmonary Hypertension: Pathophysiology and Novel Therapies”, Hôpital Marie Lannelongue, Le Plessis-Robinson, France
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  • ORCID record for Marc Humbert
David Montani
1Assistance Publique – Hôpitaux de Paris (AP-HP), Department of Respiratory and Intensive Care Medicine, Pulmonary Hypertension National Referral Centre, DMU 5 Thorinno, Hôpital Bicêtre, Le Kremlin-Bicêtre, France
2Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France
3INSERM UMR_S 999 “Pulmonary Hypertension: Pathophysiology and Novel Therapies”, Hôpital Marie Lannelongue, Le Plessis-Robinson, France
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  • For correspondence: david.montani@aphp.fr
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Extract

Pulmonary veno-occlusive disease (PVOD) is a rare form of pulmonary arterial hypertension (PAH), characterised by a specific phenotype and associated with a poor prognosis, often justifying an early referral for lung transplantation [1–4]. The pathological hallmark of PVOD is a preferential involvement of the pulmonary venous system with the obliteration of small pulmonary veins by fibrous intimal thickening and patchy capillary proliferation [5].

Abstract

Comprehensive evaluation as well as longitudinal follow-up of a cohort of EIF2AK4 heterozygous variant carriers did not raise any suspicion of pulmonary veno-occlusive disease (PVOD), confirming the recessive inheritance of EIF2AK4-linked PVOD https://bit.ly/3H8wPVR

Acknowledgements

The authors thank all patients, relatives, physicians and healthcare professionals from the French Pulmonary Hypertension Reference Network (PulmoTension).

Footnotes

  • Conflict of interest: B. Lechartier has nothing to disclose. B. Girerd has nothing to disclose. M. Eyries has nothing to disclose. A. Beurnier has nothing to disclose. M. Humbert reports grants and personal fees from Acceleron, Janssen and Merck, and personal fees from Altavant, Morphogen-IX and Bayer, outside the submitted work. D. Montani reports grants and personal fees from Acceleron, Janssen and Merck, and personal fees from Bayer, outside the submitted work.

  • Support statement: The DELPHI-4 study (NCT03902353) was funded by the Fonds de Recherche en Santé Respiratoire (FRSR). B. Lechartier is a recipient of a grant from the Fondation Juchum and the Ligue Pulmonaire Vaudoise.

  • Received April 12, 2022.
  • Accepted June 6, 2022.
  • Copyright ©The authors 2022. For reproduction rights and permissions contact permissions{at}ersnet.org
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Screening for pulmonary veno-occlusive disease in heterozygous EIF2AK4 variant carriers
Benoit Lechartier, Barbara Girerd, Mélanie Eyries, Antoine Beurnier, Marc Humbert, David Montani
European Respiratory Journal Aug 2022, 60 (2) 2200760; DOI: 10.1183/13993003.00760-2022

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Screening for pulmonary veno-occlusive disease in heterozygous EIF2AK4 variant carriers
Benoit Lechartier, Barbara Girerd, Mélanie Eyries, Antoine Beurnier, Marc Humbert, David Montani
European Respiratory Journal Aug 2022, 60 (2) 2200760; DOI: 10.1183/13993003.00760-2022
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