{"id":1949,"date":"2024-04-05T21:29:25","date_gmt":"2024-04-05T21:29:25","guid":{"rendered":"https:\/\/blogs.bmj.com\/jmg\/?p=1949"},"modified":"2026-02-22T23:16:44","modified_gmt":"2026-02-22T23:16:44","slug":"phenotypic-characterisation-of-smad4-variant-carriers","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/jmg\/2024\/04\/05\/phenotypic-characterisation-of-smad4-variant-carriers\/","title":{"rendered":"Phenotypic characterisation of SMAD4 variant carriers (Contributed by Dr Sophie Dupuis-Girod)"},"content":{"rendered":"<p>In this observational study, we describe the phenotype of 33 patients carrying SMAD4 variants. Both hereditary haemorrhagic telangiectasia (HHT), a rare vascular genetic disease, and juvenile polyposis syndrome (JPS), a rare precancerous condition that confers an increased risk of developing gastrointestinal cancers, are known to be caused by SMAD4 pathogenic variants. Given SMAD4&#8217;s crucial role at the intersection of SMAD-dependent TGF-beta signaling pathways, we looked for symptoms of genetic connective tissue disorders in these patients. Such symptoms were observed in 61% of the patients in this study, thereby strengthening the proposed association. Based on our findings, we recommend screening all carriers of SMAD4 pathogenic variants for arterio-venous malformations, digestive polyps, aortic dilation, and skeletal complications. (<a href=\"https:\/\/jmg.bmj.com\/content\/early\/2024\/04\/04\/jmg-2023-109632\">https:\/\/jmg.bmj.com\/content\/early\/2024\/04\/04\/jmg-2023-109632<\/a> )<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/jmg\/2024\/04\/05\/phenotypic-characterisation-of-smad4-variant-carriers\/untitled-73\/\" rel=\"attachment wp-att-1950\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1950\" src=\"https:\/\/blogs.bmj.com\/jmg\/files\/2024\/04\/Untitled-300x199.png\" alt=\"\" width=\"300\" height=\"199\" srcset=\"https:\/\/blogs.bmj.com\/jmg\/files\/2024\/04\/Untitled-300x199.png 300w, https:\/\/blogs.bmj.com\/jmg\/files\/2024\/04\/Untitled-1024x678.png 1024w, https:\/\/blogs.bmj.com\/jmg\/files\/2024\/04\/Untitled-768x509.png 768w, https:\/\/blogs.bmj.com\/jmg\/files\/2024\/04\/Untitled-1536x1018.png 1536w, https:\/\/blogs.bmj.com\/jmg\/files\/2024\/04\/Untitled-640x424.png 640w, https:\/\/blogs.bmj.com\/jmg\/files\/2024\/04\/Untitled.png 1609w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In this observational study, we describe the phenotype of 33 patients carrying SMAD4 variants. Both hereditary haemorrhagic telangiectasia (HHT), a rare vascular genetic disease, and juvenile polyposis syndrome (JPS), a rare precancerous condition that confers an increased risk of developing gastrointestinal cancers, are known to be caused by SMAD4 pathogenic variants. Given SMAD4&#8217;s crucial role [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/jmg\/2024\/04\/05\/phenotypic-characterisation-of-smad4-variant-carriers\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":123,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1949","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Phenotypic characterisation of SMAD4 variant carriers (Contributed by Dr Sophie Dupuis-Girod) - JMG Contact blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/jmg\/2024\/04\/05\/phenotypic-characterisation-of-smad4-variant-carriers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Phenotypic characterisation of SMAD4 variant carriers (Contributed by Dr Sophie Dupuis-Girod) - JMG Contact blog\" \/>\n<meta property=\"og:description\" content=\"In this observational study, we describe the phenotype of 33 patients carrying SMAD4 variants. Both hereditary haemorrhagic telangiectasia (HHT), a rare vascular genetic disease, and juvenile polyposis syndrome (JPS), a rare precancerous condition that confers an increased risk of developing gastrointestinal cancers, are known to be caused by SMAD4 pathogenic variants. 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