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Any familial thoracic aortic aneurysm and aortic dissection in which the cause of the disease is a mutation in the ACTA2 gene.
Features include common findings: Ascending aortic dissection; and sometimes findings: Ascending tubular aorta aneurysm, Descending aortic dissection, and Premature coronary artery atherosclerosis. 9 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 5 | Thoracic aortic aneurysm, Descending aortic dissection, Ascending aortic dissection |
ACTA2 encodes actin alpha 2, smooth muscle (377 aa). Actins are highly conserved proteins that are involved in various types of cell motility and are ubiquitously expressed in all eukaryotic cells Highest expression in Artery Tibial (7,732 TPM) and Artery Aorta (5,736 TPM).
Aortic aneurysm, familial thoracic 6 is associated with mutations in the ACTA2 gene on chromosome 10.
The ACTA2 protein participates in ACTA2 gene expression is stimulated by NOTCH1, NOTCH2 and NOTCH4, Mammary myoepithelial progenitor cell produces mature myoepithelial cell, and Mammary stem cell produces myoepithelial/basal progenitor pathways.
ACTA2 is classified as a druggable target (Clinically Actionable category) with score 1.6.
56 pathogenic variants reported in ACTA2 in ClinVar, including hotspot variants 263578 and 199675.
Genetic testing for ACTA2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 common feature.
No clinical trials have been registered for aortic aneurysm, familial thoracic 6.
2 publications have been identified in PubMed for aortic aneurysm, familial thoracic 6. Research spans Case Report / Case Series (100%).
Karmilkar K (2025). [PMID: 40400813](https://pubmed.ncbi.nlm.nih.gov/40400813/). *Cureus*. [Case Report / Case Series]
Jiang A (2024). [PMID: 39267980](https://pubmed.ncbi.nlm.nih.gov/39267980/). *Frontiers in medicine*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 2:58 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Kidneys and urinary system |
1 |
Ascending tubular aorta aneurysm |
Variant
Significance |
|---|
Review Stars |
|---|
Hotspot |
|---|
263578 | Conflicting classifications of pathogenicity | — | Yes |
199675 | Conflicting classifications of pathogenicity | — | Yes |
LRG_781p1:p.Arg118Gln | Pathogenic | 2 stars | Yes |
162701 | Conflicting classifications of pathogenicity | — | Yes |
LRG_781p1:p.Arg39Cys | Pathogenic/Likely pathogenic | 2 stars | Yes |
AI-curated news mentioning aortic aneurysm, familial thoracic 6
Updated Jun 3, 2026
A study published in PubMed reveals the genetic yield of targeted diagnostic screening in 368 patients with thoracic aortic dissection. This research enhances understanding of the genetic factors involved in this condition.
A recent study details the successful endovascular exclusion of an aortobronchial fistula occurring 38 years after a blunt thoracic aortic injury. This case highlights advancements in minimally invasive techniques for managing complex vascular injuries.
A rare case study highlights the occurrence of a Salmonella prostatic abscess in a patient suffering from decompensated cirrhosis and a descending thoracic aortic aneurysm. This clinical convergence underscores the complexities of managing multiple rare conditions simultaneously.