PMID- 19506736 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20220316 IS - 1389-2029 (Print) IS - 1875-5488 (Electronic) IS - 1389-2029 (Linking) VI - 9 IP - 7 DP - 2008 Nov TI - Genetics and molecular biology of tuberous sclerosis complex. PG - 475-87 LID - 10.2174/138920208786241243 [doi] AB - Tuberous Sclerosis Complex is a multisystem disorder exhibiting a wide range of manifestations characterized by tumour-like lesions called hamartomas in the brain, skin, eyes, heart, lungs and kidneys. Tuberous Sclerosis Complex is genetically determined with an autosomal dominant inheritance and is caused by inactivating mutations in either the TSC1 or TSC2 genes. TSC1/2 genes play a fundamental role in the regulation of phosphoinositide 3-kinase (PI3K) signalling pathway, inhibiting the mammalian target of rapamycin (mTOR) through activation of the GTPase activity of Rheb. Mutations in TSC1/2 genes impair the inhibitory function of the hamartin/tuberin complex, leading to phosphorylation of the downstream effectors of mTOR, p70 S6 kinase (S6K), ribosomal protein S6 and the elongation factor binding protein 4E-BP1, resulting in uncontrolled cell growth and tumourigenesis.Despite recent promising genetic, diagnostic, and therapeutic advances in Tuberous Sclerosis Complex, continuing research in all aspects of this complex disease will be pivotal to decrease its associated morbidity and mortality. In this review we will discuss and analyse all the important findings in the molecular pathogenesis of Tuberous Sclerosis Complex, focusing on genetics and the molecular mechanisms that define this multisystemic disorder. FAU - Napolioni, Valerio AU - Napolioni V AD - Laboratory of Human Genetics, Department of Molecular, Cellular and Animal Biology, University of Camerino, Camerino, Italy. FAU - Curatolo, Paolo AU - Curatolo P LA - eng PT - Journal Article PL - United Arab Emirates TA - Curr Genomics JT - Current genomics JID - 100960527 PMC - PMC2691673 OTO - NOTNLM OT - Tuberous sclerosis OT - genetics OT - germ-line mosaicism OT - hamartin OT - multifactorial disease OT - mutations OT - rapamycin. OT - tuberin EDAT- 2009/06/10 09:00 MHDA- 2009/06/10 09:01 PMCR- 2009/05/01 CRDT- 2009/06/10 09:00 PHST- 2008/06/29 00:00 [received] PHST- 2008/07/21 00:00 [revised] PHST- 2008/07/26 00:00 [accepted] PHST- 2009/06/10 09:00 [entrez] PHST- 2009/06/10 09:00 [pubmed] PHST- 2009/06/10 09:01 [medline] PHST- 2009/05/01 00:00 [pmc-release] AID - CG-9-475 [pii] AID - 10.2174/138920208786241243 [doi] PST - ppublish SO - Curr Genomics. 2008 Nov;9(7):475-87. doi: 10.2174/138920208786241243.