PMID- 32522903 OWN - NLM STAT- MEDLINE DCOM- 20201207 LR - 20221207 IS - 1347-4820 (Electronic) IS - 1346-9843 (Linking) VI - 84 IP - 7 DP - 2020 Jun 25 TI - NT5E Genetic Mutation Is a Rare But Important Cause of Intermittent Claudication and Chronic Limb-Threatening Ischemia. PG - 1183-1188 LID - 10.1253/circj.CJ-20-0153 [doi] AB - BACKGROUND: NT5Egenetic mutations are known to result in calcification of joints and arteries (CALJA), and worldwide, 14 patients from 7 families have been reported.Methods and Results:A total of 5 patients from 2 independent families with CALJA were found in Japan. Of them, 3 complained of intermittent claudication (IC), and 1 suffered from bilateral chronic limb-threatening ischemia (CLTI). Whole-exome sequencing analysis revealed an identical mutation pattern (c.G3C on the exon 1 start codon) that was unique compared withNT5Emutations reported in other countries. CONCLUSIONS: Vascular specialists need to recognize CALJA as a rare cause of ischemic IC and CLTI. FAU - Azuma, Nobuyoshi AU - Azuma N AD - Department of Vascular Surgery, Asahikawa Medical University. FAU - Uchida, Tetsuro AU - Uchida T AD - Division of Cardiovascular Surgery, Department of Surgery II, Yamagata University. FAU - Kikuchi, Shinsuke AU - Kikuchi S AD - Department of Vascular Surgery, Asahikawa Medical University. FAU - Sadahiro, Mitsuaki AU - Sadahiro M AD - Division of Cardiovascular Surgery, Department of Surgery II, Yamagata University. FAU - Shintani, Tsunehiro AU - Shintani T AD - Department of Vascular Surgery, Shizuoka Red Cross Hospital. FAU - Yanagi, Kumiko AU - Yanagi K AD - Department of Genome Medicine, National Center for Child Health and Development. FAU - Higashita, Ryuji AU - Higashita R AD - Department of Cardiovascular Surgery, Yokohama General Hospital. FAU - Yamashita, Atsushi AU - Yamashita A AD - Division of Cardiovascular Surgery, Department of Surgery II, Yamagata University. FAU - Makita, Yoshio AU - Makita Y AD - Education Center, Asahikawa Medical University. FAU - Kaname, Tadashi AU - Kaname T AD - Department of Genome Medicine, National Center for Child Health and Development. LA - eng PT - Journal Article DEP - 20200611 PL - Japan TA - Circ J JT - Circulation journal : official journal of the Japanese Circulation Society JID - 101137683 RN - 0 (GPI-Linked Proteins) RN - EC 3.1.3.5 (5'-Nucleotidase) RN - EC 3.1.3.5 (NT5E protein, human) RN - Calcification of Joints and Arteries SB - IM MH - 5'-Nucleotidase/*genetics MH - Adult MH - Aged MH - Aged, 80 and over MH - Calcinosis/diagnosis/enzymology/*genetics MH - Chronic Disease MH - Exons MH - Female MH - GPI-Linked Proteins/genetics MH - Genetic Predisposition to Disease MH - Humans MH - Intermittent Claudication/diagnosis/enzymology/*genetics MH - Ischemia/diagnosis/enzymology/*genetics MH - Joint Diseases/diagnosis/enzymology/*genetics MH - Male MH - Middle Aged MH - *Mutation MH - Phenotype MH - Vascular Calcification/diagnostic imaging/enzymology/*genetics MH - Vascular Diseases/diagnosis/enzymology/*genetics MH - Exome Sequencing OTO - NOTNLM OT - Calcification of joints and arteries OT - Chronic limb-threatening ischemia OT - Intermittent claudication OT - NT5E gene OT - Peripheral artery calcification EDAT- 2020/06/12 06:00 MHDA- 2020/12/15 06:00 CRDT- 2020/06/12 06:00 PHST- 2020/06/12 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2020/06/12 06:00 [entrez] AID - 10.1253/circj.CJ-20-0153 [doi] PST - ppublish SO - Circ J. 2020 Jun 25;84(7):1183-1188. doi: 10.1253/circj.CJ-20-0153. Epub 2020 Jun 11.