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What is MSMDS?

Multisystemic Smooth Muscle Dysfunction Syndrome (MSMDS) is a rare genetic condition that affects the muscles our bodies need to function. Caused by changes in the ACTA2 gene, it impacts multiple systems including the heart and lungs. Our charity works to fund life-changing research and support every family in our community.

The Genetic Basis

MSMDS is caused by a specific change in the ACTA2 gene - most commonly the R179H variant. This gene provides critical instructions for smooth muscle contraction throughout the body. When this gene is altered, it affects vital organs including the heart and lungs. Most often, this mutation is not passed down from parents but occurs for the first time in a child. Understanding this scientific context is essential for developing targeted gene therapies.

Symptoms & Diagnosis

Understanding the signs of MSMDS is the first step toward care. While every child is unique, there are common physical signs and professional diagnostic paths to follow.

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Cerebrovascular Disease, White Matter Injury and Stroke 

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Congenital Mydriasis

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Patent Ductus Arteriosus or Aortopulmonary Window

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Pulmonary Arterial Hypertension (PAH)
Aortic Aneurysms and Vascular Disease

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Intestinal Hypoperistalsis (Gut Dysmotility) and Malrotation

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Atonic/Hypotonic Bladder

*Not all patients experience the same presentation and challenges. Listed above are those that have been described to date for informational purposes only.

Resources and Further Reading

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ACTA2 Alliance US

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Systemic Challenges

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