How is VEDS inherited and how often does it occur spontaneously?
About half of people with VEDS inherited the COL3A1 mutation from an aﬀected parent. The others have a spontaneous disease-causing mutation (called a de novo mutation) that occurred in either the egg or the sperm that gave rise to the pregnancy. As a result, they are the ﬁrst person in their family to have VEDS and, like someone who inherited the condition from a parent, can now pass it on with a 50 percent chance of transmission with each pregnancy.
When the father or mother has VEDS, each oﬀspring has a 50 percent chance of inheriting the altered copy of the gene. Male and female children are aﬀected in equal proportion. During reproduction, each parent passes on only one of the two copies of each gene. If the altered copy of the gene is passed on, then the resulting child will resemble the parent who has VEDS and develop features of the condition. This pattern of inheritance is referred to as autosomal dominant.
Prenatal testing for pregnancies at increased risk and pre-implantation genetic diagnosis are possible in families in which the mutation in the gene is known.