Next-generation sequencing identifies pathogenic and modifier mutations in a consanguineous Chinese family with hypertrophic cardiomyopathy

Autor: Jun Xie, Biao Xu, Suhui Zhu, Yuhan Chen, Xinlin Zhang, Lian Wang
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
Male
Genotyping Techniques
Cardiomyopathy
030204 cardiovascular system & hematology
Consanguinity
0302 clinical medicine
Medicine
Child
mybpc3
Genetics
genetic modifier
Hypertrophic cardiomyopathy
General Medicine
Middle Aged
Phenotype
cacnb2
Echocardiography
Mutation (genetic algorithm)
ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
Female
Sequence Analysis
Research Article
Adult
China
Adolescent
Calcium Channels
L-Type

Observational Study
03 medical and health sciences
Young Adult
Channelopathy
Asian People
Cardiomyopathy
Hypertrophic
Familial

Humans
Genetic Predisposition to Disease
Genotyping
Genetic Association Studies
Aged
Myosin Heavy Chains
business.industry
medicine.disease
hypertrophic cardiomyopathy
030104 developmental biology
Mutation
next-generation sequencing
Age of onset
business
Carrier Proteins
Cardiac Myosins
Zdroj: Medicine
ISSN: 1536-5964
0025-7974
Popis: Supplemental Digital Content is available in the text
Hypertrophic cardiomyopathy (HCM) is a highly heterogeneous disease displaying considerable interfamilial and intrafamilial phenotypic variation, including disease severity, age of onset, and disease progression. This poorly understood variance raises the possibility of genetic modifier effects, particularly in MYBPC3-associated HCM. In a large consanguineous Chinese HCM family, we identified 8 members harboring the MYBPC3 c.3624delC (p.Lys1209Serfs) disease-causing mutation, but with very disparate phenotypes. Genotyping ruled out the modifying effect of previously described variants in renin-angiotensin-aldosterone system. Afterwards, we screened for modifying variants in all known causing genes and closely related genes for cardiomyopathy and channelopathy by performing targeted next-generation sequencing. For first time, we showed that a c.1598C>T (p.Ser533Leu) mutation in voltage-dependent l-type calcium channel subunit beta-2 (CACNB2) was present in all severely affected HCM patients, but not in those moderately affected or genotype-positive phenotype-negative patients. This CACNB2 p.Ser533Leu mutation is extremely conserved in evolution, and was not found in 550 healthy controls. Our results suggest that CACNB2 is a possible candidate genetic modifier of MYBPC3-associated familial HCM, but more genetic evidence and functional experiments are needed to confirm.
Databáze: OpenAIRE