Identification of mutational hot spots in LMNA encoding lamin A/C in patients with familial dilated cardiomyopathy

Item Type:	Article
Title:	Identification of mutational hot spots in LMNA encoding lamin A/C in patients with familial dilated cardiomyopathy
Creators Name:	Perrot, A. and Hussein, S. and Ruppert, V. and Schmidt, H.H.J. and Wehnert, M.S. and Duong, N.T. and Posch, M.G. and Panek, A. and Dietz, R. and Kindermann, I. and Boehm, M. and Michalewska-Wludarczyk, A. and Richter, A. and Maisch, B. and Pankuweit, S. and Oezcelik, C.
Abstract:	The familial form of dilated cardiomyopathy (DCM) occurs in about 20%-50% of DCM cases. It is a heterogenous genetic disease: mutations in more than 20 different genes have been shown to cause familial DCM. LMNA, encoding the nuclear membrane protein lamin A/C, is one of the most inportant disease gene for that disease. Therefore, we analyzed the LMNA gene in a large cohort of 73 patients with familial DCM. Clinical examination (ECG, echocardiography, and catheterization) was followed by genetic characterization of LMNA by direct sequencing. We detected five heterozygous missense mutations (prevalence 7%) in five different families characterized by severe DCM and heart failure with conduction system disease necessitating pacemaker implantation and heart transplantation. Four of these variants clustered in the protein domain coil 1B, which is important for lamin B interaction and lamin A/C dimerization. Although we identified two novel mutations (E203V, K219T) besides three known ones (E161K, R190Q, R644C), it was remarkable that four mutations represent LMNA hot spots. DCM patients with LMNA mutations show a notable homogenous severe phenotype as we could confirm in our study. Testing LMNA in such families seems to be recommended because genotype information in an individual could definitely be useful for the clinician.
Keywords:	Lamin A/C, LMNA, Genetics, Familial Dilated Cardiomyopathy, Conduction System Disease
Source:	Basic Research in Cardiology
ISSN:	0300-8428
Publisher:	Steinkopff
Volume:	104
Number:	1
Page Range:	90-99
Date:	January 2009
Official Publication:	https://doi.org/10.1007/s00395-008-0748-6
PubMed:	View item in PubMed

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