GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy

Background: Familial dilated cardiomyopathy (DCM) is a monogenic disorder typically inherited in an autosomal dominant pattern. We have identified two Finnish families with familial cardiomyopathy that is not explained by a variant in any previously known cardiomyopathy gene. We describe the cardiac...

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Autores principales: Krista Heliö, Mikko I. Mäyränpää, Inka Saarinen, Saija Ahonen, Heidi Junnila, Johanna Tommiska, Sini Weckström, Miia Holmström, Mia Toivonen, Kjell Nikus, Julie Hathaway, Pauli Siivonen, Mikko Muona, Johanna Sistonen, Pertteli Salmenperä, Massimiliano Gentile, Jussi Paananen, Samuel Myllykangas, Tero-Pekka Alastalo, Tiina Heliö, Juha Koskenvuo
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/1aa59acef3044845853059e28698c9e3
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spelling oai:doaj.org-article:1aa59acef3044845853059e28698c9e32021-12-01T01:23:25ZGRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy1664-802110.3389/fgene.2021.786705https://doaj.org/article/1aa59acef3044845853059e28698c9e32021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fgene.2021.786705/fullhttps://doaj.org/toc/1664-8021Background: Familial dilated cardiomyopathy (DCM) is a monogenic disorder typically inherited in an autosomal dominant pattern. We have identified two Finnish families with familial cardiomyopathy that is not explained by a variant in any previously known cardiomyopathy gene. We describe the cardiac phenotype related to homozygous truncating GCOM1 variants.Methods and Results: This study included two probands and their relatives. All the participants are of Finnish ethnicity. Whole-exome sequencing was used to test the probands; bi-directional Sanger sequencing was used to identify the GCOM1 variants in probands’ family members. Clinical evaluation was performed, medical records and death certificates were obtained. Immunohistochemical analysis of myocardial samples was conducted. A homozygous GCOM1 variant was identified altogether in six individuals, all considered to be affected. None of the nine heterozygous family members fulfilled any cardiomyopathy criteria. Heart failure was the leading clinical feature, and the patients may have had a tendency for atrial arrhythmias.Conclusions: This study demonstrates the significance of GCOM1 variants as a cause of human cardiomyopathy and highlights the importance of searching for new candidate genes when targeted gene panels do not yield a positive outcome.Krista HeliöMikko I. MäyränpääInka SaarinenSaija AhonenHeidi JunnilaJohanna TommiskaSini WeckströmMiia HolmströmMia ToivonenKjell NikusKjell NikusJulie HathawayPauli SiivonenMikko MuonaJohanna SistonenPertteli SalmenperäMassimiliano GentileJussi PaananenSamuel MyllykangasTero-Pekka AlastaloTiina HeliöJuha KoskenvuoFrontiers Media S.A.articleGCOM1MYZAPdilated cardiomyopathyautosomal recessivecardiomyopathyGeneticsQH426-470ENFrontiers in Genetics, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic GCOM1
MYZAP
dilated cardiomyopathy
autosomal recessive
cardiomyopathy
Genetics
QH426-470
spellingShingle GCOM1
MYZAP
dilated cardiomyopathy
autosomal recessive
cardiomyopathy
Genetics
QH426-470
Krista Heliö
Mikko I. Mäyränpää
Inka Saarinen
Saija Ahonen
Heidi Junnila
Johanna Tommiska
Sini Weckström
Miia Holmström
Mia Toivonen
Kjell Nikus
Kjell Nikus
Julie Hathaway
Pauli Siivonen
Mikko Muona
Johanna Sistonen
Pertteli Salmenperä
Massimiliano Gentile
Jussi Paananen
Samuel Myllykangas
Tero-Pekka Alastalo
Tiina Heliö
Juha Koskenvuo
GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
description Background: Familial dilated cardiomyopathy (DCM) is a monogenic disorder typically inherited in an autosomal dominant pattern. We have identified two Finnish families with familial cardiomyopathy that is not explained by a variant in any previously known cardiomyopathy gene. We describe the cardiac phenotype related to homozygous truncating GCOM1 variants.Methods and Results: This study included two probands and their relatives. All the participants are of Finnish ethnicity. Whole-exome sequencing was used to test the probands; bi-directional Sanger sequencing was used to identify the GCOM1 variants in probands’ family members. Clinical evaluation was performed, medical records and death certificates were obtained. Immunohistochemical analysis of myocardial samples was conducted. A homozygous GCOM1 variant was identified altogether in six individuals, all considered to be affected. None of the nine heterozygous family members fulfilled any cardiomyopathy criteria. Heart failure was the leading clinical feature, and the patients may have had a tendency for atrial arrhythmias.Conclusions: This study demonstrates the significance of GCOM1 variants as a cause of human cardiomyopathy and highlights the importance of searching for new candidate genes when targeted gene panels do not yield a positive outcome.
format article
author Krista Heliö
Mikko I. Mäyränpää
Inka Saarinen
Saija Ahonen
Heidi Junnila
Johanna Tommiska
Sini Weckström
Miia Holmström
Mia Toivonen
Kjell Nikus
Kjell Nikus
Julie Hathaway
Pauli Siivonen
Mikko Muona
Johanna Sistonen
Pertteli Salmenperä
Massimiliano Gentile
Jussi Paananen
Samuel Myllykangas
Tero-Pekka Alastalo
Tiina Heliö
Juha Koskenvuo
author_facet Krista Heliö
Mikko I. Mäyränpää
Inka Saarinen
Saija Ahonen
Heidi Junnila
Johanna Tommiska
Sini Weckström
Miia Holmström
Mia Toivonen
Kjell Nikus
Kjell Nikus
Julie Hathaway
Pauli Siivonen
Mikko Muona
Johanna Sistonen
Pertteli Salmenperä
Massimiliano Gentile
Jussi Paananen
Samuel Myllykangas
Tero-Pekka Alastalo
Tiina Heliö
Juha Koskenvuo
author_sort Krista Heliö
title GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_short GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_full GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_fullStr GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_full_unstemmed GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_sort grinl1a complex transcription unit containing gcom1, myzap, and polr2m genes associates with fully penetrant recessive dilated cardiomyopathy
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/1aa59acef3044845853059e28698c9e3
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