Overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation

Abstract Background The left ventricular noncompaction cardiomyopathy (LVNC) is a rare subtype of cardiomyopathy associated with a high risk of heart failure (HF), thromboembolism, arrhythmia, and sudden cardiac death. Methods The proband with overlap phenotypes of LVNC and hypertrophic cardiomyopat...

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Autores principales: Yubi Lin, Jiana Huang, Zhiling Zhu, Zuoquan Zhang, Jianzhong Xian, Zhe Yang, Tingfeng Qin, Linxi Chen, Jingmin Huang, Yin Huang, Qiaoyun Wu, Zhenyu Hu, Xiufang Lin, Geyang Xu
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spelling oai:doaj.org-article:b3e6c9c83b694df3905510680191efee2021-11-28T12:22:42ZOverlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation10.1186/s13023-021-02112-91750-1172https://doaj.org/article/b3e6c9c83b694df3905510680191efee2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13023-021-02112-9https://doaj.org/toc/1750-1172Abstract Background The left ventricular noncompaction cardiomyopathy (LVNC) is a rare subtype of cardiomyopathy associated with a high risk of heart failure (HF), thromboembolism, arrhythmia, and sudden cardiac death. Methods The proband with overlap phenotypes of LVNC and hypertrophic cardiomyopathy (HCM) complicates atrial fibrillation (AF), ventricular tachycardia (VT), and HF due to the diffuse myocardial lesion, which were diagnosed by electrocardiogram, echocardiogram and cardiac magnetic resonance imaging. Peripheral blood was collected from the proband and his relatives. DNA was extracted from the peripheral blood of proband for high-throughput target capture sequencing. The Sanger sequence verified the variants. The protein was extracted from the skin of the proband and healthy volunteer. The expression difference of desmocollin2 was detected by Western blot. Results The novel heterozygous truncated mutation (p.K47Rfs*2) of the DSC2 gene encoding an important component of desmosomes was detected by targeted capture sequencing. The western blots showed that the expressing level of functional desmocollin2 protein (~ 94kd) was lower in the proband than that in the healthy volunteer, indicating that DSC2 p.K47Rfs*2 obviously reduced the functional desmocollin2 protein expression in the proband. Conclusion The heterozygous DSC2 p.K47Rfs*2 remarkably and abnormally reduced the functional desmocollin2 expression, which may potentially induce the overlap phenotypes of LVNC and HCM, complicating AF, VT, and HF.Yubi LinJiana HuangZhiling ZhuZuoquan ZhangJianzhong XianZhe YangTingfeng QinLinxi ChenJingmin HuangYin HuangQiaoyun WuZhenyu HuXiufang LinGeyang XuBMCarticleLeft ventricular noncompaction cardiomyopathyHypertrophic cardiomyopathyHeart failuredesmocollin2DesmosomeMedicineRENOrphanet Journal of Rare Diseases, Vol 16, Iss 1, Pp 1-33 (2021)
institution DOAJ
collection DOAJ
language EN
topic Left ventricular noncompaction cardiomyopathy
Hypertrophic cardiomyopathy
Heart failure
desmocollin2
Desmosome
Medicine
R
spellingShingle Left ventricular noncompaction cardiomyopathy
Hypertrophic cardiomyopathy
Heart failure
desmocollin2
Desmosome
Medicine
R
Yubi Lin
Jiana Huang
Zhiling Zhu
Zuoquan Zhang
Jianzhong Xian
Zhe Yang
Tingfeng Qin
Linxi Chen
Jingmin Huang
Yin Huang
Qiaoyun Wu
Zhenyu Hu
Xiufang Lin
Geyang Xu
Overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation
description Abstract Background The left ventricular noncompaction cardiomyopathy (LVNC) is a rare subtype of cardiomyopathy associated with a high risk of heart failure (HF), thromboembolism, arrhythmia, and sudden cardiac death. Methods The proband with overlap phenotypes of LVNC and hypertrophic cardiomyopathy (HCM) complicates atrial fibrillation (AF), ventricular tachycardia (VT), and HF due to the diffuse myocardial lesion, which were diagnosed by electrocardiogram, echocardiogram and cardiac magnetic resonance imaging. Peripheral blood was collected from the proband and his relatives. DNA was extracted from the peripheral blood of proband for high-throughput target capture sequencing. The Sanger sequence verified the variants. The protein was extracted from the skin of the proband and healthy volunteer. The expression difference of desmocollin2 was detected by Western blot. Results The novel heterozygous truncated mutation (p.K47Rfs*2) of the DSC2 gene encoding an important component of desmosomes was detected by targeted capture sequencing. The western blots showed that the expressing level of functional desmocollin2 protein (~ 94kd) was lower in the proband than that in the healthy volunteer, indicating that DSC2 p.K47Rfs*2 obviously reduced the functional desmocollin2 protein expression in the proband. Conclusion The heterozygous DSC2 p.K47Rfs*2 remarkably and abnormally reduced the functional desmocollin2 expression, which may potentially induce the overlap phenotypes of LVNC and HCM, complicating AF, VT, and HF.
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author Yubi Lin
Jiana Huang
Zhiling Zhu
Zuoquan Zhang
Jianzhong Xian
Zhe Yang
Tingfeng Qin
Linxi Chen
Jingmin Huang
Yin Huang
Qiaoyun Wu
Zhenyu Hu
Xiufang Lin
Geyang Xu
author_facet Yubi Lin
Jiana Huang
Zhiling Zhu
Zuoquan Zhang
Jianzhong Xian
Zhe Yang
Tingfeng Qin
Linxi Chen
Jingmin Huang
Yin Huang
Qiaoyun Wu
Zhenyu Hu
Xiufang Lin
Geyang Xu
author_sort Yubi Lin
title Overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation
title_short Overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation
title_full Overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation
title_fullStr Overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation
title_full_unstemmed Overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated DSC2 mutation
title_sort overlap phenotypes of the left ventricular noncompaction and hypertrophic cardiomyopathy with complex arrhythmias and heart failure induced by the novel truncated dsc2 mutation
publisher BMC
publishDate 2021
url https://doaj.org/article/b3e6c9c83b694df3905510680191efee
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