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[中国肥厚型心肌病患者中的新型肌球蛋白结合蛋白C3(MYBPC3)突变]

[Novel MYBPC3 mutations in Chinese patients with hypertrophic cardiomyopathy].

作者信息

Ma Zhan-feng, Liu Wen-ling, Hu Da-yi, Xie Wen-li, Zhu Tian-gang, Sun Yi-hong, Yang Song-na, Li Cui-lan, Li Lei, Nie Xiao-yun, Yang Jin-gang, Li Tian-chang, Bian Hong, Tong Qi-guang, Xiao Jie, Wang Guo-hong, Cui Wei, Fan Rui-yun, Li Yun-tian

机构信息

Department of Cardiology, Peking University People's Hospital, Beijing 100044, China.

出版信息

Zhonghua Xin Xue Guan Bing Za Zhi. 2009 Aug;37(8):734-8.

Abstract

OBJECTIVE

To screen the MYBPC3 gene mutations in Han Chinese patients with hypertrophic cardiomyopathy (HCM).

METHODS

Sixty-six patients with HCM were enrolled for the study. The exons in the functional regions of MYBPC3 were amplified with PCR and the products were sequenced.

RESULTS

Four novel mutations and four common polymorphisms were identified in this patient cohort. A Lys301fs mutation in exon10 was evidenced in a H30, and when he was 47 years old, he had the chest tightness, shortness of breath with septal hypertrophy of 18.7mm; a Asp463stop mutation in exon17 was detected in a H48, he was 24 years old 24-year-old when a medical examination showed ventricular septal hypertrophy of 15.4 mm; both Gly523Arg mutation in exon18 and Tyr847His mutation in exon26 were found in a H53 with onset age 36 years old, feeling chest tightness after excise and his ventricular septal hypertrophy was 27 mm that time. MYBPC3 mutations occurred in 4.5% patients in this cohort. These mutations were not found in 100 non-HCM control patients.

CONCLUSION

MYBPC3 mutation is presented in a small portion of Han Chinese patients with HCM.

摘要

目的

筛选中国汉族肥厚型心肌病(HCM)患者的MYBPC3基因突变。

方法

纳入66例HCM患者进行研究。采用聚合酶链反应(PCR)扩增MYBPC3功能区的外显子,并对产物进行测序。

结果

在该患者队列中鉴定出4个新突变和4个常见多态性。在一名H30患者中发现外显子10的Lys301fs突变,他47岁时出现胸闷、气短,室间隔肥厚18.7mm;在一名H48患者中检测到外显子17的Asp463stop突变,他24岁体检时显示室间隔肥厚15.4mm;在一名发病年龄36岁的H53患者中发现外显子18的Gly523Arg突变和外显子26的Tyr847His突变,他运动后感到胸闷,当时室间隔肥厚27mm。该队列中4.5%的患者发生MYBPC3突变。在100名非HCM对照患者中未发现这些突变。

结论

一小部分中国汉族HCM患者存在MYBPC3突变。

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