Bjorksten A R, Gillies R L, Hockey B M, Du Sart D
Senior Scientist, Malignant Hyperthermia Diagnostic Unit, Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Anaesthesia, Perioperative and Pain Medicine Unit, Department of Pharmacology and Therapeutics, University of Melbourne, Victorian Clinical Genetics Service Molecular Genetics Laboratory, Murdoch Children's Research Institut.
Head, Malignant Hyperthermia Diagnostic Unit, Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Anaesthesia, Perioperative and Pain Medicine Unit, University of Melbourne, Victoria.
Anaesth Intensive Care. 2016 Nov;44(6):762-768. doi: 10.1177/0310057X1604400625.
The genetic basis of malignant hyperthermia (MH) is not fully characterised and likely involves more than just the currently classified mutations in the gene encoding the skeletal muscle ryanodine receptor () and the gene encoding the α1 subunit of the dihydropyridine receptor (). In this paper we sequence other genes involved in calcium trafficking within skeletal muscle in patients with positive in vitro contracture tests, searching for alternative genes associated with MH. We identified four rare variants in four different genes ( and ) encoding proteins involved in calcium handling in skeletal muscle in a cohort of 30 Australian MH susceptible probands in whom prior complete sequencing of and had yielded no rare variants. These four variants have very low minor allele frequencies and while it is tempting to speculate that they have a role in MH, they remain at present variants of unknown significance. Nevertheless they provide the basis for a new set of functional studies, which may indeed identify novel players in MH.
恶性高热(MH)的遗传基础尚未完全明确,可能涉及的不仅仅是目前已分类的编码骨骼肌兰尼碱受体()的基因突变以及编码二氢吡啶受体α1亚基()的基因突变。在本文中,我们对体外挛缩试验呈阳性的患者中参与骨骼肌钙转运的其他基因进行了测序,寻找与MH相关的其他基因。我们在30名澳大利亚MH易患先证者队列中,在编码参与骨骼肌钙处理的蛋白质的四个不同基因(和)中鉴定出四个罕见变异,而此前对和进行的全序列测序未发现罕见变异。这四个变异的次要等位基因频率非常低,虽然很容易推测它们在MH中起作用,但目前它们仍是意义不明的变异。然而,它们为一系列新的功能研究提供了基础,这些研究可能确实会识别出MH中的新因素。
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