Monasky Michelle M, Micaglio Emanuele, Ciconte Giuseppe, Benedetti Sara, Di Resta Chiara, Vicedomini Gabriele, Borrelli Valeria, Ghiroldi Andrea, Piccoli Marco, Anastasia Luigi, Santinelli Vincenzo, Ferrari Maurizio, Pappone Carlo
Arrhythmology Department, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Laboratory of Clinical Molecular Biology and Cytogenetics, IRCCS San Raffaele Hospital, Milan, Italy.
Front Physiol. 2019 May 28;10:666. doi: 10.3389/fphys.2019.00666. eCollection 2019.
Brugada syndrome (BrS) is a known cause of sudden cardiac death. The genetic basis of BrS is not well understood, and no one single gene is linked to even a majority of BrS cases. However, mutations in the gene are the most common, although the high amount of phenotypic variability prevents a clear correlation between genotype and phenotype. Research techniques are limited, as most BrS cases still remain without a genetic diagnosis, thus impairing the implementation of experimental models representative of a general pathogenetic mechanism. In the present study, we report the largest family to-date with the segregation of the heterozygous variant NM_198056:c.4894C>T (p.Arg1632Cys) in the gene. The genotype-phenotype relationship observed suggests a likely pathogenic effect of this variant. Functional studies to better understand the molecular effects of this variant are warranted.
Brugada综合征(BrS)是已知的心脏性猝死原因。BrS的遗传基础尚未完全明确,甚至没有一个单一基因与大多数BrS病例相关联。然而,该基因的突变最为常见,尽管大量的表型变异性使得基因型与表型之间无法建立明确的关联。研究技术有限,因为大多数BrS病例仍未得到基因诊断,从而妨碍了代表一般发病机制的实验模型的建立。在本研究中,我们报告了迄今为止最大的一个家族,该家族中基因存在杂合变异NM_198056:c.4894C>T(p.Arg1632Cys)的分离。观察到的基因型-表型关系表明该变异可能具有致病作用。有必要进行功能研究以更好地了解该变异的分子效应。