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迟发性肥厚型心肌病的基因评估:一份自传式病例报告。

Genetic Evaluation of Late-Onset Hypertrophic Cardiomyopathy: An Autobiographical Case Report.

作者信息

Carlo Simon, Rodríguez-Fernández Laura F, Benítez Ríos Fabiola A, Arciniegas-Medina Norma J, Martínez-González Hector

机构信息

Biochemistry/Pediatrics/Psychiatry, Ponce Health Sciences University, Ponce, PRI.

Biochemistry, Ponce Health Sciences University, Ponce, PRI.

出版信息

Cureus. 2022 Mar 21;14(3):e23349. doi: 10.7759/cureus.23349. eCollection 2022 Mar.

DOI:10.7759/cureus.23349
PMID:35475074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9018900/
Abstract

Cardiomyopathy, also known as a pathology with a cardiovascular cause, can be further differentiated into multiple categories including genetic. Strong correlations between genetic mutations in sarcomeric proteins and presentation of cardiomyopathies have been made. This case report describes the clinical diagnosis of my late-onset hypertrophic cardiomyopathy, which was brought upon by symptoms of chest pain and palpitations that started approximately two years ago and had mostly gone unnoticed during this period. As a geneticist, I decided to undergo genetic test upon diagnosis. These tests found a heterozygous variant of uncertain significance (VUS) in the gene, c.399dup (p.Gly134ArgfsTer30), and a heterozygous c.7552G>A (p.Val2518Ile) VUS in the desmoplakin () gene. This autobiographical case report hopes to shed light on the importance of genetic screening in the search for the etiology of clinical symptoms.

摘要

心肌病,也被称为具有心血管病因的病症,可进一步细分为多个类别,包括遗传性的。肌节蛋白基因突变与心肌病表现之间已建立了紧密关联。本病例报告描述了一例迟发性肥厚型心肌病的临床诊断,该病例由大约两年前开始出现的胸痛和心悸症状引发,在此期间这些症状大多未被注意到。作为一名遗传学家,我在确诊后决定进行基因检测。这些检测在基因中发现了一个意义不明的杂合变异(VUS),即c.399dup(p.Gly134ArgfsTer30),以及在桥粒斑蛋白()基因中发现了一个杂合的c.7552G>A(p.Val2518Ile)VUS。这份自述性病例报告希望能阐明基因筛查在寻找临床症状病因方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b906/9018900/942e7597db80/cureus-0014-00000023349-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b906/9018900/942e7597db80/cureus-0014-00000023349-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b906/9018900/942e7597db80/cureus-0014-00000023349-i01.jpg

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本文引用的文献

1
Alpha-protein kinase 3 (ALPK3) truncating variants are a cause of autosomal dominant hypertrophic cardiomyopathy.α-蛋白激酶 3(ALPK3)截断变异是常染色体显性肥厚型心肌病的一个病因。
Eur Heart J. 2021 Aug 21;42(32):3063-3073. doi: 10.1093/eurheartj/ehab424.
2
The mutational constraint spectrum quantified from variation in 141,456 humans.从 141456 名人类个体的变异中量化的突变约束谱。
Nature. 2020 May;581(7809):434-443. doi: 10.1038/s41586-020-2308-7. Epub 2020 May 27.
3
Desmoplakin Cardiomyopathy, a Fibrotic and Inflammatory Form of Cardiomyopathy Distinct From Typical Dilated or Arrhythmogenic Right Ventricular Cardiomyopathy.
桥粒斑蛋白心肌病,一种与典型扩张型或致心律失常性右室心肌病不同的纤维性和炎症性心肌病。
Circulation. 2020 Jun 9;141(23):1872-1884. doi: 10.1161/CIRCULATIONAHA.119.044934. Epub 2020 May 6.
4
Phenotypic spectrum of ALPK3-related cardiomyopathy.与ALPK3相关的心肌病的表型谱。
Am J Med Genet A. 2019 Jul;179(7):1235-1240. doi: 10.1002/ajmg.a.61176. Epub 2019 May 10.
5
Cardiomyopathy: An Overview.心肌病:概述。
Am Fam Physician. 2017 Nov 15;96(10):640-646.
6
Arrhythmogenic Cardiomyopathy.致心律失常性右室心肌病
Circ Res. 2017 Sep 15;121(7):784-802. doi: 10.1161/CIRCRESAHA.117.309345.
7
Arrhythmogenic Right Ventricular Cardiomyopathy.致心律失常性右室心肌病
N Engl J Med. 2017 Jan 5;376(1):61-72. doi: 10.1056/NEJMra1509267.
8
The genetic background of arrhythmogenic right ventricular cardiomyopathy.致心律失常性右室心肌病的遗传背景。
J Arrhythm. 2016 Oct;32(5):398-403. doi: 10.1016/j.joa.2016.01.006. Epub 2016 Feb 26.
9
Biallelic Truncating Mutations in ALPK3 Cause Severe Pediatric Cardiomyopathy.ALPK3 中的双等位基因截断突变导致严重的儿科心肌病。
J Am Coll Cardiol. 2016 Feb 9;67(5):515-25. doi: 10.1016/j.jacc.2015.10.093.
10
The diagnosis and treatment of hypertrophic cardiomyopathy.肥厚型心肌病的诊断与治疗。
Dtsch Arztebl Int. 2011 Apr;108(13):209-15. doi: 10.3238/arztebl.2011.0209. Epub 2011 Apr 1.