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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Mutation of junctophilin type 2 associated with hypertrophic cardiomyopathy
Yoshihisa Matsushita1,2, Toru Furukawa1,2, Hiroshi Kasanuki3
1International Research and Educational Institute for Integrated Medical Sciences, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Abstract:
Junctophilin subtypes, designated as JPH1 approximately 4, are protein components of junctional complexes and play essential roles in cellular Ca2+ signaling in excitable cells. Knockout mice lacking the cardiac-type Jph2 die of embryonic cardiac arrest, and the mutant cardiac myocytes exhibit impaired formation of peripheral couplings and arrhythmic Ca2+ signaling caused by functional uncoupling between dihydropyridine and ryanodine receptor channels. Based on these observations, we hypothesized that mutations of JPH2 could cause human genetic cardiac diseases. Among 195 Japanese patients (148 index cases and 47 affected family members) with hypertrophic cardiomyopathy (HCM), two heterozygous nonsynonymous nucleotide transitions, G505S and R436C, were newly found in JPH2. When Fisher's exact test was used to compare index cases with HCM to unrelated Japanese healthy controls in the frequencies of mutant alleles, only the G505S mutation showed statistical significance (4/296 HCM patients and 0/472 control individuals, P=0.022). This result was still significant after Bonferroni's correction for multiple comparisons (P=0.044). To the best of our knowledge, this is the first report on JPH2 mutation associated with HCM.
Insights
Mutations in the JPH2 gene are linked to hypertrophic cardiomyopathy (HCM) in humans. This study identified novel JPH2 mutations, including G505S, associated with HCM, suggesting a role in cardiac disease development.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Cellular Signaling
Background:
- Junctophilins (JPH1-4) are key proteins in cellular calcium (Ca2+) signaling within excitable cells.
- JPH2 deficiency in mice leads to cardiac arrest and disrupted Ca2+ signaling due to impaired channel coupling.
- These findings suggest JPH2 mutations may contribute to human cardiac diseases.
Purpose of the Study:
- To investigate the potential role of JPH2 mutations in the pathogenesis of human hypertrophic cardiomyopathy (HCM).
Main Methods:
- Genetic analysis of 195 Japanese patients with hypertrophic cardiomyopathy (HCM).
- Sequencing of the JPH2 gene to identify mutations.
- Comparison of mutation frequencies between HCM patients and healthy controls using Fisher's exact test and Bonferroni's correction.
Main Results:
- Two novel heterozygous mutations in JPH2, G505S and R436C, were identified in HCM patients.
- The G505S mutation showed a statistically significant association with HCM compared to controls (P=0.022, corrected P=0.044).
Conclusions:
- This study provides the first evidence linking JPH2 mutations to human hypertrophic cardiomyopathy.
- JPH2 mutations may represent a novel genetic cause of HCM, impacting cardiac function through disrupted Ca2+ signaling.
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