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Updated: Jun 26, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Dilated cardiomyopathy with profound segmental wall motion abnormalities and ventricular arrhythmia caused by the
Insights
The LMNA R541C mutation causes cardiac issues in laminopathies, including arrhythmias and heart muscle defects. Early symptoms and progressive heart dilation highlight the mutation
Area of Science:
- Cardiology
- Genetics
- Molecular Biology
Background:
- Laminopathies frequently involve cardiac complications, primarily dilated cardiomyopathy, atrio-ventricular block, and malignant ventricular arrhythmias.
- Genotype-phenotype correlations in laminopathies are challenging due to variable disease progression, even within families.
Observation:
- A 19-year-old patient with the LMNA R541C mutation presented with early symptoms at age 11 and progressive left ventricular (LV) dilatation.
- Shared features with previously reported cases included significant LV segmental contractility defects (inferior wall dyskinesis, LV apex akinesis), left bundle branch block (LBBB) without atrio-ventricular block, and a need for an implantable cardioverter-defibrillator (ICD).
Findings:
- The LMNA R541C mutation is associated with distinct cardiac manifestations, including localized LV wall motion abnormalities and dilated cardiomyopathy.
- Early onset and rapid progression of LV dilatation were noted in this case, differing from some previous reports.
Implications:
- The LMNA R541C mutation should be considered in patients presenting with malignant ventricular arrhythmias and localized LV contractility abnormalities.
- This mutation should also be suspected in cases of classic dilated cardiomyopathy with severe segmental LV contractility defects, broadening diagnostic considerations.
Abstract:
In laminopathies cardiac involvement is common with dilated cardiomyopathy associated with atrio-ventricular block and malignant ventricular arrhythmia found in vast majority of patients. However, the specific disease course can be very different even among members of the same family which makes genotype-phenotype correlations difficult. Here we describe a 19-year-old patient with the LMNA R541C mutation and compare the course of his disease with two previously reported cases of the same molecular defect. We found that our patient shared important features with the previously described other subjects: significant LV segmental contractility defects (dyskinesis of the inferior wall and akinesis of LV apex), the presence of LBBB without atrio-ventricular block on 12-lead standard ECG and ICD requirement. The important differences between our subject and previously reported cases were early presentation (first symptoms at the age of 11 years) and early, progressive LV dilatation. We conclude that the LMNA R541C mutation should be considered not only in patients with malignant ventricular arrhythmia and LV local wall motion abnormalities, but also in classic dilated cardiomyopathy with profound segmental LV contractility defects.
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