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SCN5A rare variants in familial dilated cardiomyopathy decrease peak sodium current depending on the common

Jianding Cheng1, Ana Morales, Jill D Siegfried

  • 1Division of Cardiovascular Medicine, Department of Medicine, University of Wisconsin, Madison, Wisconsin, USA.

Clinical and Translational Science
|December 21, 2010
PubMed
Summary

Two novel SCN5A variants, R222Q and I1835T, are linked to dilated cardiomyopathy (DCM). Their impact on sodium current (I(Na)) depends on common SCN5A variants, suggesting a role in DCM causation.

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Area of Science:

  • Genetics
  • Cardiology
  • Molecular Biology

Background:

  • Dilated cardiomyopathy (DCM) is a complex heart condition.
  • Identifying genetic causes of DCM is crucial for diagnosis and treatment.
  • The SCN5A gene plays a vital role in cardiac sodium channel function.

Purpose of the Study:

  • To investigate the functional impact of two novel SCN5A rare variants (R222Q and I1835T) on sodium current (I(Na)).
  • To determine if the effects of these variants are modulated by common SCN5A polymorphisms, specifically H558R.
  • To provide evidence for the relevance of these SCN5A variants in DCM causation.

Main Methods:

  • Constructed cDNAs with rare SCN5A variants (R222Q, I1835T) in different common variant backgrounds (Q1077del, Q1077).
  • Expressed variants in HEK293 cells and studied sodium current (I(Na)) using whole-cell voltage clamp.
  • Analyzed I(Na) density, inactivation, activation, and recovery from inactivation.

Main Results:

  • In the Q1077del background, combined variants R222Q/H558R and I1835T/H558R significantly reduced I(Na) density and slowed recovery from inactivation.
  • R222Q and R222Q/H558R showed negative shifts in activation and inactivation; I1835T/H558R showed a negative shift in inactivation.
  • No significant changes in I(Na) were observed in the Q1077 background, indicating dependence on the common variant background.

Conclusions:

  • The biophysical effects of novel SCN5A variants R222Q and I1835T are dependent on the common SCN5A H558R polymorphism.
  • These findings provide functional evidence supporting the role of these novel SCN5A variants in dilated cardiomyopathy.
  • Understanding variant interactions is key to deciphering the genetic basis of DCM.