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Published on: August 8, 2022
Infantile hypertrophic cardiomyopathy associated with a novel MYL3 mutation
Allison Jay1, Rashmi Chikarmane, Janet Poulik
1Division of Genetic and Metabolic Disorders, Department of Pediatrics, Children's Hospital of Michigan, Detroit, Michigan 48201, USA.
Insights
A novel mutation in the MYL3 gene caused severe infantile hypertrophic cardiomyopathy (HCM) in an infant, despite the father being asymptomatic. This highlights the role of sarcomeric protein gene mutations in pediatric HCM.
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- Hypertrophic cardiomyopathy (HCM) is a cardiac condition.
- Mutations in sarcomeric protein genes are rarely linked to infantile HCM.
- Genetic factors play a role in HCM development.
Observation:
- A 3-month-old infant presented with severe, progressive HCM.
- Genetic analysis revealed a novel, paternally inherited MYL3 gene mutation (c.530 A>G) in the infant.
- The infant's father, carrying the same mutation, was asymptomatic.
Findings:
- The identified MYL3 mutation, previously associated with adult-onset HCM, is implicated in infantile HCM.
- This case demonstrates a new genetic cause for severe pediatric HCM.
- The study identified a pathogenic mutation in the MYL3 gene.
Implications:
- Familial disease linked to sarcomeric protein gene mutations is significant in pediatric HCM.
- Sarcomeric protein mutations exhibit significant phenotypic heterogeneity within and between families.
- This finding expands the understanding of genetic causes for HCM in infants and children.
Abstract:
Mutations in genes encoding cardiac sarcomeric proteins are thought to be a very rare cause of hypertrophic cardiomyopathy (HCM) in infants and young children. We report on genetic and histopathological findings in a 3-month-old infant presenting with severe progressive HCM arising from a mutation in the gene encoding the essential light chain of myosin (MYL3). The patient was found to have a novel, paternally inherited pathogenic c.530 A>G mutation in exon 5 of the MYL3 gene. His father was asymptomatic. Although, MYL3 mutations have been previously associated with adult-onset HCM, it has not been seen in infantile forms. As such, this case adds to the emerging evidence demonstrating that familial disease associated with mutations in cardiac sarcomere protein genes may have an important role in infants and children with HCM. In addition, this case highlights the marked phenotypic heterogeneity associated with sarcomeric protein mutations both within and between families.
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