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Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Long QT syndrome and left ventricular noncompaction in 4 family members across 2 generations with KCNQ1 mutation
Mira Kharbanda1, Amanda Hunter2, Stephen Tennant3
1West of Scotland Clinical Genetics Service, Level 2A Laboratory Medicine Building, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, G51 4TF, UK.
Insights
Long QT syndrome and left ventricular noncompaction are rarely linked. This study identifies a KCNQ1 gene mutation in a family with both conditions, suggesting genetic links.
Area of Science:
- Cardiology
- Genetics
- Molecular Biology
Background:
- Long QT syndrome (LQTS) and left ventricular noncompaction (LVNC) are distinct cardiac conditions.
- The co-occurrence of LQTS and LVNC is rare, with limited reported cases.
Observation:
- This study investigates a family with a history of prolonged QT interval and LVNC across two generations.
- Genetic analysis revealed a pathogenic mutation in the KCNQ1 gene in affected family members.
Findings:
- A pathogenic mutation in KCNQ1 is associated with the co-occurrence of prolonged QT interval and LVNC.
- This genetic finding provides a potential molecular link between these two cardiac abnormalities.
Implications:
- The KCNQ1 gene mutation may play a role in the pathogenesis of combined LQTS and LVNC.
- Genetic screening for KCNQ1 mutations may be beneficial in patients presenting with unexplained LQTS and LVNC.
Abstract:
The association of long QT syndrome and left ventricular noncompaction is uncommon, with only a handful of previous reports, and only one reported case in association with a mutation in KCNQ1. Here we present genetic and phenotypic data for 4 family members across 2 generations who all have evidence of prolonged QT interval and left ventricular noncompaction in association with a pathogenic mutation in KCNQ1, and discuss the potential mechanisms of this association. In conclusion, we suggest that it may be helpful to consider looking for mutations in KCNQ1 in similar patients.
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