Next-generation sequencing identifies pathogenic and modifier mutations in a consanguineous Chinese family with

Xinlin Zhang1, Jun Xie, Suhui Zhu

  • 1Department of Cardiology, Affiliated Drum Tower Hospital, Nanjing University School of Medicine, Nanjing, China.

Medicine
|June 15, 2017
PubMed

Insights

Genetic modifiers influence hypertrophic cardiomyopathy (HCM) severity. A CACNB2 mutation may worsen MYBPC3-associated HCM, highlighting potential genetic interactions in this complex heart disease.

Area of Science:

  • Cardiovascular Genetics
  • Molecular Cardiology
  • Genetic Epidemiology

Background:

  • Hypertrophic cardiomyopathy (HCM) exhibits significant phenotypic variability, suggesting the influence of genetic modifiers.
  • MYBPC3 mutations are a common cause of familial HCM, yet disease presentation varies widely even within families.

Purpose of the Study:

  • To investigate genetic factors contributing to phenotypic heterogeneity in MYBPC3-associated HCM.
  • To identify potential modifier genes influencing disease severity in a large Chinese family.

Main Methods:

  • Targeted next-generation sequencing was employed to screen for variants in known cardiomyopathy and channelopathy genes.
  • Genotyping was performed to assess the presence of specific mutations in affected and unaffected family members.
  • Exclusion of renin-angiotensin-aldosterone system variants as modifiers.

Main Results:

  • Identified the MYBPC3 c.3624delC mutation in 8 family members with diverse HCM phenotypes.
  • Discovered a novel CACNB2 c.1598C>T (p.Ser533Leu) mutation exclusively in severely affected HCM patients.
  • This CACNB2 mutation was absent in moderately affected individuals, genotype-positive/phenotype-negative individuals, and 550 healthy controls.

Conclusions:

  • The CACNB2 p.Ser533Leu mutation is a potential genetic modifier of MYBPC3-associated familial HCM.
  • Further genetic and functional studies are required to confirm CACNB2's role in HCM pathogenesis.
  • This finding opens new avenues for understanding genetic interactions in hypertrophic cardiomyopathy.

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