Novel α-Actin Gene Mutation p.(Ala21Val) Causing Familial Hypertrophic Cardiomyopathy, Myocardial Noncompaction, and

Andrea Frustaci1,2, Alessandro De Luca3, Valentina Guida3

  • 1Department of Cardiovascular, Respiratory, Nephrologic, Anesthesiologic and GeriatricSciences, Sapienza University, Rome, Italy biocard@inmi.it.

Insights

A new mutation in the ACTC1 gene, p.(Ala21Val), causes familial hypertrophic cardiomyopathy and left ventricular (LV) myocardial noncompaction. This genetic defect leads to myofibrillar and intercalated disc alterations in heart muscle cells.

Area of Science:

  • Cardiovascular Genetics
  • Molecular Cardiology
  • Genetic Cardiology

Background:

  • Mutations in the alpha-actin gene (ACTC1) are linked to various cardiac conditions, including hypertrophic cardiomyopathy (HCM) and left ventricular (LV) myocardial noncompaction.
  • A novel ACTC1 mutation has been identified that cosegregates with familial HCM and LV myocardial noncompaction characterized by transmural crypts.

Purpose of the Study:

  • To investigate a novel ACTC1 mutation in an Italian family presenting with familial hypertrophic cardiomyopathy and left ventricular myocardial noncompaction.
  • To elucidate the molecular and cellular mechanisms underlying the observed cardiac phenotypes.

Main Methods:

  • Genetic analysis using next-generation sequencing was performed on affected family members.
  • Cardiac imaging techniques including 2D echocardiography and cardiac magnetic resonance were utilized.
  • Invasive cardiac studies, histology, and electron microscopy were conducted on affected individuals.

Main Results:

  • A novel, unreported p.(Ala21Val) mutation in the ACTC1 gene was identified in all affected family members.
  • All affected individuals exhibited left ventricular (LV) myocardial noncompaction, with some showing progressive LV hypertrophy.
  • Histological and electron microscopy revealed myocardiocyte detachment, myofibrillar disarray, and degraded intercalated discs.

Conclusions:

  • The novel p.(Ala21Val) mutation in ACTC1 is causative of familial hypertrophic cardiomyopathy and LV myocardial noncompaction.
  • The mutation leads to significant alterations in myofibrils and intercalated discs, resulting in cardiac dysfunction.
Abstract

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