Related Experiment Video
Updated: Feb 14, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
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.
Background:
Mutations of α-actin gene (ACTC1) have been phenotypically related to various cardiac anomalies, including hypertrophic cardiomyopathy and dilated cardiomyopathy and left ventricular (LV) myocardial noncompaction. A novel ACTC mutation is reported as cosegregating for familial hypertrophic cardiomyopathy and LV myocardial noncompaction with transmural crypts.
Methods And Results:
In an Italian family of 7 subjects, 4 aged 10 (II-1), 14 (II-2), 43 (I-4) and 46 years (I-5), presenting abnormal ECG changes, dyspnea and palpitation (II-2, I-4, and I-5), and recurrent cerebral ischemic attack (I-5), underwent 2-dimensional echo, cardiac magnetic resonance, Holter monitoring, and next-generation sequencing gene analysis. Patients II-2 and I-5 with ventricular tachycardia underwent a cardiac invasive study, including coronary with LV angiography and endomyocardial biopsy. In all the affected members, ECG showed right bundle branch block and left anterior hemiblock with age-related prolongation of QRS duration. Two-dimensional echo and cardiac magnetic resonance documented LV myocardial noncompaction in all and in I-4, I-5, and II-2 a progressive LV hypertrophy up to 22-mm maximal wall thickness. Coronary arteries were normal. LV angiography showed transmural crypts progressing to spongeous myocardial transformation with LV dilatation and dysfunction in the oldest subject. At histology and electron microscopy detachment of myocardiocytes were associated with cell and myofibrillar disarray and degradation of intercalated discs causing disanchorage of myofilaments to cell membrane. Next-generation sequencing showed in affected members an unreported p.(Ala21Val) mutation of ACTC.
Conclusions:
Novel p.(Ala21Val) mutation of ACTC1 causes myofibrillar and intercalated disc alteration leading to familial hypertrophic cardiomyopathy and LV myocardial noncompaction with transmural crypts.
Related Concept Videos
Gene Families
Occasionally these regions can be adapted to take on new roles within the organism, becoming novel genes...
Gene Families
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Protein Families
Mutation, Gene Flow, and Genetic Drift
Mutations

