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Prevalence of HSPB6 gene variants in peripartum cardiomyopathy: Data from the German PPCM registry
Tobias J Pfeffer1, Bernd Auber2, Brigitte Pabst2
1Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Insights
Pathogenic HSPB6 gene variants were not more frequent in peripartum cardiomyopathy (PPCM) patients compared to dilated cardiomyopathy (DCM) patients. Further research is needed to understand the genetic background of PPCM.
Area of Science:
- Cardiology
- Genetics
- Molecular Biology
Background:
- Heat shock protein family B (small) member 6 (HSPB6) offers cardioprotection against stress-induced injury.
- Two HSPB6 gene variants are known in humans, found in 1% of dilated cardiomyopathy (DCM) patients.
- Peripartum cardiomyopathy (PPCM) is a serious heart condition with unknown causes; 16-20% of PPCM patients carry cardiomyopathy-associated gene variants.
Purpose of the Study:
- To investigate the prevalence of pathogenic HSPB6 gene variants in patients with peripartum cardiomyopathy (PPCM).
Main Methods:
- Whole-exome sequencing was conducted on blood samples from 65 PPCM patients in the German PPCM registry.
- The samples were screened for the presence of HSPB6 gene variants.
Main Results:
- One PPCM patient in the cohort carried an HSPB6 gene variant of uncertain significance (VUS).
- This VUS was not linked to amino acid sequence changes.
- No likely pathogenic or pathogenic HSPB6 variants were identified in the PPCM cohort.
Conclusions:
- HSPB6 gene variants did not show increased frequency in the studied PPCM cohort compared to DCM patients.
- Larger and more diverse PPCM cohorts are required to fully elucidate the role of genetic factors in PPCM pathogenesis.
Background:
Heat shock protein family B (small) member 6 (HSPB6) mediates cardioprotective effects against stress-induced injury. In humans two gene variants of HSPB6 have been identified with a prevalence of 1% in patients with dilated cardiomyopathy (DCM). Peripartum cardiomyopathy (PPCM) is a potentially life-threatening heart disease of unknown etiology in previously healthy women of whom 16-20% of PPCM carry gene variants associated with cardiomyopathy. This study was designed to analyze the prevalence of pathogenic HSPB6 gene variants in PPCM.
Methods And Results:
Whole-exome sequencing was performed in whole blood samples of PPCM patients (n = 65 PPCM patients from the German PPCM registry) and screened subsequently for HSPB6 gene variants. In this PPCM cohort one PPCM patient carries a HSPB6 gene variant of uncertain significance (VUS), which was not associated with changes in the amino acid sequence and no likely pathogenic or pathogenic variants were detected.
Conclusion:
HSPB6 gene variants did not occur more frequently in a cohort of PPCM patients from the German PPCM registry, compared to DCM patients. Genetic analyses in larger cohorts and in cohorts of different ethiologies of PPCM patients are needed to address the role of the genetic background in the pathogenesis of PPCM.
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