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Related Concept Videos

Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

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Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
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Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

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Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
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ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias01:25

ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias

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Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
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Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

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The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
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Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

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Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
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Related Experiment Video

Updated: Sep 20, 2025

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
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ACTC1 Variants Result in Isolated and Syndromic Cardiac Phenotypes.

Yuri A Zarate1, Lina Abdelmoti2, Seungjae Oh2

  • 1Division of Genetics and Metabolism, University of Kentucky, Lexington, Kentucky, USA.

Clinical Genetics
|May 27, 2025
PubMed
Summary

Pathogenic variants in ACTC1 gene cause cardiac conditions. This study identifies new ACTC1 variants linked to cardiomyopathies and extracardiac features like facial dysmorphism and skeletal anomalies.

Keywords:
ACTC1Noonan syndromeleft ventricular noncompactionzebrafish

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Area of Science:

  • Genetics and Molecular Biology
  • Cardiology
  • Developmental Biology

Background:

  • Pathogenic variants in ACTC1 are associated with various cardiomyopathies.
  • The full spectrum of ACTC1-related phenotypes is not yet completely understood.

Purpose of the Study:

  • To expand the known clinical and genetic spectrum of ACTC1 variants.
  • To investigate the impact of novel ACTC1 variants on cardiac and extracardiac development.

Main Methods:

  • Clinical evaluation of two individuals with novel ACTC1 variants.
  • Protein structure analysis to assess variant impact on protein function.
  • In vivo zebrafish model to validate pathogenicity and developmental effects.

Main Results:

  • Two individuals with heterozygous ACTC1 variants (Gly57, Glu101) presented with hypertrophic and left ventricular noncompaction cardiomyopathies.
  • Extracardiac features including facial dysmorphism, short stature, and skeletal anomalies were observed.
  • Structural and zebrafish analyses confirmed variant pathogenicity and impact on cranial tissue development.

Conclusions:

  • This study broadens the understanding of ACTC1-related disorders, highlighting significant clinical and molecular diversity.
  • ACTC1 variants can lead to complex phenotypes involving both cardiac and extracardiac systems.
  • Further research is warranted to fully elucidate the genotype-phenotype correlations in ACTC1-related diseases.