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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Putative role of TMEM165 in congenital cardiomyopathies
1CESAM - Centre for Environmental and Marine Studies, Department of Biology, University of Aveiro, Aveiro, Portugal.
Insights
Congenital cardiomyopathies, a major cause of death, often have genetic origins. Prompt genetic testing for human transmembrane protein 165 (HsTMEM165) variants can guide therapy and identify related conditions.
Area of Science:
- Genetics
- Cardiology
- Biochemistry
Background:
- Congenital heart diseases are significant global causes of mortality and morbidity.
- Early diagnosis and care for congenital cardiomyopathies improve patient survival and health outcomes.
- Genetic factors are frequently implicated in cardiomyopathies, necessitating genetic testing for diagnosis and management.
Purpose of the Study:
- To review recent advancements in basic and clinical research concerning TMEM165.
- To focus on the pathogenicity of human transmembrane protein 165 (HsTMEM165) variants.
- To explore the potential role of HsTMEM165 in congenital cardiomyopathies.
Main Methods:
- Review of current scientific literature on TMEM165 and Congenital Disorders of Glycosylation (CDG).
- Analysis of the impact of amino acid variations on TMEM165 structure and function.
- Correlation of HsTMEM165 mutations with CDG phenotypes.
Main Results:
- Congenital Disorders of Glycosylation (CDG) are inherited multisystem disorders resulting from glycosylation defects.
- Hypertrophic/dilated cardiomyopathy and neuromuscular issues are common in CDG.
- Mutations in the HsTMEM165 gene are linked to CDG, highlighting the importance of amino acid integrity for protein function.
Conclusions:
- Genetic diagnosis in cardiomyopathy aids in selecting therapies and detecting comorbidities.
- HsTMEM165 variants are associated with CDG phenotypes, including cardiac and neuromuscular abnormalities.
- Further research into HsTMEM165 is crucial for understanding its role in congenital cardiomyopathies.
Abstract:
Within the significant worldwide causes of mortality and morbidity are congenital heart diseases. Congenital cardiomyopathies include conditions in which early diagnosis and care can improve survival and health. In general, the first diagnostic tool is clinician suspicion followed by appropriate imaging, classically an echocardiogram. Cardiomyopathies have high rates of clinically detectable genetic causes. In view of this, prompt genetic testing is highly recommended for patients with cardiomyopathy. Genetic diagnosis, that is relevant to both the patient and family members, can help guide the selection of appropriate therapies and provide valuable information about the presence of comorbidities in other organ systems. Congenital Disorders of Glycosylation (CDG) are a growing group of inherited multisystem disorders characterized by defects in the glycosylation of proteins and lipids. Hypertrophic / dilated cardiomyopathy and neuromuscular abnormalities are recurrent manifestations of glycosylation defects. Mutations within the gene encoding the human transmembrane protein 165 (HsTMEM165), that belong to uncharacterized protein family 0016 (UPF0016), have been associated with cases of CDG. Recent progress in basic and clinical research related to TMEM165, focusing on the pathogenicity of HsTMEM165 variants, are reviewed. Highlights include the critical role of amino acid replacement for maintaining the structural and functional integrity of TMEM165 and their known associations with phenotypes of CDG patients. Future directions in this rapidly evolving area of research are proposed, to recognize the potential involvement of HsTMEM165 in congenital cardiomyopathies.
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