Overlapping LQT1 and LQT2 phenotype in a patient with long QT syndrome associated with loss-of-function variations in KCNQ1 and KCNH2
Long QT syndrome (LQTS) is an inherited disorder characterized by prolonged QT intervals and potentially life-threatening arrhythmias. Mutations in 12 different genes have been associated with LQTS. Here we describe a patient with LQTS who has a mutation in KCNQ1 as well as a polymorphism in KCNH2....
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| Hauptverfasser: | , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
1 December 2010
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| In: |
Canadian journal of physiology and pharmacology
Year: 2010, Jahrgang: 88, Heft: 12, Pages: 1181-1190 |
| ISSN: | 1205-7541 |
| DOI: | 10.1139/Y10-094 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1139/Y10-094 |
| Verfasserangaben: | Jonathan M. Cordeiro, Guillermo J. Perez, Nicole Schmitt, Ryan Pfeiffer, Vladislav V. Nesterenko, Elena Burashnikov, Christian Veltmann, Martin Borggrefe, Christian Wolpert, Rainer Schimpf, Charles Antzelevitch |
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| 100 | 1 | |a Cordeiro, Jonathan M. |e VerfasserIn |0 (DE-588)1292914645 |0 (DE-627)1850471983 |4 aut | |
| 245 | 1 | 0 | |a Overlapping LQT1 and LQT2 phenotype in a patient with long QT syndrome associated with loss-of-function variations in KCNQ1 and KCNH2 |c Jonathan M. Cordeiro, Guillermo J. Perez, Nicole Schmitt, Ryan Pfeiffer, Vladislav V. Nesterenko, Elena Burashnikov, Christian Veltmann, Martin Borggrefe, Christian Wolpert, Rainer Schimpf, Charles Antzelevitch |
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| 520 | |a Long QT syndrome (LQTS) is an inherited disorder characterized by prolonged QT intervals and potentially life-threatening arrhythmias. Mutations in 12 different genes have been associated with LQTS. Here we describe a patient with LQTS who has a mutation in KCNQ1 as well as a polymorphism in KCNH2. The proband (MMRL0362), a 32-year-old female, exhibited multiple ventricular extrasystoles and one syncope. Her ECG (QT interval corrected for heart rate (QTc) = 518ms) showed an LQT2 morphology in leads V4-V6 and LQT1 morphology in leads V1-V2. Genomic DNA was isolated from lymphocytes. All exons and intron borders of 7 LQTS susceptibility genes were amplified and sequenced. Variations were detected predicting a novel missense mutation (V110I) in KCNQ1, as well as a common polymorphism in KCNH2 (K897T). We expressed wild-type (WT) or V110I Kv7.1 channels in CHO-K1 cells cotransfected with KCNE1 and performed patch-clamp analysis. In addition, WT or K897T Kv11.1 were also studied by patch clamp. Current-voltage (I-V) relations for V110I showed a significant reduction in both developing and tail current densities compared with WT at potentials >+20 mV (p < 0.05; n = 8 cells, each group), suggesting a reduction in IKs currents. K897T- Kv11.1 channels displayed a significantly reduced tail current density compared with WT-Kv11.1 at potentials >+10 mV. Interestingly, channel availability assessed using a triple-pulse protocol was slightly greater for K897T compared with WT (V0.5 = -53.1 ± 1.13 mV and -60.7 ± 1.15 mV for K897T and WT, respectively; p < 0.05). Comparison of the fully activated I-V revealed no difference in the rectification properties between WT and K897T channels. We report a patient with a loss-of-function mutation in KCNQ1 and a loss-of-function polymorphism in KCNH2. Our results suggest that a reduction of both IKr and IKs underlies the combined LQT1 and LQT2 phenotype observed in this patient. | ||
| 650 | 4 | |a Adult | |
| 650 | 4 | |a Amino Acid Sequence | |
| 650 | 4 | |a Animals | |
| 650 | 4 | |a Base Sequence | |
| 650 | 4 | |a Cells, Cultured | |
| 650 | 4 | |a CHO Cells | |
| 650 | 4 | |a Cricetinae | |
| 650 | 4 | |a Cricetulus | |
| 650 | 4 | |a Electrocardiography | |
| 650 | 4 | |a ERG1 Potassium Channel | |
| 650 | 4 | |a Ether-A-Go-Go Potassium Channels | |
| 650 | 4 | |a Female | |
| 650 | 4 | |a Genetic Variation | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a KCNQ1 Potassium Channel | |
| 650 | 4 | |a Long QT Syndrome | |
| 650 | 4 | |a Molecular Sequence Data | |
| 650 | 4 | |a Mutation | |
| 650 | 4 | |a Phenotype | |
| 650 | 4 | |a Polymorphism, Genetic | |
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| 700 | 1 | |a Schmitt, Nicole |e VerfasserIn |4 aut | |
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