Targeted panel sequencing in adult patients with left ventricular non‐compaction reveals a large genetic heterogeneity
Left ventricular non‐compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective...
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| Veröffentlicht in: | Clinical genetics Jg. 95; H. 3; S. 356 - 367 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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Oxford, UK
Blackwell Publishing Ltd
01.03.2019
Wiley |
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| ISSN: | 0009-9163, 1399-0004, 1399-0004 |
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| Abstract | Left ventricular non‐compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective cohort of 95 unrelated adult patients through the molecular investigation of 107 genes involved in cardiomyopathies and arrhythmias.
Fifty‐two pathogenic or probably pathogenic variants were identified in 40 patients (42%) including 31 patients (32.5%) with single variant and 9 patients with complex genotypes (9.5%). Mutated patients tended to have younger age at diagnosis than patients with no identified mutation. The most prevalent genes were TTN, then HCN4, MYH7, and RYR2. The distribution includes 13 genes previously reported in LVNC and 10 additional candidate genes.
Our results show that LVNC is basically a genetic disease and support genetic counseling and cardiac screening in relatives. There is a large genetic heterogeneity, with predominant TTN null mutations and frequent complex genotypes. The gene spectrum is close to the one observed in dilated cardiomyopathy but with specific genes such as HCN4. We also identified new candidate genes that could be involved in this sub‐phenotype of cardiomyopathy. |
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| AbstractList | Left ventricular non-compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective cohort of 95 unrelated adult patients through the molecular investigation of 107 genes involved in cardiomyopathies and arrhythmias. Fifty-two pathogenic or probably pathogenic variants were identified in 40 patients (42%) including 31 patients (32.5%) with single variant and 9 patients with complex genotypes (9.5%). Mutated patients tended to have younger age at diagnosis than patients with no identified mutation. The most prevalent genes were TTN, then HCN4, MYH7, and RYR2. The distribution includes 13 genes previously reported in LVNC and 10 additional candidate genes. Our results show that LVNC is basically a genetic disease and support genetic counseling and cardiac screening in relatives. There is a large genetic heterogeneity, with predominant TTN null mutations and frequent complex genotypes. The gene spectrum is close to the one observed in dilated cardiomyopathy but with specific genes such as HCN4. We also identified new candidate genes that could be involved in this sub-phenotype of cardiomyopathy. Left ventricular non-compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective cohort of 95 unrelated adult patients through the molecular investigation of 107 genes involved in cardiomyopathies and arrhythmias. Fifty-two pathogenic or probably pathogenic variants were identified in 40 patients (42%) including 31 patients (32.5%) with single variant and 9 patients with complex genotypes (9.5%). Mutated patients tended to have younger age at diagnosis than patients with no identified mutation. The most prevalent genes were TTN, then HCN4, MYH7, and RYR2. The distribution includes 13 genes previously reported in LVNC and 10 additional candidate genes. Our results show that LVNC is basically a genetic disease and support genetic counseling and cardiac screening in relatives. There is a large genetic heterogeneity, with predominant TTN null mutations and frequent complex genotypes. The gene spectrum is close to the one observed in dilated cardiomyopathy but with specific genes such as HCN4. We also identified new candidate genes that could be involved in this sub-phenotype of cardiomyopathy.Left ventricular non-compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective cohort of 95 unrelated adult patients through the molecular investigation of 107 genes involved in cardiomyopathies and arrhythmias. Fifty-two pathogenic or probably pathogenic variants were identified in 40 patients (42%) including 31 patients (32.5%) with single variant and 9 patients with complex genotypes (9.5%). Mutated patients tended to have younger age at diagnosis than patients with no identified mutation. The most prevalent genes were TTN, then HCN4, MYH7, and RYR2. The distribution includes 13 genes previously reported in LVNC and 10 additional candidate genes. Our results show that LVNC is basically a genetic disease and support genetic counseling and cardiac screening in relatives. There is a large genetic heterogeneity, with predominant TTN null mutations and frequent complex genotypes. The gene spectrum is close to the one observed in dilated cardiomyopathy but with specific genes such as HCN4. We also identified new candidate genes that could be involved in this sub-phenotype of cardiomyopathy. Left ventricular non‐compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective cohort of 95 unrelated adult patients through the molecular investigation of 107 genes involved in cardiomyopathies and arrhythmias. Fifty‐two pathogenic or probably pathogenic variants were identified in 40 patients (42%) including 31 patients (32.5%) with single variant and 9 patients with complex genotypes (9.5%). Mutated patients tended to have younger age at diagnosis than patients with no identified mutation. The most prevalent genes were TTN , then HCN4, MYH7, and RYR2 . The distribution includes 13 genes previously reported in LVNC and 10 additional candidate genes. Our results show that LVNC is basically a genetic disease and support genetic counseling and cardiac screening in relatives. There is a large genetic heterogeneity, with predominant TTN null mutations and frequent complex genotypes. The gene spectrum is close to the one observed in dilated cardiomyopathy but with specific genes such as HCN4 . We also identified new candidate genes that could be involved in this sub‐phenotype of cardiomyopathy. Left ventricular non‐compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective cohort of 95 unrelated adult patients through the molecular investigation of 107 genes involved in cardiomyopathies and arrhythmias. Fifty‐two pathogenic or probably pathogenic variants were identified in 40 patients (42%) including 31 patients (32.5%) with single variant and 9 patients with complex genotypes (9.5%). Mutated patients tended to have younger age at diagnosis than patients with no identified mutation. The most prevalent genes were TTN, then HCN4, MYH7, and RYR2. The distribution includes 13 genes previously reported in LVNC and 10 additional candidate genes. Our results show that LVNC is basically a genetic disease and support genetic counseling and cardiac screening in relatives. There is a large genetic heterogeneity, with predominant TTN null mutations and frequent complex genotypes. The gene spectrum is close to the one observed in dilated cardiomyopathy but with specific genes such as HCN4. We also identified new candidate genes that could be involved in this sub‐phenotype of cardiomyopathy. |
| Author | Charron, Philippe Tregouët, David‐Alexandre Nguyen, Karine Casalta, Anne‐Claire Ader, Flavie Roux, Maguelonne Huttin, Olivier Aoutil, Nadia Eicher, Jean‐Christophe Selton‐Suty, Christine Haentjens, Julie Donal, Erwan Coisne, Damien Jondeau, Guillaume Damy, Thibaud Faivre, Laurence Mansencal, Nicolas Habib, Gilbert Richard, Pascale Michel, Nicolas Lavoute, Cecile |
| Author_xml | – sequence: 1 givenname: Pascale orcidid: 0000-0002-2390-3005 surname: Richard fullname: Richard, Pascale email: pascale.richard@aphp.fr organization: Sorbonne Universités, UPMC Univ. Paris 06, INSERM, UMR_S 1166 and ICAN Institute for Cardiometabolism and Nutrition – sequence: 2 givenname: Flavie surname: Ader fullname: Ader, Flavie organization: APHP, Functional Unit of Cardiogénétique et Myogénétique, Service de Biochimie Métabolique, Hôpitaux Universitaires de la Pitié‐Salpêtrière‐Charles Foix – sequence: 3 givenname: Maguelonne surname: Roux fullname: Roux, Maguelonne organization: Sorbonne Universités, UPMC Univ. Paris 06, INSERM, UMR_S 1166 and ICAN Institute for Cardiometabolism and Nutrition – sequence: 4 givenname: Erwan surname: Donal fullname: Donal, Erwan organization: Centre Hospitalier Régional Universitaire Pontchaillou – sequence: 5 givenname: Jean‐Christophe surname: Eicher fullname: Eicher, Jean‐Christophe organization: CHU Dijon Bourgogne ‐ Hôpital François Mitterrand, 2 bd Maréchal de Lattre de Tassigny – sequence: 6 givenname: Nadia surname: Aoutil fullname: Aoutil, Nadia organization: APHP, Functional Unit of Cardiogénétique et Myogénétique, Service de Biochimie Métabolique, Hôpitaux Universitaires de la Pitié‐Salpêtrière‐Charles Foix – sequence: 7 givenname: Olivier surname: Huttin fullname: Huttin, Olivier organization: CHU de Nancy, Hôpitaux de Brabois, rue du Morvan – sequence: 8 givenname: Christine surname: Selton‐Suty fullname: Selton‐Suty, Christine organization: CHU de Nancy, Hôpitaux de Brabois, rue du Morvan – sequence: 9 givenname: Damien surname: Coisne fullname: Coisne, Damien organization: CHU de Poitiers – sequence: 10 givenname: Guillaume surname: Jondeau fullname: Jondeau, Guillaume organization: APHP, Service Cardiologie, CHU Paris Nord‐Val de Seine ‐ Hôpital Xavier Bichat‐Claude Bernard – sequence: 11 givenname: Thibaud surname: Damy fullname: Damy, Thibaud organization: CHU Henri Mondor – sequence: 12 givenname: Nicolas surname: Mansencal fullname: Mansencal, Nicolas organization: CHU Ambroise Paré – sequence: 13 givenname: Anne‐Claire surname: Casalta fullname: Casalta, Anne‐Claire organization: APHM, La Timone Hospital – sequence: 14 givenname: Nicolas surname: Michel fullname: Michel, Nicolas organization: APHM, La Timone Hospital – sequence: 15 givenname: Julie surname: Haentjens fullname: Haentjens, Julie organization: APHM, La Timone Hospital – sequence: 16 givenname: Laurence surname: Faivre fullname: Faivre, Laurence organization: CHU Dijon Bourgogne ‐ Hôpital François Mitterrand – sequence: 17 givenname: Cecile surname: Lavoute fullname: Lavoute, Cecile organization: APHM, La Timone Hospital – sequence: 18 givenname: Karine surname: Nguyen fullname: Nguyen, Karine organization: APHM, La Timone Hospital – sequence: 19 givenname: David‐Alexandre surname: Tregouët fullname: Tregouët, David‐Alexandre organization: Sorbonne Universités, UPMC Univ. Paris 06, INSERM, UMR_S 1166 and ICAN Institute for Cardiometabolism and Nutrition – sequence: 20 givenname: Gilbert surname: Habib fullname: Habib, Gilbert organization: Aix Marseille Univ, IRD, APHM, MEPHI, IHU‐Méditerranée Infection – sequence: 21 givenname: Philippe surname: Charron fullname: Charron, Philippe organization: Université de Versailles Saint Quentin, Service de Génétique, Hôpital Ambroise Paré |
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| Keywords | left ventricular non-compaction cardiomyopathy next generation sequencing molecular genetic |
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| Snippet | Left ventricular non‐compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the... Left ventricular non-compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the... |
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| SubjectTerms | Cardiology and cardiovascular system Cardiomyopathy Compaction Dilated cardiomyopathy Genetic counseling Genetics Genotypes Human genetics Human health and pathology Ion channels (cyclic nucleotide-gated) left ventricular non‐compaction Life Sciences molecular genetic Mutation next generation sequencing Phenotypes Populations and Evolution Ryanodine receptors Ventricle |
| Title | Targeted panel sequencing in adult patients with left ventricular non‐compaction reveals a large genetic heterogeneity |
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