Genetic bases of arrhythmogenic right ventricular cardiomyopathy

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a heart muscle disease in which the pathological substrate is a fibro-fatty replacement of the right ventricular myocardium. The major clinical features are different types of arrhythmias with a left branch block pattern. ARVC shows autosomal...

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Main Author: Alessandra Rampazzo
Format: Article
Language:English
Published: Touch Medical Media 2010-05-01
Series:Heart International
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/hi/article/view/1877
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author Alessandra Rampazzo
author_facet Alessandra Rampazzo
author_sort Alessandra Rampazzo
collection DOAJ
description Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a heart muscle disease in which the pathological substrate is a fibro-fatty replacement of the right ventricular myocardium. The major clinical features are different types of arrhythmias with a left branch block pattern. ARVC shows autosomal dominant inheritance with incomplete penetrance. Recessive forms were also described, although in association with skin disorders. Ten genetic loci have been discovered so far and mutations were reported in five different genes. ARVD1 was associated with regulatory mutations of transforming growth factor beta-3 (TGFβ3), whereas ARVD2, characterized by effort-induced polymorphic arrhythmias, was associated with mutations in cardiac ryanodine receptor-2 (RYR2). All other mutations identified to date have been detected in genes encoding desmosomal proteins: plakoglobin (JUP) which causes Naxos disease (a recessive form of ARVC associated with palmoplantar keratosis and woolly hair); desmoplakin (DSP) which causes the autosomal dominant ARVD8 and plakophilin-2 (PKP2) involved in ARVD9. Desmosomes are important cell-to-cell adhesion junctions predominantly found in epidermis and heart; they are believed to couple cytoskeletal elements to plasma membrane in cell-to-cell or cell-to-substrate adhesions.
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spelling doaj.art-182c426466534077b085cd3e2b7281022022-12-21T18:47:37ZengTouch Medical MediaHeart International1826-18682036-25792010-05-0121172610.4081/hi.2006.17Genetic bases of arrhythmogenic right ventricular cardiomyopathyAlessandra RampazzoArrhythmogenic right ventricular cardiomyopathy (ARVC) is a heart muscle disease in which the pathological substrate is a fibro-fatty replacement of the right ventricular myocardium. The major clinical features are different types of arrhythmias with a left branch block pattern. ARVC shows autosomal dominant inheritance with incomplete penetrance. Recessive forms were also described, although in association with skin disorders. Ten genetic loci have been discovered so far and mutations were reported in five different genes. ARVD1 was associated with regulatory mutations of transforming growth factor beta-3 (TGFβ3), whereas ARVD2, characterized by effort-induced polymorphic arrhythmias, was associated with mutations in cardiac ryanodine receptor-2 (RYR2). All other mutations identified to date have been detected in genes encoding desmosomal proteins: plakoglobin (JUP) which causes Naxos disease (a recessive form of ARVC associated with palmoplantar keratosis and woolly hair); desmoplakin (DSP) which causes the autosomal dominant ARVD8 and plakophilin-2 (PKP2) involved in ARVD9. Desmosomes are important cell-to-cell adhesion junctions predominantly found in epidermis and heart; they are believed to couple cytoskeletal elements to plasma membrane in cell-to-cell or cell-to-substrate adhesions.http://www.pagepress.org/journals/index.php/hi/article/view/1877Arrhythmias, Sudden death, Molecular genetics, Desmosomes
spellingShingle Alessandra Rampazzo
Genetic bases of arrhythmogenic right ventricular cardiomyopathy
Heart International
Arrhythmias, Sudden death, Molecular genetics, Desmosomes
title Genetic bases of arrhythmogenic right ventricular cardiomyopathy
title_full Genetic bases of arrhythmogenic right ventricular cardiomyopathy
title_fullStr Genetic bases of arrhythmogenic right ventricular cardiomyopathy
title_full_unstemmed Genetic bases of arrhythmogenic right ventricular cardiomyopathy
title_short Genetic bases of arrhythmogenic right ventricular cardiomyopathy
title_sort genetic bases of arrhythmogenic right ventricular cardiomyopathy
topic Arrhythmias, Sudden death, Molecular genetics, Desmosomes
url http://www.pagepress.org/journals/index.php/hi/article/view/1877
work_keys_str_mv AT alessandrarampazzo geneticbasesofarrhythmogenicrightventricularcardiomyopathy