GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy

Background: Familial dilated cardiomyopathy (DCM) is a monogenic disorder typically inherited in an autosomal dominant pattern. We have identified two Finnish families with familial cardiomyopathy that is not explained by a variant in any previously known cardiomyopathy gene. We describe the cardiac...

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Main Authors: Krista Heliö, Mikko I. Mäyränpää, Inka Saarinen, Saija Ahonen, Heidi Junnila, Johanna Tommiska, Sini Weckström, Miia Holmström, Mia Toivonen, Kjell Nikus, Julie Hathaway, Pauli Siivonen, Mikko Muona, Johanna Sistonen, Pertteli Salmenperä, Massimiliano Gentile, Jussi Paananen, Samuel Myllykangas, Tero-Pekka Alastalo, Tiina Heliö, Juha Koskenvuo
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2021.786705/full
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author Krista Heliö
Mikko I. Mäyränpää
Inka Saarinen
Saija Ahonen
Heidi Junnila
Johanna Tommiska
Sini Weckström
Miia Holmström
Mia Toivonen
Kjell Nikus
Kjell Nikus
Julie Hathaway
Pauli Siivonen
Mikko Muona
Johanna Sistonen
Pertteli Salmenperä
Massimiliano Gentile
Jussi Paananen
Samuel Myllykangas
Tero-Pekka Alastalo
Tiina Heliö
Juha Koskenvuo
author_facet Krista Heliö
Mikko I. Mäyränpää
Inka Saarinen
Saija Ahonen
Heidi Junnila
Johanna Tommiska
Sini Weckström
Miia Holmström
Mia Toivonen
Kjell Nikus
Kjell Nikus
Julie Hathaway
Pauli Siivonen
Mikko Muona
Johanna Sistonen
Pertteli Salmenperä
Massimiliano Gentile
Jussi Paananen
Samuel Myllykangas
Tero-Pekka Alastalo
Tiina Heliö
Juha Koskenvuo
author_sort Krista Heliö
collection DOAJ
description Background: Familial dilated cardiomyopathy (DCM) is a monogenic disorder typically inherited in an autosomal dominant pattern. We have identified two Finnish families with familial cardiomyopathy that is not explained by a variant in any previously known cardiomyopathy gene. We describe the cardiac phenotype related to homozygous truncating GCOM1 variants.Methods and Results: This study included two probands and their relatives. All the participants are of Finnish ethnicity. Whole-exome sequencing was used to test the probands; bi-directional Sanger sequencing was used to identify the GCOM1 variants in probands’ family members. Clinical evaluation was performed, medical records and death certificates were obtained. Immunohistochemical analysis of myocardial samples was conducted. A homozygous GCOM1 variant was identified altogether in six individuals, all considered to be affected. None of the nine heterozygous family members fulfilled any cardiomyopathy criteria. Heart failure was the leading clinical feature, and the patients may have had a tendency for atrial arrhythmias.Conclusions: This study demonstrates the significance of GCOM1 variants as a cause of human cardiomyopathy and highlights the importance of searching for new candidate genes when targeted gene panels do not yield a positive outcome.
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spelling doaj.art-1aa59acef3044845853059e28698c9e32022-12-21T20:35:43ZengFrontiers Media S.A.Frontiers in Genetics1664-80212021-11-011210.3389/fgene.2021.786705786705GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated CardiomyopathyKrista Heliö0Mikko I. Mäyränpää1Inka Saarinen2Saija Ahonen3Heidi Junnila4Johanna Tommiska5Sini Weckström6Miia Holmström7Mia Toivonen8Kjell Nikus9Kjell Nikus10Julie Hathaway11Pauli Siivonen12Mikko Muona13Johanna Sistonen14Pertteli Salmenperä15Massimiliano Gentile16Jussi Paananen17Samuel Myllykangas18Tero-Pekka Alastalo19Tiina Heliö20Juha Koskenvuo21Heart and Lung Center, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandDepartment of Pathology, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandHeart and Lung Center, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandDepartment of Radiology, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandFaculty of Medicine and Health Technology, Tampere University, Tampere, FinlandHeart Center, Tampere University Hospital, Tampere, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandHeart and Lung Center, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandBlueprint Genetics, A Quest Diagnostics Company, Espoo, FinlandBackground: Familial dilated cardiomyopathy (DCM) is a monogenic disorder typically inherited in an autosomal dominant pattern. We have identified two Finnish families with familial cardiomyopathy that is not explained by a variant in any previously known cardiomyopathy gene. We describe the cardiac phenotype related to homozygous truncating GCOM1 variants.Methods and Results: This study included two probands and their relatives. All the participants are of Finnish ethnicity. Whole-exome sequencing was used to test the probands; bi-directional Sanger sequencing was used to identify the GCOM1 variants in probands’ family members. Clinical evaluation was performed, medical records and death certificates were obtained. Immunohistochemical analysis of myocardial samples was conducted. A homozygous GCOM1 variant was identified altogether in six individuals, all considered to be affected. None of the nine heterozygous family members fulfilled any cardiomyopathy criteria. Heart failure was the leading clinical feature, and the patients may have had a tendency for atrial arrhythmias.Conclusions: This study demonstrates the significance of GCOM1 variants as a cause of human cardiomyopathy and highlights the importance of searching for new candidate genes when targeted gene panels do not yield a positive outcome.https://www.frontiersin.org/articles/10.3389/fgene.2021.786705/fullGCOM1MYZAPdilated cardiomyopathyautosomal recessivecardiomyopathy
spellingShingle Krista Heliö
Mikko I. Mäyränpää
Inka Saarinen
Saija Ahonen
Heidi Junnila
Johanna Tommiska
Sini Weckström
Miia Holmström
Mia Toivonen
Kjell Nikus
Kjell Nikus
Julie Hathaway
Pauli Siivonen
Mikko Muona
Johanna Sistonen
Pertteli Salmenperä
Massimiliano Gentile
Jussi Paananen
Samuel Myllykangas
Tero-Pekka Alastalo
Tiina Heliö
Juha Koskenvuo
GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
Frontiers in Genetics
GCOM1
MYZAP
dilated cardiomyopathy
autosomal recessive
cardiomyopathy
title GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_full GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_fullStr GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_full_unstemmed GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_short GRINL1A Complex Transcription Unit Containing GCOM1, MYZAP, and POLR2M Genes Associates with Fully Penetrant Recessive Dilated Cardiomyopathy
title_sort grinl1a complex transcription unit containing gcom1 myzap and polr2m genes associates with fully penetrant recessive dilated cardiomyopathy
topic GCOM1
MYZAP
dilated cardiomyopathy
autosomal recessive
cardiomyopathy
url https://www.frontiersin.org/articles/10.3389/fgene.2021.786705/full
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