Arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac death

Abstract Objective We conducted an investigation into the clinical and molecular characteristics of Arrhythmogenic left ventricular cardiomyopathy (ALVC) caused by a novel likely pathogenic mutation in an Iranian pedigree with sudden cardiac death (SCD). Background ALVC is a genetically inherited my...

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Main Authors: Amir Azimi, Maryam Pourirahim, Golnaz Houshmand, Sara Adimi, Majid Maleki, Samira Kalayinia
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Medical Genomics
Subjects:
Online Access:https://doi.org/10.1186/s12920-023-01701-w
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author Amir Azimi
Maryam Pourirahim
Golnaz Houshmand
Sara Adimi
Majid Maleki
Samira Kalayinia
author_facet Amir Azimi
Maryam Pourirahim
Golnaz Houshmand
Sara Adimi
Majid Maleki
Samira Kalayinia
author_sort Amir Azimi
collection DOAJ
description Abstract Objective We conducted an investigation into the clinical and molecular characteristics of Arrhythmogenic left ventricular cardiomyopathy (ALVC) caused by a novel likely pathogenic mutation in an Iranian pedigree with sudden cardiac death (SCD). Background ALVC is a genetically inherited myocardial disease characterized by the substitution of fibro-fatty tissue in the left ventricular myocardium, predominantly inherited in an autosomal dominant pattern and is commonly associated with genes involved in encoding desmosomal proteins, specifically Desmoplakin (DSP). Methods The patient and available family members underwent a comprehensive clinical assessment, including Cardiac magnetic resonance (CMR) imaging, along with Whole-exome sequencing (WES). The identified variant was confirmed and segregated by Polymerase chain reaction (PCR) and Sanger sequencing in the family members. Results A novel likely pathogenic heterozygous variant, DSP (NM_004415.4), c.3492_3498del, p.K1165Rfs*8 was discovered in the proband. This variant is likely to be the primary reason for ALVC in this specific family. This variant was confirmed by Sanger sequencing and segregated in other affected members of the family. Conclusion We identified a novel likely pathogenic variant in the DSP gene, which has been identified as the cause of ALVC in an Iranian family. Our investigation underscores the importance of genetic testing, specifically WES, for individuals suspected of ALVC and have a family history of SCD.
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spelling doaj.art-1ca17080b113486bb046af485f7a3abe2023-10-29T12:39:27ZengBMCBMC Medical Genomics1755-87942023-10-0116111010.1186/s12920-023-01701-wArrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac deathAmir Azimi0Maryam Pourirahim1Golnaz Houshmand2Sara Adimi3Majid Maleki4Samira Kalayinia5Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran University of Medical SciencesCardiogenetic Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical SciencesRajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran University of Medical SciencesRajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran University of Medical SciencesCardiogenetic Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical SciencesCardiogenetic Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical SciencesAbstract Objective We conducted an investigation into the clinical and molecular characteristics of Arrhythmogenic left ventricular cardiomyopathy (ALVC) caused by a novel likely pathogenic mutation in an Iranian pedigree with sudden cardiac death (SCD). Background ALVC is a genetically inherited myocardial disease characterized by the substitution of fibro-fatty tissue in the left ventricular myocardium, predominantly inherited in an autosomal dominant pattern and is commonly associated with genes involved in encoding desmosomal proteins, specifically Desmoplakin (DSP). Methods The patient and available family members underwent a comprehensive clinical assessment, including Cardiac magnetic resonance (CMR) imaging, along with Whole-exome sequencing (WES). The identified variant was confirmed and segregated by Polymerase chain reaction (PCR) and Sanger sequencing in the family members. Results A novel likely pathogenic heterozygous variant, DSP (NM_004415.4), c.3492_3498del, p.K1165Rfs*8 was discovered in the proband. This variant is likely to be the primary reason for ALVC in this specific family. This variant was confirmed by Sanger sequencing and segregated in other affected members of the family. Conclusion We identified a novel likely pathogenic variant in the DSP gene, which has been identified as the cause of ALVC in an Iranian family. Our investigation underscores the importance of genetic testing, specifically WES, for individuals suspected of ALVC and have a family history of SCD.https://doi.org/10.1186/s12920-023-01701-wArrhythmogenic left ventricular cardiomyopathyGeneticDesmoplakinWhole-exome sequencingVariant
spellingShingle Amir Azimi
Maryam Pourirahim
Golnaz Houshmand
Sara Adimi
Majid Maleki
Samira Kalayinia
Arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac death
BMC Medical Genomics
Arrhythmogenic left ventricular cardiomyopathy
Genetic
Desmoplakin
Whole-exome sequencing
Variant
title Arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac death
title_full Arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac death
title_fullStr Arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac death
title_full_unstemmed Arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac death
title_short Arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic DSP mutation, p.K1165Rfs*8, in a family with sudden cardiac death
title_sort arrhythmogenic left ventricular cardiomyopathy caused by a novel likely pathogenic dsp mutation p k1165rfs 8 in a family with sudden cardiac death
topic Arrhythmogenic left ventricular cardiomyopathy
Genetic
Desmoplakin
Whole-exome sequencing
Variant
url https://doi.org/10.1186/s12920-023-01701-w
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