Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencing

Background: Cardiac arrhythmias are responsible for several cases of syncope and sudden cardiac death annually worldwide. Due to overlapping clinical symptoms in some cardiac arrhythmias genetic studies would help to confirm the primary clinical diagnosis made on the basis of solely clinical finding...

Full description

Bibliographic Details
Main Authors: Marzieh Asadi, Roger Foo, Mohammad Reza Samienasab, Ahmad Reza Salehi, Majid Kheirollahi, Hossein Khanahmad, Rasoul Salehi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Advanced Biomedical Research
Subjects:
Online Access:http://www.advbiores.net/article.asp?issn=2277-9175;year=2016;volume=5;issue=1;spage=55;epage=55;aulast=Asadi
_version_ 1819055051655610368
author Marzieh Asadi
Roger Foo
Mohammad Reza Samienasab
Ahmad Reza Salehi
Majid Kheirollahi
Hossein Khanahmad
Rasoul Salehi
author_facet Marzieh Asadi
Roger Foo
Mohammad Reza Samienasab
Ahmad Reza Salehi
Majid Kheirollahi
Hossein Khanahmad
Rasoul Salehi
author_sort Marzieh Asadi
collection DOAJ
description Background: Cardiac arrhythmias are responsible for several cases of syncope and sudden cardiac death annually worldwide. Due to overlapping clinical symptoms in some cardiac arrhythmias genetic studies would help to confirm the primary clinical diagnosis made on the basis of solely clinical findings. In addition clinical management of the patient, family screening and provide appropriate counseling and risk assessment for the family members are other advantages of genetic study. Materials and Methods: Totally nine patients from a family included in this study. The primary diagnosis on the basis of clinical findings was second-degree atrioventricular (AV) block for this family. Mutation in SCN5A gene is frequently reported for second-degree AV block and hence the gene was analyzed using whole gene sequencing but no mutation was detected. Subsequently, the samples were subjected to customized Ampliseq 77 gene panel using next generation sequencing to detect the underlying molecular defects. Results: We found c. 5570T>A missense mutation in ANK2 gene for this family. Based on the Online Mendelian Inheritance in Man, ANK2 gene and the mutation detected correspond to long QT syndrome type 4. Conclusion: This mutation, although already known in other populations, but is reported for the first time in Iranian patients with cardiac arrhythmias. As the case with this family, genetic analysis of patients with cardiac arrhythmias would be helpful in reassessment of clinical diagnosis and therefore would help for patients' management and in some cases re-evaluation of ongoing treatment may be needed.
first_indexed 2024-12-21T13:01:22Z
format Article
id doaj.art-e4bc69ca822b4435929cbec1e6ec4336
institution Directory Open Access Journal
issn 2277-9175
language English
last_indexed 2024-12-21T13:01:22Z
publishDate 2016-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Advanced Biomedical Research
spelling doaj.art-e4bc69ca822b4435929cbec1e6ec43362022-12-21T19:03:11ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752016-01-0151555510.4103/2277-9175.178801Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencingMarzieh AsadiRoger FooMohammad Reza SamienasabAhmad Reza SalehiMajid KheirollahiHossein KhanahmadRasoul SalehiBackground: Cardiac arrhythmias are responsible for several cases of syncope and sudden cardiac death annually worldwide. Due to overlapping clinical symptoms in some cardiac arrhythmias genetic studies would help to confirm the primary clinical diagnosis made on the basis of solely clinical findings. In addition clinical management of the patient, family screening and provide appropriate counseling and risk assessment for the family members are other advantages of genetic study. Materials and Methods: Totally nine patients from a family included in this study. The primary diagnosis on the basis of clinical findings was second-degree atrioventricular (AV) block for this family. Mutation in SCN5A gene is frequently reported for second-degree AV block and hence the gene was analyzed using whole gene sequencing but no mutation was detected. Subsequently, the samples were subjected to customized Ampliseq 77 gene panel using next generation sequencing to detect the underlying molecular defects. Results: We found c. 5570T>A missense mutation in ANK2 gene for this family. Based on the Online Mendelian Inheritance in Man, ANK2 gene and the mutation detected correspond to long QT syndrome type 4. Conclusion: This mutation, although already known in other populations, but is reported for the first time in Iranian patients with cardiac arrhythmias. As the case with this family, genetic analysis of patients with cardiac arrhythmias would be helpful in reassessment of clinical diagnosis and therefore would help for patients' management and in some cases re-evaluation of ongoing treatment may be needed.http://www.advbiores.net/article.asp?issn=2277-9175;year=2016;volume=5;issue=1;spage=55;epage=55;aulast=AsadiAtrioventricular blockcongenital long QT syndromehereditary cardiac arrhythmiasnext generation sequencing
spellingShingle Marzieh Asadi
Roger Foo
Mohammad Reza Samienasab
Ahmad Reza Salehi
Majid Kheirollahi
Hossein Khanahmad
Rasoul Salehi
Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencing
Advanced Biomedical Research
Atrioventricular block
congenital long QT syndrome
hereditary cardiac arrhythmias
next generation sequencing
title Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencing
title_full Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencing
title_fullStr Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencing
title_full_unstemmed Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencing
title_short Genetic analysis of Iranian family with hereditary cardiac arrhythmias by next generation sequencing
title_sort genetic analysis of iranian family with hereditary cardiac arrhythmias by next generation sequencing
topic Atrioventricular block
congenital long QT syndrome
hereditary cardiac arrhythmias
next generation sequencing
url http://www.advbiores.net/article.asp?issn=2277-9175;year=2016;volume=5;issue=1;spage=55;epage=55;aulast=Asadi
work_keys_str_mv AT marziehasadi geneticanalysisofiranianfamilywithhereditarycardiacarrhythmiasbynextgenerationsequencing
AT rogerfoo geneticanalysisofiranianfamilywithhereditarycardiacarrhythmiasbynextgenerationsequencing
AT mohammadrezasamienasab geneticanalysisofiranianfamilywithhereditarycardiacarrhythmiasbynextgenerationsequencing
AT ahmadrezasalehi geneticanalysisofiranianfamilywithhereditarycardiacarrhythmiasbynextgenerationsequencing
AT majidkheirollahi geneticanalysisofiranianfamilywithhereditarycardiacarrhythmiasbynextgenerationsequencing
AT hosseinkhanahmad geneticanalysisofiranianfamilywithhereditarycardiacarrhythmiasbynextgenerationsequencing
AT rasoulsalehi geneticanalysisofiranianfamilywithhereditarycardiacarrhythmiasbynextgenerationsequencing