Variable phenotype expression with a frameshift mutation of the cardiac sodium channel gene SCN5A

نویسندگان

  • Hiroshi Kawakami
  • Takeshi Aiba
  • Tadakatsu Yamada
  • Hideki Okayama
  • Yukio Kazatani
  • Kyoko Konishi
  • Ikutaro Nakajima
  • Koji Miyamoto
  • Yuko Yamada
  • Hideo Okamura
  • Takashi Noda
  • Shiro Kamakura
  • Naomasa Makita
  • Wataru Shimizu
چکیده

Loss-of-function mutations in the cardiac sodium channel α-subunit gene SCN5A result in multiple inherited arrhythmic syndromes. This case report describes 2 unrelated probands carrying an identical SCN5A frameshift mutation, V1764fsX1786, who exhibited distinct clinical manifestations: progressive cardiac conduction defect (PCCD)/Brugada syndrome (patient #1) and idiopathic ventricular fibrillation (IVF) (patient #2). Using a whole-cell patch clamp technique, cells expressing V1764fsX1786 showed no observable Na current. Therefore, a significant phenotypic overlap was found between IVF and PCCD/ Brugada syndrome in the 2 probands with the V1764fsX1786, loss-of-function frameshift mutation of the cardiac sodium channel gene SCN5A. & 2013 Japanese Heart Rhythm Society. Published by Elsevier B.V. All rights reserved.

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تاریخ انتشار 2013