Targeted panel sequencing in adult patients with left ventricular non‐compaction reveals a large genetic heterogeneity
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- Pascale Richard
- APHP, Functional Unit of Cardiogénétique et Myogénétique, Service de Biochimie Métabolique, Hôpitaux Universitaires de la Pitié‐Salpêtrière‐Charles Foix Paris France
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- Flavie Ader
- APHP, Functional Unit of Cardiogénétique et Myogénétique, Service de Biochimie Métabolique, Hôpitaux Universitaires de la Pitié‐Salpêtrière‐Charles Foix Paris France
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- Maguelonne Roux
- Sorbonne Universités, UPMC Univ. Paris 06, INSERM, UMR_S 1166 and ICAN Institute for Cardiometabolism and Nutrition Paris France
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- Erwan Donal
- Service de Cardiologie Centre Hospitalier Régional Universitaire Pontchaillou Rennes France
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- Jean‐Christophe Eicher
- Service de Cardiologie CHU Dijon Bourgogne ‐ Hôpital François Mitterrand, 2 bd Maréchal de Lattre de Tassigny Dijon France
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- Nadia Aoutil
- APHP, Functional Unit of Cardiogénétique et Myogénétique, Service de Biochimie Métabolique, Hôpitaux Universitaires de la Pitié‐Salpêtrière‐Charles Foix Paris France
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- Olivier Huttin
- Service de Cardiologie CHU de Nancy, Hôpitaux de Brabois, rue du Morvan Vandœuvre‐lès‐Nancy France
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- Christine Selton‐Suty
- Service de Cardiologie CHU de Nancy, Hôpitaux de Brabois, rue du Morvan Vandœuvre‐lès‐Nancy France
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- Damien Coisne
- Service de Cardiologie CHU de Poitiers Poitiers France
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- Guillaume Jondeau
- APHP, Service Cardiologie, CHU Paris Nord‐Val de Seine ‐ Hôpital Xavier Bichat‐Claude Bernard Paris France
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- Thibaud Damy
- APHP, Service Cardiologie CHU Henri Mondor Créteil France
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- Nicolas Mansencal
- APHP, Service de Cardiologie CHU Ambroise Paré Boulogne Billancourt France
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- Anne‐Claire Casalta
- Cardiology Department APHM, La Timone Hospital Marseille France
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- Nicolas Michel
- Cardiology Department APHM, La Timone Hospital Marseille France
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- Julie Haentjens
- Cardiology Department APHM, La Timone Hospital Marseille France
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- Laurence Faivre
- Service de Génétique CHU Dijon Bourgogne ‐ Hôpital François Mitterrand Dijon France
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- Cecile Lavoute
- Cardiology Department APHM, La Timone Hospital Marseille France
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- Karine Nguyen
- APHM, Département de Génétique Médicale APHM, La Timone Hospital Marseille France
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- David‐Alexandre Tregouët
- Sorbonne Universités, UPMC Univ. Paris 06, INSERM, UMR_S 1166 and ICAN Institute for Cardiometabolism and Nutrition Paris France
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- Gilbert Habib
- Cardiology Department APHM, La Timone Hospital Marseille France
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- Philippe Charron
- Sorbonne Universités, UPMC Univ. Paris 06, INSERM, UMR_S 1166 and ICAN Institute for Cardiometabolism and Nutrition Paris France
説明
<jats:p>Left ventricular non‐compaction (LVNC) is a cardiomyopathy that may be of genetic origin; however, few data are available about the yield of mutation, the spectrum of genes and allelic variations. The aim of this study was to better characterize the genetic spectrum of isolated LVNC in a prospective cohort of 95 unrelated adult patients through the molecular investigation of 107 genes involved in cardiomyopathies and arrhythmias.</jats:p><jats:p>Fifty‐two pathogenic or probably pathogenic variants were identified in 40 patients (42%) including 31 patients (32.5%) with single variant and 9 patients with complex genotypes (9.5%). Mutated patients tended to have younger age at diagnosis than patients with no identified mutation. The most prevalent genes were <jats:italic>TTN</jats:italic>, then <jats:italic>HCN4, MYH7,</jats:italic> and <jats:italic>RYR2</jats:italic>. The distribution includes 13 genes previously reported in LVNC and 10 additional candidate genes.</jats:p><jats:p>Our results show that LVNC is basically a genetic disease and support genetic counseling and cardiac screening in relatives. There is a large genetic heterogeneity, with predominant <jats:italic>TTN</jats:italic> null mutations and frequent complex genotypes. The gene spectrum is close to the one observed in dilated cardiomyopathy but with specific genes such as <jats:italic>HCN4</jats:italic>. We also identified new candidate genes that could be involved in this sub‐phenotype of cardiomyopathy.</jats:p>
収録刊行物
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- Clinical Genetics
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Clinical Genetics 95 (3), 356-367, 2018-12-27
Wiley