A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case
Structural or electrophysiologic cardiac anomalies may compromise cardiac function, leading to sudden cardiac death (SCD). Genetic screening of families with severe cardiomyopathies underlines the role of genetic variations in cardiac-specific genes. The present study details the clinical and geneti...
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Wiley
2024-01-01
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| Series: | Case Reports in Genetics |
| Online Access: | http://dx.doi.org/10.1155/crig/9517735 |
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| author | Jose G. Acuña-Ochoa Norma A. Balderrábano-Saucedo Ana C. Cepeda-Nieto Maria Y. Alvarado-Cervantes Vianca L. Ibarra-Garcia Daniel Barr Matthew J. Gage Ryan Pfeiffer Dan Hu Hector Barajas-Martinez |
| author_facet | Jose G. Acuña-Ochoa Norma A. Balderrábano-Saucedo Ana C. Cepeda-Nieto Maria Y. Alvarado-Cervantes Vianca L. Ibarra-Garcia Daniel Barr Matthew J. Gage Ryan Pfeiffer Dan Hu Hector Barajas-Martinez |
| author_sort | Jose G. Acuña-Ochoa |
| collection | DOAJ |
| description | Structural or electrophysiologic cardiac anomalies may compromise cardiac function, leading to sudden cardiac death (SCD). Genetic screening of families with severe cardiomyopathies underlines the role of genetic variations in cardiac-specific genes. The present study details the clinical and genetic characterization of a malignant dilated cardiomyopathy (DCM) case in a 1-year-old Mexican child who presented a severe left ventricular dilation and dysfunction that led to SCD. A total of 132 genes (48 structure- and 84 electrical-related genes) were examined by next generation sequencing to identify potential causative mutations in comparison to control population. In silico analysis identified only two deleterious heterozygous mutations within an evolutionarily well-conserved region of the sarcomeric genes ACTC1/cardiac actin (c.664G > A/p.Ala222Thr) and TTN/titin (c.33250G > A/p.Glu11084Lys). Further pedigree analysis revealed the father of the index case to carry with the TTN mutation. Surprisingly, the ACTC1 mutation was not harbored by any first-degree family member. Computational 3D modeling of the mutated proteins showed electrostatic and conformational shifts of cardiac actin compared to wild-type version, as well as changes in the stability of the compact/folded states of titin that normally contributes to avoid mechanic damage. In conclusion, our findings suggest a likely pathogenic de novo mutation in ACTC1 in coexpression of a TTN variant as possible causes of an early onset of a severe DCM and premature death. These results may increase the known clinical pathogenic variations that may critically alter the structure of the heart, whose fatality could be prevented when rapidly detected. |
| format | Article |
| id | doaj-art-4f07505ee5224d1d840baefbe64f6639 |
| institution | Kabale University |
| issn | 2090-6552 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Genetics |
| spelling | doaj-art-4f07505ee5224d1d840baefbe64f66392025-01-05T00:00:03ZengWileyCase Reports in Genetics2090-65522024-01-01202410.1155/crig/9517735A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy CaseJose G. Acuña-Ochoa0Norma A. Balderrábano-Saucedo1Ana C. Cepeda-Nieto2Maria Y. Alvarado-Cervantes3Vianca L. Ibarra-Garcia4Daniel Barr5Matthew J. Gage6Ryan Pfeiffer7Dan Hu8Hector Barajas-Martinez9Cardiovascular Research DepartmentCardiomyopathies and Arrhythmias Research Laboratory/DepartmentMolecular Genomics Laboratory/DepartmentCardiovascular Research DepartmentTherapeutic Innovation Program/DivisionChemistry DepartmentChemistry DepartmentMolecular Genetics DepartmentMolecular Genetics DepartmentCardiovascular Research DepartmentStructural or electrophysiologic cardiac anomalies may compromise cardiac function, leading to sudden cardiac death (SCD). Genetic screening of families with severe cardiomyopathies underlines the role of genetic variations in cardiac-specific genes. The present study details the clinical and genetic characterization of a malignant dilated cardiomyopathy (DCM) case in a 1-year-old Mexican child who presented a severe left ventricular dilation and dysfunction that led to SCD. A total of 132 genes (48 structure- and 84 electrical-related genes) were examined by next generation sequencing to identify potential causative mutations in comparison to control population. In silico analysis identified only two deleterious heterozygous mutations within an evolutionarily well-conserved region of the sarcomeric genes ACTC1/cardiac actin (c.664G > A/p.Ala222Thr) and TTN/titin (c.33250G > A/p.Glu11084Lys). Further pedigree analysis revealed the father of the index case to carry with the TTN mutation. Surprisingly, the ACTC1 mutation was not harbored by any first-degree family member. Computational 3D modeling of the mutated proteins showed electrostatic and conformational shifts of cardiac actin compared to wild-type version, as well as changes in the stability of the compact/folded states of titin that normally contributes to avoid mechanic damage. In conclusion, our findings suggest a likely pathogenic de novo mutation in ACTC1 in coexpression of a TTN variant as possible causes of an early onset of a severe DCM and premature death. These results may increase the known clinical pathogenic variations that may critically alter the structure of the heart, whose fatality could be prevented when rapidly detected.http://dx.doi.org/10.1155/crig/9517735 |
| spellingShingle | Jose G. Acuña-Ochoa Norma A. Balderrábano-Saucedo Ana C. Cepeda-Nieto Maria Y. Alvarado-Cervantes Vianca L. Ibarra-Garcia Daniel Barr Matthew J. Gage Ryan Pfeiffer Dan Hu Hector Barajas-Martinez A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case Case Reports in Genetics |
| title | A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case |
| title_full | A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case |
| title_fullStr | A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case |
| title_full_unstemmed | A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case |
| title_short | A De Novo Mutation in ACTC1 and a TTN Variant Linked to a Severe Sporadic Infant Dilated Cardiomyopathy Case |
| title_sort | de novo mutation in actc1 and a ttn variant linked to a severe sporadic infant dilated cardiomyopathy case |
| url | http://dx.doi.org/10.1155/crig/9517735 |
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