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Monasky MM, Micaglio E, Giachino D, Ciconte G, Giannelli L, Locati ET, Ramondini E, Cotugno R, Vicedomini G, Borrelli V, Ghiroldi A, Anastasia L, Pappone C. Genotype-Phenotype Correlation in a Family with Brugada Syndrome Harboring the Novel p.Gln371* Nonsense Variant in the SCN5A Gene. Int J Mol Sci 2019; 20:ijms20225522. [PMID: 31698696 PMCID: PMC6888117 DOI: 10.3390/ijms20225522] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 10/31/2019] [Accepted: 11/03/2019] [Indexed: 12/30/2022] Open
Abstract
Brugada syndrome (BrS) is marked by coved ST-segment elevation and increased risk of sudden cardiac death. The genetics of this syndrome are elusive in over half of the cases. Variants in the SCN5A gene are the single most common known genetic unifier, accounting for about a third of cases. Research models, such as animal models and cell lines, are limited. In the present study, we report the novel NM_198056.2:c.1111C>T (p.Gln371*) heterozygous variant in the SCN5A gene, as well as its segregation with BrS in a large family. The results herein suggest a pathogenic effect of this variant. Functional studies are certainly warranted to characterize the molecular effects of this variant.
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Affiliation(s)
- Michelle M. Monasky
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Emanuele Micaglio
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Daniela Giachino
- Department of Clinical and Biological Sciences, University of Turin, 10043 Orbassano (TO), Italy;
| | - Giuseppe Ciconte
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Luigi Giannelli
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Emanuela T. Locati
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Elisa Ramondini
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Roberta Cotugno
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Gabriele Vicedomini
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Valeria Borrelli
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
| | - Andrea Ghiroldi
- Stem Cells for Tissue Engineering Laboratory, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (A.G.); (L.A.)
| | - Luigi Anastasia
- Stem Cells for Tissue Engineering Laboratory, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (A.G.); (L.A.)
- Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy
| | - Carlo Pappone
- Arrhythmology Department, IRCCS Policlinico San Donato, 20097 San Donato Milanese (MI), Italy; (M.M.M.); (E.M.); (G.C.); (L.G.); (E.T.L.); (E.R.); (R.C.); (G.V.); (V.B.)
- Correspondence: ; Tel./Fax: +39-0252774260/4306
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Monasky MM, Pappone C, Piccoli M, Ghiroldi A, Micaglio E, Anastasia L. Calcium in Brugada Syndrome: Questions for Future Research. Front Physiol 2018; 9:1088. [PMID: 30147658 PMCID: PMC6095984 DOI: 10.3389/fphys.2018.01088] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2018] [Accepted: 07/23/2018] [Indexed: 12/11/2022] Open
Abstract
The Brugada syndrome (BrS) is characterized by coved-type ST-segment elevation in the right precordial leads on the electrocardiogram (ECG) and increased risk of sudden cardiac death (SCD). While it is an inheritable disease, determining the true prevalence is a challenge, since patients may report no known family history of the syndrome, present with a normal spontaneous ECG pattern at the time of examination, and test negative for all known BrS-causative genes. In fact, SCD is often the first indication that a person is affected by the syndrome. Men are more likely to be symptomatic than women. Abnormal, low-voltage, fractionated electrograms have been found in the epicardium of the right ventricular outflow tract (RVOT). Ablation of this area abolishes the abnormal electrograms and helps to prevent arrhythmic recurrences. BrS patients are more likely to experience ventricular tachycardia/fibrillation (VT/VF) during fever or during an increase in vagal tone. Isoproterenol helps to reverse the ECG BrS phenotype. In this review, we discuss roles of calcium in various conditions that are relevant to BrS, such as changes in temperature, heart rate, and vagal tone, and the effects of gender and isoproterenol on calcium handling. Studies are warranted to further investigate these mechanisms in models of BrS.
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Affiliation(s)
| | - Carlo Pappone
- Arrhythmology Department, IRCCS Policlinico San Donato, Milan, Italy
| | - Marco Piccoli
- Stem Cells for Tissue Engineering Lab, IRCCS Policlinico San Donato, Milan, Italy
| | - Andrea Ghiroldi
- Stem Cells for Tissue Engineering Lab, IRCCS Policlinico San Donato, Milan, Italy
| | - Emanuele Micaglio
- Arrhythmology Department, IRCCS Policlinico San Donato, Milan, Italy
| | - Luigi Anastasia
- Stem Cells for Tissue Engineering Lab, IRCCS Policlinico San Donato, Milan, Italy.,Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
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Broendberg AK, Pedersen LN, Nielsen JC, Jensen HK. Repeated molecular genetic analysis in Brugada syndrome revealed a novel disease-associated large deletion in the SCN5A gene. HeartRhythm Case Rep 2016; 2:261-264. [PMID: 28491684 PMCID: PMC5419769 DOI: 10.1016/j.hrcr.2016.02.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
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