Molecular autopsy in young sudden cardiac death victims with suspected cardiomyopathy

TY - JOUR

T1 - Molecular autopsy in young sudden cardiac death victims with suspected cardiomyopathy

AU - Larsen, M. K.

AU - Nissen, P. H.

AU - Berge, K. E.

AU - Leren, T. P.

AU - Kristensen, I. B.

AU - Jensen, H. K.

AU - Banner, J.

PY - 2012/6/10

Y1 - 2012/6/10

N2 - The aim of this investigation was to identify and characterise pathogenic mutations in a sudden cardiac death (SCD) cohort suspected of cardiomyopathy in persons aged 0-40 years.The study material for the genetic screening of cardiomyopathies consisted of 41 cases and was selected from the case database at the Institute of Forensic Medicine. Mutational screening by DNA sequencing was performed to detect mutations in DNA samples from deceased persons suspected of suffering from hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy (DCM), and arrhythmogenic right ventricle cardiomyopathy (ARVC).A total of 9 of the examined 41 cases had a rare sequence variant in the MYBPC3, MYH7, LMNA, PKP2 or TMEM43 genes, of which 4 cases (9.8%) were presumed to be pathogenic mutations. The presumed pathogenic mutations were distributed with one case of suspected HCM and DCM (MYH7; p.R442H), one case of suspected DCM (LMNA; p.R471H), and two cases of suspected ARVC (PKP2; p.R79X and LMNA; p.R644C).The presented data adds important information on the genetic elements of SCD in the young, and calls for expert pathological evaluation and molecular autopsy in the post-mortem examination of SCD victims with structural anomalies of the heart.

AB - The aim of this investigation was to identify and characterise pathogenic mutations in a sudden cardiac death (SCD) cohort suspected of cardiomyopathy in persons aged 0-40 years.The study material for the genetic screening of cardiomyopathies consisted of 41 cases and was selected from the case database at the Institute of Forensic Medicine. Mutational screening by DNA sequencing was performed to detect mutations in DNA samples from deceased persons suspected of suffering from hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy (DCM), and arrhythmogenic right ventricle cardiomyopathy (ARVC).A total of 9 of the examined 41 cases had a rare sequence variant in the MYBPC3, MYH7, LMNA, PKP2 or TMEM43 genes, of which 4 cases (9.8%) were presumed to be pathogenic mutations. The presumed pathogenic mutations were distributed with one case of suspected HCM and DCM (MYH7; p.R442H), one case of suspected DCM (LMNA; p.R471H), and two cases of suspected ARVC (PKP2; p.R79X and LMNA; p.R644C).The presented data adds important information on the genetic elements of SCD in the young, and calls for expert pathological evaluation and molecular autopsy in the post-mortem examination of SCD victims with structural anomalies of the heart.

KW - Arrhythmogenic right ventricle cardiomyopathy

KW - Dilated cardiomyopathy

KW - Forensic pathology

KW - Genetic examination

KW - Hypertrophic cardiomyopathy

KW - Sudden cardiac death

UR - http://www.scopus.com/inward/record.url?scp=84861572384&partnerID=8YFLogxK

U2 - 10.1016/j.forsciint.2011.11.020

DO - 10.1016/j.forsciint.2011.11.020

M3 - Journal article

C2 - 22177269

AN - SCOPUS:84861572384

SN - 0379-0738

VL - 219

SP - 33

EP - 38

JO - Forensic Science International

JF - Forensic Science International

IS - 1-3

ER -