Missense Mutations in Plakophilin-2 Cause Sodium Current Deficit and Associate With a Brugada Syndrome Phenotype
Author(s) -
Marina Cerrone,
Xianming Lin,
Mingliang Zhang,
Esperanza Agulló-Pascual,
Anna Pfenniger,
Halina Chkourko Gusky,
Valeria Novelli,
Changsung Kim,
Tiara Tirasawadichai,
Daniel P. Judge,
Eli Rothenberg,
Huei-Sheng Vincent Chen,
Carlo Napolitano,
Silvia G. Priori,
Mario Delmar
Publication year - 2013
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.113.003077
Subject(s) - brugada syndrome , intercalated disc , medicine , cardiomyopathy , arrhythmogenic right ventricular dysplasia , missense mutation , phenotype , sodium channel , mutation , cardiology , endocrinology , microbiology and biotechnology , genetics , biology , gene , sodium , heart failure , chemistry , intracellular , organic chemistry , gap junction
Brugada syndrome (BrS) primarily associates with the loss of sodium channel function. Previous studies showed features consistent with sodium current (INa) deficit in patients carrying desmosomal mutations, diagnosed with arrhythmogenic cardiomyopathy (or arrhythmogenic right ventricular cardiomyopathy). Experimental models showed correlation between the loss of expression of desmosomal protein plakophilin-2 (PKP2) and reduced INa. We hypothesized that PKP2 variants that reduce INa could yield a BrS phenotype, even without overt structural features characteristic of arrhythmogenic right ventricular cardiomyopathy.
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