SYNKOVÁ, Iva, Markéta BÉBAROVÁ, Irena ANDRŠOVÁ, Larisa CHMELIKOVA, Olga ŠVECOVÁ, Jan HOSEK, Michal PÁSEK, Pavel VÍT, Iveta VALÁŠKOVÁ, Renata GAILLYOVÁ, Rostislav NAVRATIL and Tomáš NOVOTNÝ. Long-QT founder variant T309I-Kv7.1 with dominant negative pattern may predispose delayed afterdepolarizations under β-adrenergic stimulation. Nature Scientific Reports. London: NATURE RESEARCH, 2021, vol. 11, No 1, p. 1-13. ISSN 2045-2322. Available from: https://dx.doi.org/10.1038/s41598-021-81670-1.
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Basic information
Original name Long-QT founder variant T309I-Kv7.1 with dominant negative pattern may predispose delayed afterdepolarizations under β-adrenergic stimulation
Authors SYNKOVÁ, Iva (203 Czech Republic, belonging to the institution), Markéta BÉBAROVÁ (203 Czech Republic, guarantor, belonging to the institution), Irena ANDRŠOVÁ (203 Czech Republic, belonging to the institution), Larisa CHMELIKOVA (203 Czech Republic), Olga ŠVECOVÁ (203 Czech Republic, belonging to the institution), Jan HOSEK (203 Czech Republic), Michal PÁSEK (203 Czech Republic, belonging to the institution), Pavel VÍT (203 Czech Republic, belonging to the institution), Iveta VALÁŠKOVÁ (203 Czech Republic, belonging to the institution), Renata GAILLYOVÁ (203 Czech Republic, belonging to the institution), Rostislav NAVRATIL (203 Czech Republic) and Tomáš NOVOTNÝ (203 Czech Republic, belonging to the institution).
Edition Nature Scientific Reports, London, NATURE RESEARCH, 2021, 2045-2322.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30101 Human genetics
Country of publisher Germany
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 4.996
RIV identification code RIV/00216224:14110/21:00120095
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1038/s41598-021-81670-1
UT WoS 000626725200007
Keywords in English Long-QT founder variant T309I-Kv7.1; afterdepolarizations; β-adrenergic stimulation
Tags 14110211, 14110317, 14110323, 14110515, podil, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 16/5/2022 08:52.
Abstract
The variant c.926C > T (p.T309I) in KCNQ1 gene was identified in 10 putatively unrelated Czech families with long QT syndrome (LQTS). Mutation carriers (24 heterozygous individuals) were more symptomatic compared to their non-affected relatives (17 individuals). The carriers showed a mild LQTS phenotype including a longer QTc interval at rest (466 ± 24 ms vs. 418 ± 20 ms) and after exercise (508 ± 32 ms vs. 417 ± 24 ms), 4 syncopes and 2 aborted cardiac arrests. The same haplotype associated with the c.926C > T variant was identified in all probands. Using the whole cell patch clamp technique and confocal microscopy, a complete loss of channel function was revealed in the homozygous setting, caused by an impaired channel trafficking. Dominant negativity with preserved reactivity to β-adrenergic stimulation was apparent in the heterozygous setting. In simulations on a human ventricular cell model, the dysfunction resulted in delayed afterdepolarizations (DADs) and premature action potentials under β-adrenergic stimulation that could be prevented by a slight inhibition of calcium current. We conclude that the KCNQ1 variant c.926C > T is the first identified LQTS-related founder mutation in Central Europe. The dominant negative channel dysfunction may lead to DADs under β-adrenergic stimulation. Inhibition of calcium current could be possible therapeutic strategy in LQTS1 patients refractory to β-blocker therapy.
Links
NV16-30571A, research and development projectName: Klinický význam a elektrofyziologické zhodnocení mutace c.926C>T genu KCNQ1 (p.T309I) jako možné „founder mutation“ syndromu dlouhého intervalu QT
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