cardiac sodium channel

心脏钠通道
  • 文章类型: Case Reports
    目的:SCN5A基因编码的电压门控钠通道Nav1.5在心脏电生理中起着至关重要的作用。先前的遗传研究表明,SCN5A的突变与多种遗传性心律失常有关。这里,我们调查了一个有心律失常临床表现的中国男孩的分子缺陷。方法:使用全外显子组测序筛选基因变异,并通过直接Sanger测序进行验证。进行小基因测定和逆转录PCR(RT-PCR)以确认剪接变体在体外的作用。进行蛋白质印迹分析以确定c.2262+3A>T变体是否产生截短的蛋白质。结果:通过基因分析,我们在一个患有持续性室性心动过速(VT)的中国男孩的SCN5A基因中发现了一个新的剪接变体c.22623A>T。预测该变体会激活新的隐蔽剪接供体位点,并通过计算机模拟分析进行鉴定。该变体在成熟mRNA中内含子14的5'端保留了79bp。此外,在818个氨基酸处产生过早终止密码子的突变转录物[p。(R818*)]可以作为截短的蛋白质产生。结论:我们验证了剪接变异的致病作用c.2262+3A>T,扰乱了正常的mRNA剪接并导致截短的蛋白质,提示剪接变异体在早发持续性室性心动过速的分子基础中起重要作用,对这些患者进行仔细的分子分析对于未来有效的个性化治疗方案至关重要。
    Objective: Voltage-gated sodium channel Nav1.5 encoded by the SCN5A gene plays crucial roles in cardiac electrophysiology. Previous genetic studies have shown that mutations in SCN5A are associated with multiple inherited cardiac arrhythmias. Here, we investigated the molecular defect in a Chinese boy with clinical manifestations of arrhythmias. Methods: Gene variations were screened using whole-exome sequencing and validated by direct Sanger sequencing. A minigene assay and reverse transcription PCR (RT-PCR) were performed to confirm the effects of splice variants in vitro. Western blot analysis was carried out to determine whether the c.2262+3A>T variant produced a truncated protein. Results: By genetic analysis, we identified a novel splice variant c.2262+3A>T in SCN5A gene in a Chinese boy with incessant ventricular tachycardias (VT). This variant was predicted to activate a new cryptic splice donor site and was identified by in silico analysis. The variant retained 79 bp at the 5\' end of intron 14 in the mature mRNA. Furthermore, the mutant transcript that created a premature stop codon at 818 amino acids [p.(R818*)] could be produced as a truncated protein. Conclusion: We verified the pathogenic effect of splicing variant c.2262+3A>T, which disturbed the normal mRNA splicing and caused a truncated protein, suggesting that splice variants play an important role in the molecular basis of early onset incessant ventricular tachycardias, and careful molecular profiling of these patients will be essential for future effective personalized treatment options.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号