1. Characterization of a Unique Form of Arrhythmic Cardiomyopathy Caused by Recessive Mutation in LEMD2
- Author
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Paul M. K. Gordon, Ruping Chen, Patrick Frosk, Stephanie Clarke, Davinder S. Jassal, Nelly Abdelfatah, Colette M. Seifer, Cathleen Huculak, Brenda Gerull, Henry J. Duff, Robin Clegg, Carole Ober, and Ilan Buffo
- Subjects
0301 basic medicine ,Premature aging ,Pathology ,medicine.medical_specialty ,EMD, emerin ,LEMD2 ,ACM, arrhythmogenic cardiomyopathy ,Population ,PBS, phosphate-buffered saline ,Cardiomyopathy ,sudden death ,SAHF, senescence-associated heterochromatin foci ,030204 cardiovascular system & hematology ,Sudden death ,inner nuclear membrane ,LMNA, lamin A/C ,chromatin remodeling ,Sudden cardiac death ,PRECLINICAL RESEARCH ,03 medical and health sciences ,DNA, deoxyribonucleic acid ,0302 clinical medicine ,CMR, cardiac magnetic resonance ,Fibrosis ,medicine ,education ,DCM, dilated cardiomyopathy ,LV, left ventricular ,education.field_of_study ,LGE, late gadolinium enhancement ,BANF, barrier to autointegration factor ,SNV, single nucleotide variant ,business.industry ,Dilated cardiomyopathy ,medicine.disease ,ICD, implantable cardioverter-defibrillator ,DAPI, 4′,6′-diamidino-2-phenylindole ,dilated cardiomyopathy ,P, passage ,030104 developmental biology ,medicine.anatomical_structure ,eGFP, enhanced green fluorescent protein ,Ventricle ,NE, nuclear envelope ,Cardiology and Cardiovascular Medicine ,business ,LEMD2, LEM domain containing protein 2 - Abstract
Visual Abstract, Highlights • The homozygous c.38T>G mutation in the LEMD2 gene causes arrhythmic cardiomyopathy with bilateral juvenile cataract in the Hutterite population. • The cardiac phenotype is characterized by localized inferior and inferolateral fibrosis of the left ventricle and mild impairment of left ventricular systolic function but severe ventricular arrhythmias leading to sudden cardiac death. • Affected heart tissue and fibroblasts exhibit abnormally shaped nuclei with condensed peripheral heterochromatin. • Functional assays on affected fibroblasts show decreased proliferation capacity, cellular senescence, and a prolonged G1 phase, suggesting premature aging and cellular senescence in proliferating cells., Summary Nuclear envelope proteins have been shown to play an important role in the pathogenesis of inherited dilated cardiomyopathy. Here, we present a remarkable cardiac phenotype caused by a homozygous LEMD2 mutation in patients of the Hutterite population with juvenile cataract. Mutation carriers develop arrhythmic cardiomyopathy with mild impairment of left ventricular systolic function but severe ventricular arrhythmias leading to sudden cardiac death. Affected cardiac tissue from a deceased patient and fibroblasts exhibit elongated nuclei with abnormal condensed heterochromatin at the periphery. The patient fibroblasts demonstrate cellular senescence and reduced proliferation capacity, which may suggest an involvement of LEM domain containing protein 2 in chromatin remodeling processes and premature aging.
- Published
- 2019