Frontiers in Physiology (May 2019)

Genotype/Phenotype Relationship in a Consanguineal Family With Brugada Syndrome Harboring the R1632C Missense Variant in the SCN5A Gene

  • Michelle M. Monasky,
  • Emanuele Micaglio,
  • Giuseppe Ciconte,
  • Sara Benedetti,
  • Chiara Di Resta,
  • Chiara Di Resta,
  • Gabriele Vicedomini,
  • Valeria Borrelli,
  • Andrea Ghiroldi,
  • Marco Piccoli,
  • Luigi Anastasia,
  • Luigi Anastasia,
  • Vincenzo Santinelli,
  • Maurizio Ferrari,
  • Maurizio Ferrari,
  • Maurizio Ferrari,
  • Carlo Pappone

DOI
https://doi.org/10.3389/fphys.2019.00666
Journal volume & issue
Vol. 10

Abstract

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Brugada syndrome (BrS) is a known cause of sudden cardiac death. The genetic basis of BrS is not well understood, and no one single gene is linked to even a majority of BrS cases. However, mutations in the gene SCN5A are the most common, although the high amount of phenotypic variability prevents a clear correlation between genotype and phenotype. Research techniques are limited, as most BrS cases still remain without a genetic diagnosis, thus impairing the implementation of experimental models representative of a general pathogenetic mechanism. In the present study, we report the largest family to-date with the segregation of the heterozygous variant NM_198056:c.4894C>T (p.Arg1632Cys) in the SCN5A gene. The genotype-phenotype relationship observed suggests a likely pathogenic effect of this variant. Functional studies to better understand the molecular effects of this variant are warranted.

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