Genetic background of Japanese patients with pediatric hypertrophic and restrictive cardiomyopathy

J Hum Genet. 2018 Sep;63(9):989-996. doi: 10.1038/s10038-018-0479-y. Epub 2018 Jun 15.

Abstract

Hypertrophic cardiomyopathy (HCM) and restrictive cardiomyopathy (RCM) present a high risk for sudden cardiac death in pediatric patients. The aim of this study was to identify disease-associated genetic variants in Japanese patients with pediatric HCM and RCM. We analyzed 67 cardiomyopathy-associated genes in 46 HCM and 7 RCM patients diagnosed before 16 years of age using a next-generation sequencing system. We found that 78% of HCM and 71% of RCM patients carried disease-associated genetic variants. Disease-associated genetic variants were identified in 80% of HCM patients with a family history and in 77% of HCM patients with no apparent family history (NFH). MYH7 and/or MYBPC3 variants comprised 76% of HCM-associated variants, whereas troponin complex-encoding genes comprised 75% of the RCM-associated variants. In addition, 91% of HCM patients with implantable cardioverter-defibrillators and infant cases had NFH, and the 88% of HCM patients carrying disease-associated genetic variants were males who carried MYH7 or MYBPC3 variants. Moreover, two disease-associated LAMP2, one DES and one FHOD3 variants, were identified in HCM patients. In this study, pediatric HCM and RCM patients were found to carry disease-associated genetic variants at a high rate. Most of the variants were in MYH7 or MYPBC3 for HCM and TNNT2 or TNNI3 for RCM.

MeSH terms

  • Adolescent
  • Asian People
  • Cardiomegaly / genetics*
  • Cardiomyopathy, Restrictive / genetics*
  • Child
  • Child, Preschool
  • Female
  • Genetic Variation*
  • Humans
  • Japan
  • Male
  • Muscle Proteins / genetics*

Substances

  • Muscle Proteins