Screening for mutations in the RYR1 gene in families with malignant hyperthermia

Malignant hyperthermia (MH) is a potentially lethal pharmacogenetic predisposition associated with a susceptibility to volatile anesthetics and depolarizing muscle relaxants that lead to a fulminant anesthetic crisis with hyperthermia, skeletal muscle rigidity, respiratory and metabolic acidosis, an...

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Veröffentlicht in:Journal of molecular neuroscience 2003-01, Vol.21 (1), p.35-42
Hauptverfasser: Muniz, Viviane P, Silva, Helga C A, Tsanaclis, Ana Maria C, Vainzof, Mariz
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creator Muniz, Viviane P
Silva, Helga C A
Tsanaclis, Ana Maria C
Vainzof, Mariz
description Malignant hyperthermia (MH) is a potentially lethal pharmacogenetic predisposition associated with a susceptibility to volatile anesthetics and depolarizing muscle relaxants that lead to a fulminant anesthetic crisis with hyperthermia, skeletal muscle rigidity, respiratory and metabolic acidosis, and muscle rhabdomyolysis. Malignant hyperthermia crises are caused by an abnormal regulation of the calcium release mechanism, which reflects the consequences of disturbed skeletal muscle calcium homeostasis. We screened 64 individuals of 27 unrelated families for the most frequently described mutations associated with MH in the genes RYR1 and CACNL1A3. We identified only one family with the Arg614Cys mutation but with a discordant segregating pattern to the in vitro contracture test (IVCT). To elucidate which other mechanism could lead to susceptibility in the members of this family, we tested it for further MH susceptibility loci. The same haplotype was shown to segregate with the individuals carrying the Arg614Cys mutation in chromosome 19; however, the other susceptible and equivocal individuals do not share this haplotype. Markers for the susceptible locus in chromosome regions 17q, 7q, 3q, and 5p did not segregate with the IVCT phenotype in the susceptible individuals, suggesting that the positivity of the IVCT could be attributable to other ambient factors.
doi_str_mv 10.1385/JMN:21:1:35
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Malignant hyperthermia crises are caused by an abnormal regulation of the calcium release mechanism, which reflects the consequences of disturbed skeletal muscle calcium homeostasis. We screened 64 individuals of 27 unrelated families for the most frequently described mutations associated with MH in the genes RYR1 and CACNL1A3. We identified only one family with the Arg614Cys mutation but with a discordant segregating pattern to the in vitro contracture test (IVCT). To elucidate which other mechanism could lead to susceptibility in the members of this family, we tested it for further MH susceptibility loci. The same haplotype was shown to segregate with the individuals carrying the Arg614Cys mutation in chromosome 19; however, the other susceptible and equivocal individuals do not share this haplotype. 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subjects Anesthesia
Calcium - metabolism
Calcium Channels - genetics
Calcium Signaling - genetics
Chromosome Mapping
Chromosomes, Human, Pair 19 - genetics
DNA Mutational Analysis
Female
Genetic Markers - genetics
Genetic Predisposition to Disease - genetics
Genetic Testing
Haplotypes
Haplotypes - genetics
Homeostasis - genetics
Humans
Male
Malignant Hyperthermia - genetics
Malignant Hyperthermia - metabolism
Malignant Hyperthermia - physiopathology
Medical research
Muscle Contraction - genetics
Muscle, Skeletal - metabolism
Muscle, Skeletal - pathology
Muscle, Skeletal - physiopathology
Mutation
Mutation - genetics
Pedigree
Phenotype
Ryanodine Receptor Calcium Release Channel - genetics
title Screening for mutations in the RYR1 gene in families with malignant hyperthermia
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