Copy number variants implicate cardiac function and development pathways in earthquake-induced stress cardiomyopathy

The pathophysiology of stress cardiomyopathy (SCM), also known as takotsubo syndrome, is poorly understood. SCM usually occurs sporadically, often in association with a stressful event, but clusters of cases are reported after major natural disasters. There is some evidence that this is a familial c...

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Veröffentlicht in:Scientific reports 2018-05, Vol.8 (1), p.7548-12, Article 7548
Hauptverfasser: Lacey, Cameron J., Doudney, Kit, Bridgman, Paul G., George, Peter M., Mulder, Roger T., Zarifeh, Julie J., Kimber, Bridget, Cadzow, Murray J., Black, Michael A., Merriman, Tony R., Lehnert, Klaus, Bickley, Vivienne M, Pearson, John F., Cameron, Vicky A., Kennedy, Martin A.
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container_end_page 12
container_issue 1
container_start_page 7548
container_title Scientific reports
container_volume 8
creator Lacey, Cameron J.
Doudney, Kit
Bridgman, Paul G.
George, Peter M.
Mulder, Roger T.
Zarifeh, Julie J.
Kimber, Bridget
Cadzow, Murray J.
Black, Michael A.
Merriman, Tony R.
Lehnert, Klaus
Bickley, Vivienne M
Pearson, John F.
Cameron, Vicky A.
Kennedy, Martin A.
description The pathophysiology of stress cardiomyopathy (SCM), also known as takotsubo syndrome, is poorly understood. SCM usually occurs sporadically, often in association with a stressful event, but clusters of cases are reported after major natural disasters. There is some evidence that this is a familial condition. We have examined three possible models for an underlying genetic predisposition to SCM. Our primary study cohort consists of 28 women who suffered SCM as a result of two devastating earthquakes that struck the city of Christchurch, New Zealand, in 2010 and 2011. To seek possible underlying genetic factors we carried out exome analysis, genotyping array analysis, and array comparative genomic hybridization on these subjects. The most striking finding was the observation of a markedly elevated rate of rare, heterogeneous copy number variants (CNV) of uncertain clinical significance (in 12/28 subjects). Several of these CNVs impacted on genes of cardiac relevance including RBFOX1 , GPC5 , KCNRG , CHODL , and GPBP1L1 . There is no physical overlap between the CNVs, and the genes they impact do not appear to be functionally related. The recognition that SCM predisposition may be associated with a high rate of rare CNVs offers a novel perspective on this enigmatic condition.
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SCM usually occurs sporadically, often in association with a stressful event, but clusters of cases are reported after major natural disasters. There is some evidence that this is a familial condition. We have examined three possible models for an underlying genetic predisposition to SCM. Our primary study cohort consists of 28 women who suffered SCM as a result of two devastating earthquakes that struck the city of Christchurch, New Zealand, in 2010 and 2011. To seek possible underlying genetic factors we carried out exome analysis, genotyping array analysis, and array comparative genomic hybridization on these subjects. The most striking finding was the observation of a markedly elevated rate of rare, heterogeneous copy number variants (CNV) of uncertain clinical significance (in 12/28 subjects). Several of these CNVs impacted on genes of cardiac relevance including RBFOX1 , GPC5 , KCNRG , CHODL , and GPBP1L1 . There is no physical overlap between the CNVs, and the genes they impact do not appear to be functionally related. 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SCM usually occurs sporadically, often in association with a stressful event, but clusters of cases are reported after major natural disasters. There is some evidence that this is a familial condition. We have examined three possible models for an underlying genetic predisposition to SCM. Our primary study cohort consists of 28 women who suffered SCM as a result of two devastating earthquakes that struck the city of Christchurch, New Zealand, in 2010 and 2011. To seek possible underlying genetic factors we carried out exome analysis, genotyping array analysis, and array comparative genomic hybridization on these subjects. The most striking finding was the observation of a markedly elevated rate of rare, heterogeneous copy number variants (CNV) of uncertain clinical significance (in 12/28 subjects). Several of these CNVs impacted on genes of cardiac relevance including RBFOX1 , GPC5 , KCNRG , CHODL , and GPBP1L1 . There is no physical overlap between the CNVs, and the genes they impact do not appear to be functionally related. The recognition that SCM predisposition may be associated with a high rate of rare CNVs offers a novel perspective on this enigmatic condition.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>29765130</pmid><doi>10.1038/s41598-018-25827-5</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-6445-8526</orcidid><oa>free_for_read</oa></addata></record>
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subjects 45/23
45/43
45/61
631/208/212/2301
692/4019/592/2727
Cardiomyopathy
Comparative Genomic Hybridization
Copy number
DNA Copy Number Variations
Earthquakes
Exome Sequencing
Female
Gene Regulatory Networks
Genetic analysis
Genetic factors
Genetic Predisposition to Disease
Genotyping
Genotyping Techniques - methods
Glypicans - genetics
Heart
Humanities and Social Sciences
Humans
Hybridization
Lectins, C-Type - genetics
Membrane Proteins - genetics
multidisciplinary
Natural disasters
New Zealand
Oligonucleotide Array Sequence Analysis
Potassium Channels - genetics
RNA Splicing Factors - genetics
Science
Science (multidisciplinary)
Seismic activity
Takotsubo Cardiomyopathy - genetics
title Copy number variants implicate cardiac function and development pathways in earthquake-induced stress cardiomyopathy
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