Brodehl, Andreas ORCID: 0000-0001-9202-2343, Dieding, Mareike, Klauke, Baerbel, Dec, Eric, Madaan, Shrestha, Huang, Taosheng ORCID: 0000-0001-6601-6687, Gargus, John, Fatima, Azra, Saric, Tomo ORCID: 0000-0001-8344-1095, Cakar, Hamdin, Walhorn, Volker, Toensing, Katja, Skrzipczyk, Tim, Cebulla, Ramona, Gerdes, Desiree, Schulz, Uwe, Gummert, Jan, Svendsen, Jesper Hastrup ORCID: 0000-0001-8466-8515, Olesen, Morten Salling ORCID: 0000-0001-9477-5322, Anselmetti, Dario ORCID: 0000-0002-8720-4369, Christensen, Alex Horby, Kimonis, Virginia and Milting, Hendrik (2013). The Novel Desmin Mutant p.A120D Impairs Filament Formation, Prevents Intercalated Disk Localization, and Causes Sudden Cardiac. Circ.-Cardiovasc. Genet., 6 (6). S. 615 - 624. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1942-3268

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Abstract

Background The intermediate filament protein desmin is encoded by the gene DES and contributes to the mechanical stabilization of the striated muscle sarcomere and cell contacts within the cardiac intercalated disk. DES mutations cause severe skeletal and cardiac muscle diseases with heterogeneous phenotypes. Recently, DES mutations were also found in patients with arrhythmogenic right ventricular cardiomyopathy. Currently, the cellular and molecular pathomechanisms of the DES mutations leading to this disease are not exactly known. Methods and Results We identified the 2 novel variants DES-p.A120D (c.359C>A) and DES-p.H326R (c.977A>G), which were characterized by cell culture experiments and atomic force microscopy. Family analysis indicated a broad spectrum of cardiomyopathies with a striking frequency of arrhythmias and sudden cardiac deaths. The in vitro experiments of desmin-p.A120D reveal a severe intrinsic filament formation defect causing cytoplasmic aggregates in cell lines and of the isolated recombinant protein. Model variants of codon 120 indicated that ionic interactions contribute to this filament formation defect. Ex vivo analysis of ventricular tissue slices revealed a loss of desmin staining within the intercalated disk and severe cytoplasmic aggregate formation, whereas z-band localization was not affected. The functional experiments of desmin-p.H326R did not demonstrate any differences from wild type. Conclusions Because of the functional in vivo and in vitro characterization, DES-p.A120D has to be regarded as a pathogenic mutation and DES-p.H326R as a rare variant with unknown significance. Presumably, the loss of the desmin-p. A120D filament localization at the intercalated disk explains its clinical arrhythmogenic potential.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Brodehl, AndreasUNSPECIFIEDorcid.org/0000-0001-9202-2343UNSPECIFIED
Dieding, MareikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klauke, BaerbelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dec, EricUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Madaan, ShresthaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huang, TaoshengUNSPECIFIEDorcid.org/0000-0001-6601-6687UNSPECIFIED
Gargus, JohnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fatima, AzraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Saric, TomoUNSPECIFIEDorcid.org/0000-0001-8344-1095UNSPECIFIED
Cakar, HamdinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Walhorn, VolkerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Toensing, KatjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Skrzipczyk, TimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cebulla, RamonaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerdes, DesireeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schulz, UweUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gummert, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Svendsen, Jesper HastrupUNSPECIFIEDorcid.org/0000-0001-8466-8515UNSPECIFIED
Olesen, Morten SallingUNSPECIFIEDorcid.org/0000-0001-9477-5322UNSPECIFIED
Anselmetti, DarioUNSPECIFIEDorcid.org/0000-0002-8720-4369UNSPECIFIED
Christensen, Alex HorbyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kimonis, VirginiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Milting, HendrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-471361
DOI: 10.1161/CIRCGENETICS.113.000103
Journal or Publication Title: Circ.-Cardiovasc. Genet.
Volume: 6
Number: 6
Page Range: S. 615 - 624
Date: 2013
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Place of Publication: PHILADELPHIA
ISSN: 1942-3268
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
EPIDERMOLYSIS-BULLOSA SIMPLEX; ARRHYTHMOGENIC CARDIOMYOPATHY; ATRIOVENTRICULAR-BLOCK; MUSCULAR-DYSTROPHY; INSERTION MUTATION; MISSENSE MUTATION; DIAGNOSTIC-TEST; GENE-MUTATIONS; ROD DOMAIN; DESMOPLAKINMultiple languages
Cardiac & Cardiovascular Systems; Genetics & HeredityMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/47136

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