Key result
Bi-allelic loss of function variants in the zinc transporter SLC30A5 cause a severe and perinatally lethal form of cardiomyopathy.
Why the study?
Underlying genetic causes of perinatal mortality have not been sufficiently investigated, leaving most cases without a diagnosis and impeding counseling or therapy.
Case Report (n=4)
Yes
Bi-allelic loss of function variants in the zinc transporter SLC30A5 are identified as a novel genetic cause of severe, perinatally lethal cardiomyopathy.
SLC30A5 biallelic variants warrant consideration in perinatal cardiomyopathy families; leaves open causality pending replication.
Perinatal mortality is a heavy burden for both affected parents and physicians. However, the underlying genetic causes have not been sufficiently investigated and most cases remain without diagnosis. This impedes appropriate counseling or therapy. We describe four affected children of two unrelated families with cardiomyopathy, hydrops fetalis, or cystic hygroma that all deceased perinatally. In the four patients, we found the following homozygous loss of function (LoF) variants in SLC30A5 NM_022902.4:c.832_836del p.(Ile278Phefs*33) and NM_022902.4:c.1981_1982del p.(His661Tyrfs*10). Knockout of SLC30A5 has previously been shown a cardiac phenotype in mouse models and no homozygous LoF variants in SLC30A5 are currently described in gnomAD. Taken together, we present SLC30A5 as a new gene for a severe and perinatally lethal form of cardiomyopathy.
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Lieberwirth et al. (2021) conducted a case report in Perinatal lethal cardiomyopathy (n=4). Bi-allelic loss of function variants in SLC30A5 was evaluated on Genetic etiology of perinatal lethal cardiomyopathy. Bi-allelic loss of function variants in the zinc transporter SLC30A5 cause a severe and perinatally lethal form of cardiomyopathy.
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