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July 1, 1992Journal of Clinical Investigation47 citationsOpen Access

Expression of a missense mutation in the messenger RNA for beta-myosin heavy chain in myocardial tissue in hypertrophic cardiomyopathy.

MPM. Benjamin PerrymanQYQiong YuAMAli J. Marian

Key Result

A missense mutation in exon 13 of the β-myosin heavy chain gene is expressed alongside the normal allele in messenger RNA isolated from the myocardium of a patient with hypertrophic cardiomyopathy.

Key Points

  • To determine whether a familial hypertrophic cardiomyopathy-associated missense mutation in exon 13 of the beta-myosin heavy chain gene is actively expressed in myocardial tissue mRNA.
  • Obtained a right ventricular endomyocardial biopsy from the proband of a family affected by hypertrophic cardiomyopathy.
  • Isolated cardiac RNA, synthesized complementary DNAs (cDNAs), cloned them into a plasmid vector, and performed sequence analysis.
  • Analyzed the missense mutation characterized by an adenine-for-guanine substitution that introduces a novel DdeI restriction endonuclease site.
  • The beta MHC exon 13 missense mutation co-segregated with hypertrophic cardiomyopathy across the affected family in a Mendelian inheritance pattern.
  • Sequencing of cloned myocardial cDNAs confirmed that both the normal and mutant alleles are actively transcribed into mRNA within human ventricular tissue.

Study Design

Type

Observational (n=15)

Multicenter

No

Structured PICO

P
Population
A family (pedigree 155) of 15 individuals, including 6 affected with hypertrophic cardiomyopathy (HCM). The proband had left ventricular hypertrophy (wall thickness ≥13 mm) and underwent a right ventricular endomyocardial biopsy.
C
Comparator
Normal myocardial tissue (from explanted hearts of patients undergoing cardiac transplantation for ischemic heart disease) and DNA from unaffected individuals.
O
Outcome
Transcription of the mutant beta-myosin heavy chain (beta MHC) gene allele into mRNA in myocardial tissue.surrogate

This study provides the first evidence that a missense mutation in the beta-myosin heavy chain gene is actively transcribed into mRNA in the myocardium of a patient with hypertrophic cardiomyopathy.

Limitations

  • Small family size prevents definitive verification of disease linkage to chromosome 14 by linkage studies.
  • The entire β-MHC gene and its regulatory sequences are not completely characterized, making it impossible to rule out other mutations.
  • Small size of Family 155 prevents definitive linkage studies to chromosome 14
  • Cannot rule out the possibility of other mutations in the gene since the entire beta MHC gene is not completely characterized

Abstract

We have determined that a missense mutation in exon 13 of the beta-myosin heavy chain (beta MHC) gene is expressed in the messenger RNA (mRNA) isolated from a right ventricular endomyocardial biopsy obtained from the proband of a family with hypertrophic cardiomyopathy. The mutation is the result of a substitution of an adenine for a guanine residue in one allele of the beta MHC gene and creates a second recognition site for the restriction endonuclease Ddel in exon 13. The mutation is inherited in a Mendelian fashion and co-segregates with hypertrophic cardiomyopathy in this family. Complementary DNAs synthesized from RNA isolated from the endomyocardial biopsy were cloned into a plasmid vector and sequenced to confirm the expression of both the normal and mutant allele in mRNA of myocardial tissue. This is the first report of the transcription of a mutant beta MHC gene allele into mRNA of the myocardium.

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Cite This Study

Perryman et al. (1992) conducted an observational in Hypertrophic cardiomyopathy (n=15). A missense mutation in exon 13 of the β-myosin heavy chain gene is expressed alongside the normal allele in messenger RNA isolated from the myocardium of a patient with hypertrophic cardiomyopathy.

synapsesocial.com/papers/6a156048a2352da347825746https://doi.org/10.1172/jci115848
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