Relevance of Titin Missense and Non-Frameshifting Insertions/Deletions Variants in Dilated Cardiomyopathy

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Akinrinade , O , Heliö , T , Deprez , R H L , Jongbloed , J D H , Boven , L G , van den Berg , M P , Pinto , Y M , Alastalo , T-P , Myllykangas , S , van Spaendonck-Zwarts , K , van Tintelen , J P , van der Zwaag , P A & Koskenvuo , J 2019 , ' Relevance of Titin Missense and Non-Frameshifting Insertions/Deletions Variants in Dilated Cardiomyopathy ' , Scientific Reports , vol. 9 , 4093 . https://doi.org/10.1038/s41598-019-39911-x

Title: Relevance of Titin Missense and Non-Frameshifting Insertions/Deletions Variants in Dilated Cardiomyopathy
Author: Akinrinade, Oyediran; Heliö, Tiina; Deprez, Ronald H. Lekanne; Jongbloed, Jan D. H.; Boven, Ludolf G.; van den Berg, Maarten P.; Pinto, Yigal M.; Alastalo, Tero-Pekka; Myllykangas, Samuel; van Spaendonck-Zwarts, Karin; van Tintelen, J. Peter; van der Zwaag, Paul A.; Koskenvuo, Juha
Contributor organization: Children's Hospital
University of Helsinki
Clinicum
Medicum
Department of Medicine
Lastentautien yksikkö
HUS Children and Adolescents
HUS Heart and Lung Center
Date: 2019-03-11
Language: eng
Number of pages: 9
Belongs to series: Scientific Reports
ISSN: 2045-2322
DOI: https://doi.org/10.1038/s41598-019-39911-x
URI: http://hdl.handle.net/10138/300695
Abstract: Recent advancements in next generation sequencing (NGS) technology have led to the identification of the giant sarcomere gene, titin (TTN), as a major human disease gene. Truncating variants of TTN (TTNtv) especially in the A-band region account for 20% of dilated cardiomyopathy (DCM) cases. Much attention has been focused on assessment and interpretation of TTNtv in human disease; however, missense and non-frameshifting insertions/deletions (NFS-INDELs) are difficult to assess and interpret in clinical diagnostic workflow. Targeted sequencing covering all exons of TTN was performed on a cohort of 530 primary DCM patients from three cardiogenetic centres across Europe. Using stringent bioinformatic filtering, twenty-nine and two rare TTN missense and NFS-INDELs variants predicted deleterious were identified in 6.98% and 0.38% of DCM patients, respectively. However, when compared with those identified in the largest available reference population database, no significant enrichment of such variants was identified in DCM patients. Moreover, DCM patients and reference individuals had comparable frequencies of splice-region missense variants with predicted splicing alteration. DCM patients and reference populations had comparable frequencies of rare predicted deleterious TTN missense variants including splice-region missense variants suggesting that these variants are not independently causative for DCM. Hence, these variants should be classified as likely benign in the clinical diagnostic workflow, although a modifier effect cannot be excluded at this stage.
Subject: RIGHT-VENTRICULAR CARDIOMYOPATHY
BASE-PAIR SUBSTITUTIONS
SPLICING MUTATIONS
GENETIC-VARIATION
CONSEQUENCES
JUNCTIONS
DATABASE
MILD
FORM
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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