PMID- 34067482 OWN - NLM STAT- MEDLINE DCOM- 20211227 LR - 20211227 IS - 2073-4425 (Electronic) IS - 2073-4425 (Linking) VI - 12 IP - 6 DP - 2021 May 22 TI - Variants in MHY7 Gene Cause Arrhythmogenic Cardiomyopathy. LID - 10.3390/genes12060793 [doi] LID - 793 AB - BACKGROUND: Arrhythmogenic Cardiomyopathy (ACM) is a disease of the cardiac muscle, characterized by frequent ventricular arrhythmias and functional/ structural abnormalities, mainly of the right ventricle. To date, 20 different genes have been associated with ACM and the majority of them encode for desmosomal proteins. In this study, we describe the characterization of two novel variants in MHY7 gene, segregating in two ACM families. MYH7 encodes for myosin heavy chain beta (MHC-beta) isoform, involved in cardiac muscle contractility. METHOD AND RESULTS: In family A, the autopsy revealed ACM with biventricular involvement in both the proband and his father. In family B, the proband had been diagnosed as affected by ACM and implanted with implantable cardioverter defibrillator (ICD), due to ECG evidence of monomorphic ventricular tachycardia after syncope. After clinical evaluation, a molecular diagnosis was performed using a NGS custom panel. The two novel variants identified predicted damaging, located in a highly conserved domain: c. 2630T>C is not described while c.2609G>A has a frequency of 0.00000398. In silico analyses evaluated the docking characteristics between proteins using the Haddock2.2 webserver. CONCLUSIONS: Our results reveal two variants in sarcomeric genes to be the molecular cause of ACM, further increasing the genetic heterogeneity of the disease; in fact, sarcomeric variants are usually associated with HCM phenotype. Studies on the role of sarcomere genes in the pathogenesis of ACM are surely recommended in those ACM patients negative for desmosomal mutation screening. FAU - Ferradini, Valentina AU - Ferradini V AD - Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. FAU - Parca, Luca AU - Parca L AD - Department of Biology, University of Rome "Tor Vergata", 00133 Rome, Italy. FAU - Martino, Annamaria AU - Martino A AD - Division of Cardiology, Policlinico Casilino, 00169 Rome, Italy. FAU - Lanzillo, Chiara AU - Lanzillo C AD - Division of Cardiology, Policlinico Casilino, 00169 Rome, Italy. FAU - Silvetti, Elisa AU - Silvetti E AD - Division of Cardiology, Policlinico Casilino, 00169 Rome, Italy. FAU - Calo, Leonardo AU - Calo L AUID- ORCID: 0000-0002-6062-5286 AD - Division of Cardiology, Policlinico Casilino, 00169 Rome, Italy. FAU - Caselli, Stefano AU - Caselli S AD - Cardiovascular Center Zurich, 8091 Zurich, Switzerland. FAU - Novelli, Giuseppe AU - Novelli G AD - Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. AD - IRCCS Neuromed, 86077 Pozzilli, Italy. AD - Department of Pharmacology, School of Medicine, University of Nevada, Reno, NV 89557, USA. FAU - Helmer-Citterich, Manuela AU - Helmer-Citterich M AUID- ORCID: 0000-0001-9530-7504 AD - Department of Biology, University of Rome "Tor Vergata", 00133 Rome, Italy. FAU - Sangiuolo, Federica Carla AU - Sangiuolo FC AUID- ORCID: 0000-0002-6227-4248 AD - Department of Biomedicine and Prevention, University of Rome "Tor Vergata", 00133 Rome, Italy. FAU - Mango, Ruggiero AU - Mango R AD - Cardiology Unit, Department of Emergency and Critical Care, Tor Vergata Hospital, 00133 Rome, Italy. LA - eng PT - Case Reports PT - Journal Article DEP - 20210522 PL - Switzerland TA - Genes (Basel) JT - Genes JID - 101551097 RN - 0 (MYH7 protein, human) RN - EC 3.6.1.- (Cardiac Myosins) RN - EC 3.6.4.1 (Myosin Heavy Chains) SB - IM MH - Adolescent MH - Adult MH - Arrhythmias, Cardiac/complications/*genetics/pathology MH - Cardiac Myosins/*genetics MH - Cardiomyopathy, Hypertrophic/etiology/*genetics/pathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mutation MH - Myosin Heavy Chains/*genetics MH - Pedigree PMC - PMC8224781 OTO - NOTNLM OT - MYH7 gene OT - arrhythmogenic cardiomyopathy OT - hypertrophic cardiomyopathy OT - sudden cardiac death OT - targeted gene panel COIS- The authors declare no conflict of interest. EDAT- 2021/06/03 06:00 MHDA- 2021/12/28 06:00 PMCR- 2021/05/22 CRDT- 2021/06/02 01:19 PHST- 2021/05/04 00:00 [received] PHST- 2021/05/14 00:00 [revised] PHST- 2021/05/20 00:00 [accepted] PHST- 2021/06/02 01:19 [entrez] PHST- 2021/06/03 06:00 [pubmed] PHST- 2021/12/28 06:00 [medline] PHST- 2021/05/22 00:00 [pmc-release] AID - genes12060793 [pii] AID - genes-12-00793 [pii] AID - 10.3390/genes12060793 [doi] PST - epublish SO - Genes (Basel). 2021 May 22;12(6):793. doi: 10.3390/genes12060793.