PUBLICATION

Compound heterozygous loss-of-function mutations in KIF20A are associated with a novel lethal congenital cardiomyopathy in two siblings

Authors
Louw, J.J., Nunes Bastos, R., Chen, X., Verdood, C., Corveleyn, A., Jia, Y., Breckpot, J., Gewillig, M., Peeters, H., Santoro, M.M., Barr, F., Devriendt, K.
ID
ZDB-PUB-180123-13
Date
2018
Source
PLoS Genetics   14: e1007138 (Journal)
Registered Authors
Santoro, Massimo
Keywords
Zebrafish, Cardiomyopathies, Cardiac ventricles, Cardiac atria, Embryos, Motor proteins, Frameshift mutation, Fibroblasts
MeSH Terms
  • Cardiomyopathies/congenital*
  • Cardiomyopathies/genetics*
  • Female
  • Genes, Lethal
  • Heterozygote
  • Humans
  • Infant
  • Infant Death
  • Kinesins/genetics*
  • Male
  • Mutation, Missense*
  • Pedigree
  • Pregnancy
  • Recurrence
  • Siblings
PubMed
29357359 Full text @ PLoS Genet.
Abstract
Congenital or neonatal cardiomyopathies are commonly associated with a poor prognosis and have multiple etiologies. In two siblings, a male and female, we identified an undescribed type of lethal congenital restrictive cardiomyopathy affecting the right ventricle. We hypothesized a novel autosomal recessive condition. To identify the cause, we performed genetic, in vitro and in vivo studies. Genome-wide SNP typing and parametric linkage analysis was done in a recessive model to identify candidate regions. Exome sequencing analysis was done in unaffected and affected siblings. In the linkage regions, we selected candidate genes that harbor two rare variants with predicted functional effects in the patients and for which the unaffected sibling is either heterozygous or homozygous reference. We identified two compound heterozygous variants in KIF20A; a maternal missense variant (c.544C>T: p.R182W) and a paternal frameshift mutation (c.1905delT: p.S635Tfs*15). Functional studies confirmed that the R182W mutation creates an ATPase defective form of KIF20A which is not able to support efficient transport of Aurora B as part of the chromosomal passenger complex. Due to this, Aurora B remains trapped on chromatin in dividing cells and fails to translocate to the spindle midzone during cytokinesis. Translational blocking of KIF20A in a zebrafish model resulted in a cardiomyopathy phenotype. We identified a novel autosomal recessive congenital restrictive cardiomyopathy, caused by a near complete loss-of-function of KIF20A. This finding further illustrates the relationship of cytokinesis and congenital cardiomyopathy.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping