PUBLICATION

Cardiomyopathy with lethal arrhythmias associated with inactivation of KLHL24

Authors
Hedberg-Oldfors, C., Abramsson, A., Osborn, D.P.S., Danielsson, O., Fazlinezhad, A., Nilipour, Y., Hübbert, L., Nennesmo, I., Visuttijai, K., Bharj, J., Petropoulou, E., Shoreim, A., Vona, B., Ahangari, N., López, M.D., Doosti, M., Banote, R.K., Maroofian, R., Edling, M., Taherpour, M., Zetterberg Md, H., Karimiani, E.G., Oldfors, A., Jamshidi, Y.
ID
ZDB-PUB-190205-8
Date
2019
Source
Human molecular genetics   28(11): 1919-1929 (Journal)
Registered Authors
Zetterberg, Henrik
Keywords
none
MeSH Terms
  • Adult
  • Animals
  • Arrhythmias, Cardiac/genetics*
  • Arrhythmias, Cardiac/mortality
  • Arrhythmias, Cardiac/physiopathology
  • Cardiomyopathy, Hypertrophic/genetics
  • Cardiomyopathy, Hypertrophic/mortality*
  • Cardiomyopathy, Hypertrophic/pathology
  • Death, Sudden, Cardiac/pathology
  • Desmin/genetics
  • Disease Models, Animal
  • Female
  • Genetic Linkage/genetics
  • Heart Failure/genetics*
  • Heart Failure/mortality
  • Heart Failure/physiopathology
  • Homozygote
  • Humans
  • Male
  • Mutation
  • Pedigree
  • Phenotype
  • Repressor Proteins/genetics*
  • Zebrafish/genetics
PubMed
30715372 Full text @ Hum. Mol. Genet.
Abstract
Hypertrophic cardiomyopathy (HCM) is the most common inherited cardiovascular disorder, yet the genetic cause of up to 50% of cases remains unknown. Here we show that mutations in KLHL24 cause hypertrophic cardiomyopathy in humans. Using genome-wide linkage analysis and exome sequencing we identified homozygous mutations in KLHL24 in two consanguineous families with HCM. Of the eleven young affected adults identified, three died suddenly and one had a cardiac transplant due to heart failure. KLHL24 is a member of the kelch-like protein family, which act as substrate-specific adaptors Cullin E3 ubiquitin ligases. Endomyocardial and skeletal muscle biopsies from affected individuals of both families demonstrated characteristic alterations, including accumulation of desmin intermediate filaments. Knock-down of the zebrafish homologue klhl24a results in heart defects similar to that described for other HCM-linked genes providing additional support for KLHL24 as a HCM-associated gene. Our findings reveal a crucial role for KLHL24 in cardiac development and function.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping