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A mutation in the CACNA1C gene leads to early repolarization syndrome with incomplete penetrance: A Chinese family study.


ABSTRACT:

Background

Early repolarization syndrome (ERS) may be a near-Mendelian or an oligogenic disease; however, no direct evidence has been provided to support this theory.

Methods and results

We described a large Chinese family with nocturnal sudden cardiac death induced by ERS in most of the young male adults. One missense mutation (p.Q1916R) was found in the major subunit of the L-type calcium channel gene CACNA1C by the direct sequencing of candidate genes. A concomitant gain-of-function variant in the sodium channel gene SCN5A (p.R1193Q) was found to rescue the phenotype of the female CACNA1C-Q1916R mutation carriers, which led to the incomplete penetrance. The functional studies, via the exogenous expression approach, revealed that the CACNA1C-Q1916R mutation led to a decrea

SUBMITTER: Liu X 

PROVIDER: S-EPMC5426766 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature