New familial heterozygous c 4066_4068 delTT 2 bp deletion of the SCN5A gene causing Brugada syndrome

Heart Rhythm. 2011 Aug;8(8):1224-7. doi: 10.1016/j.hrthm.2011.03.010. Epub 2011 Mar 10.

Abstract

Background: Cardiac sodium channel alterations have been identified as the underlying condition in patients with Brugada syndrome.

Objective: This study identified a novel mutation of the SCN5A gene in a family with Brugada syndrome.

Methods: Blood was drawn from the children and mother for genetic analysis. All exons of the SCN5A gene were amplified by polymerase chain reaction, and a sequence analysis was performed.

Results: The mutation was detected in 1 symptomatic and 2 asymptomatic family members. The deletion of base 4066_4068delTT leads to a shift in the amino acid sequence and a premature stop of the protein translation. The clinical diagnosis of Brugada syndrome in this family was supported by the detection of the new mutation.

Conclusion: We describe a family partly with Brugada syndrome and a novel mutation in the exon 23 of the SCN5A gene leading to a deletion of 2 thymidine bases. This mutation results in an early termination of the encoded protein and possibly in a nonfunctional channel protein.

Publication types

  • Case Reports

MeSH terms

  • Brugada Syndrome / genetics*
  • Brugada Syndrome / therapy
  • Child
  • Chromosome Deletion
  • DNA Mutational Analysis
  • Defibrillators, Implantable
  • Electrocardiography
  • Humans
  • Male
  • Mutation
  • NAV1.5 Voltage-Gated Sodium Channel
  • Sequence Analysis
  • Sodium Channels / genetics*

Substances

  • NAV1.5 Voltage-Gated Sodium Channel
  • SCN5A protein, human
  • Sodium Channels