Single-gene mutations and increased left ventricular wall thickness in the community - The Framingham Heart Study
CIRCULATION
Authors: Morita, Hiroyuki; Larson, Martin G.; Barr, Scott C.; Vasan, Ramachandran S.; O'Donnell, Christopher J.; Hirschhorn, Joel N.; Levy, Daniel; Corey, Diane; Seidman, Christine E.; Seidman, J. G.; Benjamin, Emelia J.
Abstract
Background - Mutations in sarcomere protein, PRKAG2, LAMP2, alpha-galactosidase A ( GLA), and several mitochondrial genes can cause rare familial cardiomyopathies, but their contribution to increased left ventricular wall thickness ( LVWT) in the community is unknown. Methods and Results - We studied 1862 unrelated participants ( 52% women; age, 59 +/- 9 years) from the community-based Framingham Heart Study who had echocardiograms and provided DNA samples but did not have severe hypertension, aortic prosthesis, or significant aortic stenosis. Eight sarcomere protein genes, 3 storage cardiomyopathy - causing genes, and 27 mitochondrial genes were sequenced in unrelated individuals with increased LVWT ( maximum LVWT > 13 mm). Fifty eligible participants ( 9 women) had unexplained increased LVWT. We detected 8 mutations in 9 individuals ( 2 women); 7 mutations in 5 sarcomere protein genes ( MYH7, MYBPC3, TNNT2, TNNI3, MYL3), and 1 GLA mutation. In individuals with increased LVWT, participants with sarcomere protein and storage mutations were clinically indistinguishable from those without mutations. Conclusions - In a community-based cohort, about 3% of eligible participants had increased LVWT, of whom 18% had sarcomere protein or lipid storage gene mutations. Increased LVWT in the community is a very heterogeneous condition, which sometimes may arise from single-gene variants in one of a number of genes.
High-throughput single-strand conformation polymorphism analysis on a microfabricated capillary array electrophoresis device
ELECTROPHORESIS
Authors: Tian, HJ; Emrich, CA; Scherer, JR; Mathies, RA; Andersen, PS; Larsen, LA; Christiansen, M
Abstract
A high-density 384-lane microfabricated capillary array electrophoresis device is evaluated for high-throughput single-strand conformation polymorphism (SSCP) analysis. A delayed back bias direct electrokinetic injection scheme is used to provide better than 10-bp resolution with an 8.0-cm effective separation length. Separation of a HaeIII digest of phi X174 yielded theoretical plate numbers of 4.0 x 10(6). Using 5% PDMA containing 10% glycerol and 15% urea, 21 single-nucleotide polymorphisms (SNPs) from HFE, MYL2, MYL3, and MYH7 genes associated with hereditary hemochromatosis (HHC) and hereditary hypertrophic cardiomyopathy (HCM) are discriminated at two running temperatures (25 degrees C and 40 degrees C), providing 100% sensitivity. The data in this study demonstrate that the 384-lane mu CAE device provides the resolution and detection sensitivity required for SSCP analysis, showing its potential for ultrahigh-throughput mutation detection.