Source:http://linkedlifedata.com/resource/pubmed/id/10590249
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
2000-1-4
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pubmed:abstractText |
Mutations in SCN5A, the gene encoding the cardiac Na(+) channel, have been identified in 2 distinct diseases associated with sudden death: one form of the long-QT syndrome (LQT(3)) and the Brugada syndrome. We have screened SCN5A in a large 8-generation kindred characterized by a high incidence of nocturnal sudden death, and QT-interval prolongation and the "Brugada ECG" occurring in the same subjects. An insertion of 3 nucleotides (TGA) at position 5537, predicted to cause an insertion of aspartic acid (1795insD) in the C-terminal domain of the protein, was linked to the phenotype and was identified in all electrocardiographically affected family members. ECGs were obtained from 79 adults with a defined genetic status (carriers, n=43; noncarriers, n=36). In affected individuals, PR and QRS durations and QT intervals are prolonged (P<0.0001 for all parameters). ST segment elevation in the right precordial leads is present as well (P<0.0001). Twenty-five family members died suddenly, 16 of them during the night. Expression of wild-type and mutant Na(+) channels in Xenopus oocytes revealed that the 1795insD mutation gives rise to a 7.3-mV negative shift of the steady-state inactivation curve and an 8.1-mV positive shift of the steady-state activation curve. The functional consequence of both shifts is likely to be a reduced Na(+) current during the upstroke of the action potential. LQT(3) and Brugada syndrome are allelic disorders but may also share a common genotype.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0009-7330
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pubmed:author |
pubmed-author:BezzinaCC,
pubmed-author:Bink-BoelkensM TMT,
pubmed-author:MannensM MMM,
pubmed-author:PostmaA VAV,
pubmed-author:RookM BMB,
pubmed-author:Tan-SindhunataGG,
pubmed-author:VeldkampM WMW,
pubmed-author:ViersmaJ WJW,
pubmed-author:WildeA AAA,
pubmed-author:van Den BergM PMP,
pubmed-author:van Der HoutA HAH,
pubmed-author:van LangenI MIM
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pubmed:issnType |
Print
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pubmed:volume |
85
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1206-13
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10590249-Adult,
pubmed-meshheading:10590249-Death, Sudden, Cardiac,
pubmed-meshheading:10590249-Electrocardiography,
pubmed-meshheading:10590249-Female,
pubmed-meshheading:10590249-Humans,
pubmed-meshheading:10590249-Long QT Syndrome,
pubmed-meshheading:10590249-Male,
pubmed-meshheading:10590249-Mutation,
pubmed-meshheading:10590249-Pedigree,
pubmed-meshheading:10590249-Sodium Channels
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pubmed:articleTitle |
A single Na(+) channel mutation causing both long-QT and Brugada syndromes.
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pubmed:affiliation |
Departments of Clinical Genetics , Academic Medical Center, Amsterdam, The Netherlands.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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