TY - JOUR
AU - Oder, Daniel
AU - Liu, Dan
AU - Hu, Kai
AU - Üçeyler, Nurcan
AU - Salinger, Tim
AU - Müntze, Jonas
AU - Lorenz, Kristina
AU - Kandolf, Reinhard
AU - Gröne, Hermann-Josef
AU - Sommer, Claudia
AU - Ertl, Georg
AU - Wanner, Christoph
AU - Nordbeck, Peter
TI - α-Galactosidase A Genotype N215S Induces a Specific Cardiac Variant of Fabry Disease.
JO - Circulation / Cardiovascular genetics
VL - 10
IS - 5
SN - 1942-3268
CY - Philadelphia, Pa.
PB - Lippincott, Williams & Wilkins
M1 - DKFZ-2017-06231
SP - e001691 -
PY - 2017
N1 - Herz-Kreislauf
AB - Hypertrophic cardiomyopathy is the most common type of cardiomyopathy, but many patients lack sarcomeric/myofilament mutations. We studied whether cardio-specific α-galactosidase A gene variants are misinterpreted as hypertrophic cardiomyopathy because of the lack of extracardiac organ involvement.All subjects who tested positive for the N215S genotype (n=26, 13 females, mean age 49±17 [range, 14-74] years) were characterized in this prospective monocentric longitudinal cohort study to determine genotype-specific clinical characteristics of the N215S (c.644A>G [p.Asn215Ser]) α-galactosidase A gene variant. All subjects were initially referred with suspicion of genetically determined hypertrophic cardiomyopathy. Cardiac hypertrophy (interventricular septum, 12±4 [7-23] mm; left ventricular posterior wall, 11±4 [7-21] mm; left ventricular mass, 86±41 [46-195] g/m2) was progressive, systolic function mainly preserved (cardiac index 2.8±0.6 [1.9-3.9] L/min per m2), and diastolic function mildly abnormal. Cardiac magnetic resonance imaging revealed replacement fibrosis in loco typico (18/26, 69
LB - PUB:(DE-HGF)16
C6 - pmid:29018006
DO - DOI:10.1161/CIRCGENETICS.116.001691
UR - https://inrepo02.dkfz.de/record/131599
ER -