Molecular Genetics of Inherited Cardiac Conduction Defects in Humans and Dogs

개와 사람의 선천성 심장 전도장애에 대한 분자 유전학적 이해

  • Published : 2004.06.01

Abstract

Heart diseases related to conduction system can be occurred by primary defects in conduction system and by secondary to morphological heart diseases or drug toxicities. Multiple molecular defects responsible for arrhythmogenesis, including mutations in ion channels, cytoplasmic ion-channel-interacting proteins, gap-junction proteins, transcription factors and a kinase subunit, were found to be associated with the aetiology of primary cardiac conduction defects, especially inherited form. Despite a big progress in unveiling human arrhythmogenesis, conduction defects in dog has not been well studied except sudden death syndrome in German shepherd. In this review, molecular genetics in cardiac arrhythmogenesis, inherited human diseases associated with conduction defects and similar diseases in dogs will be discussed.

심장 전도계에 관련된 심장 질환은 심장 전도계의 원발성 결함이나 형태학적 심장 질환 및 약물 중독 같은 속발성 원인에 의해 발생한다. 특히 선천성 심장 전도 장애의 경우, 이온 채널, 이온 채널에 관련한 세포질성 단백질, gap-junction 단백질, transcription factors (심장 발생에 관련된 유전자들) 및 kinase subunit을 전사하는 유전자의 돌연변이가 원발성 선천성 심장 전도장애의 원인으로 밝혀지고 있다. 사람의 부정맥 발생에 관련된 발병기전에 커다란 진보가 이루어지고 있음에도 불구하고, 개의 경우, 저먼 세퍼드의 급사 증후군 (sudden death syndrome)을 제외한 다른 전도 장애에 대한 연구는 극히 미비한 상태이다. 본 종설에서는 지금까지 밝혀진 심장 부정맥 발생의 분자 유전학적 고찰과 이와 관련된 사람의 유전학적 질환들과 이와 유사한 개의 선천성 심장 전도 장애에 대해 연구 고찰하였다.

Keywords

References

  1. Agostini D, Scanu P, Loiselet P. Iodine-I23- Metaiodobenzylguanidine SPECT of Regional Cardiac Adrenergic Denervation in Brugada Syndrome. J Nucl Med 1998; 39: 1129-1132
  2. Ahmad F, Li D, Karibe A, Gonzalez O, Tapscott T, Hill R, Weilbaecher D, Blackie P, Furey M, Gardner M, Bachinski LL, Roberts R. Localization of a gene responsible for arrhythmogenic right ventricular dysplasia to chromosome 3p23. Circulation 1998; 98: 2791-2795 https://doi.org/10.1161/01.CIR.98.25.2791
  3. An WF, Bowlby MR, Betty M, Cao J, Ling Hp, Mendoza G, Hinson JW, Mattsson KI, Strassle BW, Trimmer JS, Rhodes KJ. Modulation of A-type potassium channels by a family of calcium sensors. Nature 2000; 403: 553-556 https://doi.org/10.1038/35000592
  4. Barhanin J. Lesage F, Guillemare E, Fink M, Lazdunski M, Romey G. KvLQTI and IsK (minK) proteins associate to form the IKs cardiac potassium current. Nature 1996; 384: 78-80 https://doi.org/10.1038/384078a0
  5. Brugada P, Brugada J. Right bundle branch block, persistent ST segment elevation and sudden cardiac death: a distinct clinical and electrocardiographic syndrome: a multicenter report. J Am Coll Cardiol 1992; 20: 1391-1396 https://doi.org/10.1016/0735-1097(92)90253-J
  6. Benson DW, Silberbach GM, Kavanaugh-McHugh A, Cottrill C, Zhang Y, Riggs S, Smalls O, Johnson MC, Watson MS, Seidman JG, Seidman CE, Plowden J, Kugler JD. Mutations in the cardiac transcription factor NKX2.5 affect diverse cardiac developmental pathways. J Clin Invest 1999: 1567-1573
  7. Chen Q, Kirsch GE, Zhang D, Brugada R, Brugada J, Brugada P, Potenza D, Moya A, Borggrefe M, Breithardt G, Ortiz-Lopez R, Wang Z, Antzelevitch C, OBrien RE, Schultze-Bahr E, Keating MT, Towbin JA, Wang Q. Genetic basis and molecular mechanisms for idiopathic ventricular fibrillation. Nature 1998; 392: 293-296 https://doi.org/10.1038/32675
  8. Coonar AS, Protonotarios N, Tsatsopoulou A, Needham EW, Houlston RS, Cliff S, Otter MI, Murday VA, Mattu RK, McKenna WJ. Gene for arrhythmogenic right ventricular cardiomyopathy with diffuse nonepidermolytic palmoplantar keratoderma and woolly hair (Naxos disease) maps to 17q21. Circulation 1998; 97: 2049-2058 https://doi.org/10.1161/01.CIR.97.20.2049
  9. Coumel P, Maison-Blanche P, Badilini F. Dispersion of ventricular repolarization. Reality? Illusion? Significance?. Circulation 1998; 97: 2491-2493 https://doi.org/10.1161/01.CIR.97.25.2491
  10. Delorme B, Dahl E, Jarry-Guichard T, Briand JP, Willecke K, Gros D, Theveniau-Ruissy M. Expression pattern of connexin gene products at the early developmental stages of the mouse cardiovascular system. Circ Res 1997; 81: 423-437 https://doi.org/10.1161/01.RES.81.3.423
  11. Fontaine G, Fontaliran F, Frank R. Arrhythmogenic right ventricular cardiomyopathies clinical forms and main differential diagnoses. Circulation 1998; 97: 1532-1535 https://doi.org/10.1161/01.CIR.97.16.1532
  12. Gollob MH, Green MS, Tang AS, Gollob T, Karibe A, Ali Hassan AS, Ahmad F, Lozado R, Shah G, Fananapazir L, Bachinski LL, Roberts R, Hassan AS. Identification of a gene responsible for familial WolffParkinsonWhite syndrome. N Engl J Med 2001; 344: 1823-18-1 https://doi.org/10.1056/NEJM200106143442403
  13. Gollob MH, Seger JJ, Gollob TN, Tapscott T, Gonzales O, Bachinski L, Roberts R. Novel PRKAG2 mutation responsible for the genetic syndrome of ventricular preexcitation and conduction system disease with childhood onset and absence of cardiac hypertrophy. Circulation 2001; 104: 3030-3033 https://doi.org/10.1161/hc5001.102111
  14. Hallows KR, Raghuram V, Kemp BE, Witters LA, Foskett JK. Inhibition of cystic fibrosis transmembrane conductance regulator by novel interaction with the metabolic sensor AMP-activated protein kinase. J Clin Invest 2000; 105: 1711-1711 https://doi.org/10.1172/JCI9622
  15. Hamlin RL, Smetzer DL, Breznock EM. Sinoa:rial syncope in Miniature Schnauzers. J Am Vet Med Assoc 1971; 161: 1022-1028
  16. Harpster NK. Boxer cardiomyopathy. Vet Clin North Am 1991; 21: 989-1004
  17. Holland CT, Canfield PJ, Watson ADJ. Dyserythropoiesis, polymyopathy, and cardiac disease in three related English springer spaniels. J Vet Int Med 1991; 5: 151-159 https://doi.org/10.1111/j.1939-1676.1991.tb00942.x
  18. Hopkins LC, Jackson JA, Elsas LJ. Emery-Dreifus humeroperoneal muscular dystrophy: an X-linked myopathy with unusual contractures and bradycardia. Ann Neurol 1981; 10: 230-237 https://doi.org/10.1002/ana.410100306
  19. Ito M, Yoshida S, Kusukawa J, Ishimoto N. Regional washout of metaiodobenzylguanidine IS heterogeneousl increased in symptomatic but not in asymptomatic patients with congenital long QT syndrome. Circulation 1998; 98 Suppl I: 776
  20. Jervell FLN. Congenital deaf-mutism, functional heart disease with prolongation of the Q-Y interval and sudden death. Am Heart J 1957; 54: 59-68 https://doi.org/10.1016/0002-8703(57)90079-0
  21. Kasahara H, Lee B, Schott JJ, Benson DW, Seidman JG, Seidman CE, Izumo S. Loss of function and inhibitory effects of human CSX/NKX2.5 homeoprotein mutations associated with congenital heart disease. J Clin Invest 2000; 106: 299-308 https://doi.org/10.1172/JCI9860
  22. Keating MT, Sanguinetti Me. Molecular and cellular mechanisms of cardiac arrhythmias. Cell 2001; 104: 569-580 https://doi.org/10.1016/S0092-8674(01)00243-4
  23. Keene BW, Panciera DP, Atkins CE. Myocardial 1-camitine deficiency in a family of dogs with dilated cardiomyopathy. J Am Vet Med Assoc 1991; 198: 647-650
  24. Kuo HC, Cheng CF, Clark RB, Lin JJ, Lin JL, Hoshijima M, Nguyen-Tran VT, Gu Y, Ikeda Y, Chu PH, Ross J, Giles WR, Chien KR. A defect in the Kv channel-interacting protein 2 (KChIP2) gene leads to a complete loss of Ito and confers susceptibility to ventricular tachycardia. Cell 2001; 107: 801-813 https://doi.org/10.1016/S0092-8674(01)00588-8
  25. Li D, Ahmad F, Gardner MJ, Weilbaecher D, Hill R, Karibe A, Gonzalez O, Tapscott T, Sharratt GP, Bachinski LL, Roberts R. The locus of a novel gene responsible for arrhythmogenic right ventricular dysplasia characterized by early onset and high penetrance maps to chromosome 10p-12p14. Am J Hum Genet 2000; 66: 148-156 https://doi.org/10.1086/302713
  26. Marcus Fl, Fontaine G. Arrhythmogenic right ventricular dysplasia/cardiomyopathy: A review. Pacing Clin Electrophysiol 1995; 18: 1298-1314 https://doi.org/10.1111/j.1540-8159.1995.tb06971.x
  27. Marks AR, Priori S, Memmi M, Kontula K, Laitinen PJ. Involvement of the cardiac ryanodine receptor/calcium release channel in catecholaminergic polymorphic ventricular tachycardia. J Cell Physiol 2002; 190: 1-6 https://doi.org/10.1002/jcp.10031
  28. McKenna WJ, Thiere G, Nava AA, Fontaliran F, Blomstrom-Lundqvist C, Fontaine G, Camerini F. Diagnosis of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Br Heart J 1994; 71: 215-218 https://doi.org/10.1136/hrt.71.3.215
  29. Meurs KM, Spier AW, Miller MW. Familial ventricular dysrhythmias in boxer dogs. J Am CoB Vet Int Med 1999: 13
  30. Miyazaki T, Mitamura H, Miyoshi S, Soejima K, Aizawa Y, Ogawa S. Autonomic and antiarrhythmic drug modulation of ST segment elevation in patients with Brugada syndrome. J Am Call Cardiol 1996; 27: 1061-1070 https://doi.org/10.1016/0735-1097(95)00613-3
  31. Moise NS, Meyers-Wallen V, Flahive WJ. Inherited ventricular arrhythmias and sudden death in German shepherd dogs. J Am Coil Cardiol 1994; 24: 233-243 https://doi.org/10.1016/0735-1097(94)90568-1
  32. Moise NS, Dugger DA, Brittain D, Relationship of ventricular tachycardia to sleep/wakefulness in a model of sudden cardiac death. Pediatric Res 1996; 40: 344-350 https://doi.org/10.1203/00006450-199608000-00025
  33. Moise NS, Riccio MJ, Flahive WJ. Age dependent development of ventricular arrhythmias in a spontaneous animal model of sudden cardiac death. Cardiovasc Res 1997; 34: 483-492 https://doi.org/10.1016/S0008-6363(97)00078-3
  34. Moss AJ, Schwartz PJ, Crampton RS, et al. The long QT syndrome: prospective longitudinal study of 328 families. Circulation 1991; 84: 1136-1144 https://doi.org/10.1161/01.CIR.84.3.1136
  35. Napolitano C, Priori SG. Genetics of ventricular tachycardia. Curr Opin Cardiol 2002; 17: 222-228 https://doi.org/10.1097/00001573-200205000-00003
  36. Nguyen-Tran VT. Kubalak SW, Minamisawa S, Fiset C, Wollert KC, Brown AB, Ruiz-Lozano P, Barrere-Lemaire S, Kondo R, Norman LW, Gourdie RG, Rahme MM, Feld GK, Clark RB, Giles WR, Chien KR. A novel genetic pathway for sudden cardiac deathvia defects in the transition between ventricular and conduction system cell lineages. Cell 2000; 102: 671-682 https://doi.org/10.1016/S0092-8674(00)00089-1
  37. Papadatos GA. Slowed conduction and ventricular tachycardia after targeted disruption of the cardiac sodium channel gene SCN5A. Proc Natl Acad Sci USA 2002; 99: 6210-6215 https://doi.org/10.1073/pnas.082121299
  38. Pinamonti B, Pagnan L, Bussani R. Right ventricular dysplasia with biventricular involvement. Circulation 1998; 98: 1943-1944 https://doi.org/10.1161/01.CIR.98.18.1943
  39. Plaster NM, Tawil R, Tristani-Firouzi M, Canun S, Bendahhou S, Tsunoda A, Donaldson MR, Iannaccone ST, Brunt E, Barohn R, Clark J, Deymeer F, George AL Jr, Fish FA, Hahn A, Nitu A, Ozdemir C, Serdaroglu P, Subramony SH, Wolfe G, Fu YH, Ptacek LJ. Mutations in Kir2.1 cause the developmental and episodic electrical phenotypes of Andersen's syndrome. Cell 2001; 105: 511-519 https://doi.org/10.1016/S0092-8674(01)00342-7
  40. Pras E, Levy-Nissenbaum E, Bakhan T, Lahat H, Assia E, Geffen-Carmi N, Frydman M, Goldman B, Pras E. A missense mutation in the LIM2 gene is associated with autosomal recessive presenile cataract in an inbred Iraqi Jewish family. Am J Hum Genet 2002; 70: 1363-7 https://doi.org/10.1086/340318
  41. Preisig-Muller R, Schlichthorl G, Goerge T, Heinen S, Bruggemann A, Rajan S, Derst C. Veh RW, Daut J. Heteromerization of Kir2.x potassium channels contributes to the phenotype of Andersen's syndrome. Proc Natl Acad Sci USA 2002; 99: 7774-7779 https://doi.org/10.1073/pnas.102609499
  42. Priori SG, Napolitano C. Genetic defects of cardiac ion channels. The hidden substrate for torsades de pointes. Cardiovasc Drugs Ther 2002; 16: 89-92 https://doi.org/10.1023/A:1015793113771
  43. Protonotarios NI, Tsatsopoulou AA, Gatzoulis KA. Arrhythmogenic right ventricular cardiomyopathy caused by a deletion in plakoglobin (Naxos disease). Card Electrophysiol Rev 2002; 6: 72-80 https://doi.org/10.1023/A:1017943323473
  44. Rampazzo A, Nava A, Erne P, Eberhard M, Vian E, Slomp P, Tiso N, Thiene G, Danielli GA, A new locus for arrhythmogenic right ventricular cardiomyopathy (ARVD2) maps to chromosome 1q42q43. Hum Mol Genet 1995; 4: 2151-2154 https://doi.org/10.1093/hmg/4.11.2151
  45. Sanguinetti MC, Curran ME, Zou A, Shen J, Spector PS, Atkinson DL, Keating MT. Coassembly of KvLQTI and minK (lsK) proteins to form cardiac IKs potassium channel. Nature 1996; 384: 80-83 https://doi.org/10.1038/384080a0
  46. Schott JJ, Alshinawi C, Kyndt F, Probst V, Hoorntje TM, Hulsbeek M, Wilde AA, Escande D, Mannens MM, Le Marec H. Cardiac conduction defects associate with mutations in SCN5A. Nat Genet 1999; 23: 20-21
  47. Schott JJ, Benson DW, Basson CT, Pease W, Silberbach GM, Moak JP, Maron BJ, Seidman CE, Seidman JG. Congenital heart disease caused by mutations in thtranscription factor NKX2-5. Science 1998; 281: 108-111 https://doi.org/10.1126/science.281.5373.108
  48. Schwartz PJ, Stramba-Badiale M, Segantini A. Prolongation of the QT interval and the sudden infant death syndrome. New Engl J Med 1998; 338: 1709-1714 https://doi.org/10.1056/NEJM199806113382401
  49. Severini GM, Krajinovic M, Pinamonti B,Sinagra G, Fioretti P, Brunazzi MC, Falaschi A, Camerini F, Giacca M, Mestroni L. A new locus for arrhythmogenic right ventricular dysplasia on the long arm of chromosome 14. Genomics 1996; 31: 193-200 https://doi.org/10.1006/geno.1996.0031
  50. Shen WK, Edwards WD, Hammill SC, Gersh BJ. Right ventricular dysplasia: a need for precise pathological definition for interpretation of sudden death. J Am Coll Cardiol 1994; 23: 34
  51. Simon AM, Goodenough DA,· Paul DL. Mice lacking connexin40 have cardiac conduction abnormalities characteristic of atrioventricular block and bundle branch block. Curr Biol 1998; 295-298
  52. Splawski I, Shen J, Timothy KW, Lehmann MH, Priori S, Robinson JL, Moss AJ, Schwartz PJ, Towbin JA, Vincent GM, Keating MT. Spectrum of mutations in long-QT syndrome genes. KVLQT1, HERG, SCN5A, KCNE1, and KCNE2. Circulation 2000; 102: 1178-1185 https://doi.org/10.1161/01.CIR.102.10.1178
  53. Stevenson WG, Perloff JK, Weiss JN. Facioscapulohumeral muscular dystrophy: evidence for selective, genetic electrophysiologic cardiac involvement. J Am Coli Cardiol 1990; 15: 292-299 https://doi.org/10.1016/S0735-1097(10)80052-X
  54. Thiene G, Basso C, Danieli G, Rampazzo A, Corrado D, Nava A. Arrhythmogenic right ventricular cardiomyopathy. Trends Cardiovasc Med 1997; 7: 8490
  55. Thiene G, Nava A, Corrado D, Rossi L, PennelIi N, Right ventricular cardiomyopathy and sudden death in young people. N Engl J Med 1988; 318: 129-133 https://doi.org/10.1056/NEJM198801213180301
  56. Tilley LP. Essentials of canine and feline electrocardiology: interpretation and treatment. 3rd ed. Philadelphia: Lea & Febiger, 1992: 1-20
  57. Tiso N, Stephan DA, Nava A, Bagattin A, Devaney JM, Stanchi F, Larderet G, Brahmbhatt B, Brown K, Bauce B, Muriago M, Basso C, Thiene G, Danieli GA, Rampazzo A. Identification of mutations in the cardiac ryanodine receptor gene in families affected with arrhythmogenic right ventricular cardiomyopathy type 2 (ARVD2). Hum Mol Genet 2001; 10: 189-194 https://doi.org/10.1093/hmg/10.3.189
  58. Towbin JA. Molecular genetic basis of sudden cardiac death. Cardiovasc Pathol 2001; 10: 283-295 https://doi.org/10.1016/S1054-8807(01)00090-4
  59. Van Kempen MJ, van Kempen MJ, Rijkers GT, Van Cauwenberge PB. Developmental changes of connexin40 and connexin43 mRNA distribution patterns in the rat heart. Cardiovasc Res 1996; 32: 886-900
  60. Wang Q. SCN5A mutations associated with an inherited cardiac arrhythmia, long QT syndrome. Cell 1995; 80: 805-811 https://doi.org/10.1016/0092-8674(95)90359-3
  61. Zhu H, Nguyen VT, Brown AB, Pourhosseini A, Garcia AV, van Bilsen M, Chien KR. A novel, tissue-restricted zinc finger protein (HF-l b) binds to the cardiac regulatory element (HF-1b/MEF-2) in the rat myosin light-chain 2 gene. Mol Cell Biol 1993: 4432-4444
  62. Zipes DP. Autonomic modulation of cardiac arrhythmias. In: D.P. Zipes and J. Jalife Editors, Cardiac electrophysiology from cell to bedside. 2nd ed. Philadelphia: W.B Saunders. 1995: 441-453