Monogenic diseases associated with cardiomyopathy genes and their phenotypic manifestations

A. N. Kucher, M. S. Nazarenko
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Abstract

The aim of the present study was to summarize the data on the spectrum of genetic diseases and their phenotypic manifestations in case of structural and functional defects in 75 genes, pathogenic variants of which are associated with the formation of different types of cardiomyopathy (CMP). The search for scientific publications was carried out in foreign (PubMed) and Russian (eLibrary) digital libraries. The data analysis was performed using the Simple ClinVar, An Online Catalog of Human Genes and Genetic Disorders, and STRING databases.It was shown that the vast majority of CMP genes are pleiotropic. Monogenic diseases caused by mutations in CMP genes are characterized by a wide range of pathological manifestations in various organs and systems (cardiovascular, nervous, endocrine, musculoskeletal systems, connective tissue, skin and appendages, organs of vision and hearing, kidneys) as well as by metabolic and immune disorders. Therefore, if a patient (regardless of the primary diagnosis) has pathogenic / likely pathogenic variants or variants of uncertain significance in the CMP genes, we recommend a detailed and comprehensive clinical examination. This is important for clarifying the effects of rare genetic variants, identifying significant clinical and prognostic features for CMP and monogenic diseases associated with CMP genes, and identifying risk groups and controllable triggers that contribute to the manifestation of pathogenic genetic variants.
与心肌病基因相关的单基因疾病及其表型表现
本研究旨在总结 75 个基因结构和功能缺陷情况下的遗传病谱及其表型表现的数据,这些基因的致病变异与不同类型心肌病(CMP)的形成有关。在国外(PubMed)和俄罗斯(eLibrary)数字图书馆中对科学出版物进行了搜索。数据分析是通过 Simple ClinVar、An Online Catalog of Human Genes and Genetic Disorders 和 STRING 数据库进行的。由 CMP 基因突变引起的单基因病的特点是在不同器官和系统(心血管、神经、内分泌、肌肉骨骼系统、结缔组织、皮肤和附属器官、视觉和听觉器官、肾脏)出现多种病理表现,以及代谢和免疫紊乱。因此,如果患者(无论主要诊断结果如何)的 CMP 基因中存在致病变异/可能致病变异或意义不确定的变异,我们建议患者进行详细、全面的临床检查。这对于明确罕见基因变异的影响、确定与 CMP 基因相关的 CMP 和单基因疾病的重要临床和预后特征、确定导致致病基因变异表现的风险群体和可控诱因非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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