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(Circulation. 2000;102:1178.)
© 2000 American Heart Association, Inc.


Basic Science Reports

Spectrum of Mutations in Long-QT Syndrome Genes

KVLQT1, HERG, SCN5A, KCNE1, and KCNE2

Igor Splawski, PhD; Jiaxiang Shen, MS; Katherine W. Timothy, BS; Michael H. Lehmann, MD; Silvia Priori, MD, PhD; Jennifer L. Robinson, MS; Arthur J. Moss, MD; Peter J. Schwartz, MD; Jeffrey A. Towbin, MD; G. Michael Vincent, MD; Mark T. Keating, MD

From the Department of Human Genetics (I.S., K.W.T., M.T.K.), Howard Hughes Medical Institute (J.S., M.T.K.), and Division of Cardiology (M.T.K.), University of Utah, and the Department of Medicine, LDS Hospital (G.M.V.), Salt Lake City, Utah; Department of Internal Medicine, University of Michigan, Ann Arbor (M.H.L.); Molecular Cardiology, Fondazione Maugeri (S.P.), and Department of Cardiology, University of Pavia and Policlinico S. Matteo (P.J.S.), IRCCS, Pavia, Italy; Department of Medicine, University of Rochester, Rochester, NY (J.L.R., A.J.M.); and Departments of Pediatrics and Molecular and Human Genetics (J.A.T.), Baylor College of Medicine, Houston, Tex.

Correspondence to Igor Splawski, University of Utah, Eccles Institute of Human Genetics, 15N 2030E Suite 2100, Salt Lake City, UT 84112-5330. E-mail igor.splawski{at}genetics.utah.edu

Background—Long-QT Syndrome (LQTS) is a cardiovascular disorder characterized by prolongation of the QT interval on ECG and presence of syncope, seizures, and sudden death. Five genes have been implicated in Romano-Ward syndrome, the autosomal dominant form of LQTS: KVLQT1, HERG, SCN5A, KCNE1, and KCNE2. Mutations in KVLQT1 and KCNE1 also cause the Jervell and Lange-Nielsen syndrome, a form of LQTS associated with deafness, a phenotypic abnormality inherited in an autosomal recessive fashion.

Methods and Results—We used mutational analyses to screen a pool of 262 unrelated individuals with LQTS for mutations in the 5 defined genes. We identified 134 mutations in addition to the 43 that we previously reported. Eighty of the mutations were novel. The total number of mutations in this population is now 177 (68% of individuals).

ConclusionsKVLQT1 (42%) and HERG (45%) accounted for 87% of identified mutations, and SCN5A (8%), KCNE1 (3%), and KCNE2 (2%) accounted for the other 13%. Missense mutations were most common (72%), followed by frameshift mutations (10%), in-frame deletions, and nonsense and splice-site mutations (5% to 7% each). Most mutations resided in intracellular (52%) and transmembrane (30%) domains; 12% were found in pore and 6% in extracellular segments. In most cases (78%), a mutation was found in a single family or an individual.


Key Words: long-QT syndrome • arrhythmia • death, sudden • torsade de pointes • genetics




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J. Am. Coll. Cardiol., January 3, 2006; 47(1): 9 - 21.
[Abstract] [Full Text] [PDF]


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Toxicol PatholHome page
Y. J. Kang
Cardiac Hypertrophy: A Risk Factor for QT-Prolongation and Cardiac Sudden Death
Toxicol Pathol, January 1, 2006; 34(1): 58 - 66.
[Abstract] [Full Text] [PDF]


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JAMAHome page
C. Napolitano, S. G. Priori, P. J. Schwartz, R. Bloise, E. Ronchetti, J. Nastoli, G. Bottelli, M. Cerrone, and S. Leonardi
Genetic Testing in the Long QT Syndrome: Development and Validation of an Efficient Approach to Genotyping in Clinical Practice
JAMA, December 21, 2005; 294(23): 2975 - 2980.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Shah, F. G. Akar, and G. F. Tomaselli
Molecular Basis of Arrhythmias
Circulation, October 18, 2005; 112(16): 2517 - 2529.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. D. Krahn, M. Gollob, R. Yee, L. J. Gula, A. C. Skanes, B. D. Walker, and G. J. Klein
Diagnosis of Unexplained Cardiac Arrest: Role of Adrenaline and Procainamide Infusion
Circulation, October 11, 2005; 112(15): 2228 - 2234.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
J. M. Nerbonne and R. S. Kass
Molecular Physiology of Cardiac Repolarization
Physiol Rev, October 1, 2005; 85(4): 1205 - 1253.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
W. Shimizu
The long QT syndrome: Therapeutic implications of a genetic diagnosis
Cardiovasc Res, August 15, 2005; 67(3): 347 - 356.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
D. J. Tester and M. J. Ackerman
Sudden infant death syndrome: How significant are the cardiac channelopathies?
Cardiovasc Res, August 15, 2005; 67(3): 388 - 396.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
A. J. Wilson, K. V. Quinn, F. M. Graves, M. Bitner-Glindzicz, and A. Tinker
Abnormal KCNQ1 trafficking influences disease pathogenesis in hereditary long QT syndromes (LQT1)
Cardiovasc Res, August 15, 2005; 67(3): 476 - 486.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
D. Thomas, A.-B. Wimmer, C. A. Karle, M. Licka, M. Alter, M. Khalil, H. E. Ulmer, S. Kathofer, J. Kiehn, H. A. Katus, et al.
Dominant-negative IKs suppression by KCNQ1-{Delta}F339 potassium channels linked to Romano-Ward syndrome
Cardiovasc Res, August 15, 2005; 67(3): 487 - 497.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J.M. Cordeiro, R. Brugada, Y.S. Wu, K. Hong, and R. Dumaine
Modulation of IKr inactivation by mutation N588K in KCNH2: A link to arrhythmogenesis in short QT syndrome
Cardiovasc Res, August 15, 2005; 67(3): 498 - 509.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Chen, M. Inoue, and M. F. Sheets
Reduced voltage dependence of inactivation in the SCN5A sodium channel mutation delF1617
Am J Physiol Heart Circ Physiol, June 1, 2005; 288(6): H2666 - H2676.
[Abstract] [Full Text] [PDF]


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Arch. Dis. Child.Home page
J R Skinner
Is there a relation between SIDS and long QT syndrome?
Arch. Dis. Child., May 1, 2005; 90(5): 445 - 449.
[Full Text] [PDF]


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Arch. Dis. Child.Home page
J R Skinner, S-K Chung, D Montgomery, C H McCulley, J Crawford, J French, and M I Rees
Near-miss SIDS due to Brugada syndrome
Arch. Dis. Child., May 1, 2005; 90(5): 528 - 529.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. Nie, W. Feng, R. Diaz, M. A. Gratton, K. J. Doyle, and E. N. Yamoah
Functional Consequences of Polyamine Synthesis Inhibition by L-{alpha}-Difluoromethylornithine (DFMO): CELLULAR MECHANISMS FOR DFMO-MEDIATED OTOTOXICITY
J. Biol. Chem., April 15, 2005; 280(15): 15097 - 15102.
[Abstract] [Full Text] [PDF]


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Biol Res NursHome page
T. T. Beery
The Genetics of Cardiac Arrhythmias
Biol Res Nurs, April 1, 2005; 6(4): 249 - 261.
[Abstract] [PDF]


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CirculationHome page
A. J. Moss and P. J. Schwartz
25th Anniversary of the International Long-QT Syndrome Registry: An Ongoing Quest to Uncover the Secrets of Long-QT Syndrome
Circulation, March 8, 2005; 111(9): 1199 - 1201.
[Full Text] [PDF]


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JAMAHome page
T. M. Olson, V. V. Michels, J. D. Ballew, S. P. Reyna, M. L. Karst, K. J. Herron, S. C. Horton, R. J. Rodeheffer, and J. L. Anderson
Sodium Channel Mutations and Susceptibility to Heart Failure and Atrial Fibrillation
JAMA, January 26, 2005; 293(4): 447 - 454.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
C. E. Clancy and R. S. Kass
Inherited and Acquired Vulnerability to Ventricular Arrhythmias: Cardiac Na+ and K+ Channels
Physiol Rev, January 1, 2005; 85(1): 33 - 47.
[Abstract] [Full Text] [PDF]


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JGPHome page
S. D. Gage and W. R. Kobertz
KCNE3 Truncation Mutants Reveal a Bipartite Modulation of KCNQ1 K+ Channels
J. Gen. Physiol., November 29, 2004; 124(6): 759 - 771.
[Abstract] [Full Text] [PDF]


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Mayo Clin Proc.Home page
X. H. T. Wehrens and A. R. Marks
Sudden Unexplained Death Caused by Cardiac Ryanodine Receptor (RyR2) Mutations
Mayo Clin. Proc., November 1, 2004; 79(11): 1367 - 1371.
[PDF]


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J Am Coll CardiolHome page
L. Zhang, G. M. Vincent, M. Baralle, F. E. Baralle, B. D. Anson, D. W. Benson, B. Whiting, K. W. Timothy, J. Carlquist, C. T. January, et al.
An intronic mutation causes long QT syndrome
J. Am. Coll. Cardiol., September 15, 2004; 44(6): 1283 - 1291.
[Abstract] [Full Text] [PDF]


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J. Cell Sci.Home page
T. Jespersen, H. B. Rasmussen, M. Grunnet, H. S. Jensen, K. Angelo, D. S. Dupuis, L. K. Vogel, N. K. Jorgensen, D. A. Klaerke, and S.-P. Olesen
Basolateral localisation of KCNQ1 potassium channels in MDCK cells: molecular identification of an N-terminal targeting motif
J. Cell Sci., September 1, 2004; 117(19): 4517 - 4526.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
H. Kanki, S. Kupershmidt, T. Yang, S. Wells, and D. M. Roden
A Structural Requirement for Processing the Cardiac K+ Channel KCNQ1
J. Biol. Chem., August 6, 2004; 279(32): 33976 - 33983.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
E. Villain, I. Denjoy, J.M. Lupoglazoff, P. Guicheney, B. Hainque, V. Lucet, and D. Bonnet
Low incidence of cardiac events with {beta}-blocking therapy in children with long QT syndrome
Eur. Heart J., August 2, 2004; 25(16): 1405 - 1411.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Q. Gong, C. L. Anderson, C. T. January, and Z. Zhou
Pharmacological rescue of trafficking defective HERG channels formed by coassembly of wild-type and long QT mutant N470D subunits
Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H652 - H658.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
W. Shimizu, M. Horie, S. Ohno, K. Takenaka, M. Yamaguchi, M. Shimizu, T. Washizuka, Y. Aizawa, K. Nakamura, T. Ohe, et al.
Mutation site-specific differences in arrhythmic risk and sensitivity to sympathetic stimulation in the LQT1 form of congenital long QT syndrome: Multicenter study in Japan
J. Am. Coll. Cardiol., July 7, 2004; 44(1): 117 - 125.
[Abstract] [Full Text] [PDF]