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Comparative Study
.2008 Aug;45(2):281-8.
doi: 10.1016/j.yjmcc.2008.05.003. Epub 2008 May 11.

Molecular and functional characterization of novel hypertrophic cardiomyopathy susceptibility mutations in TNNC1-encoded troponin C

Affiliations
Comparative Study

Molecular and functional characterization of novel hypertrophic cardiomyopathy susceptibility mutations in TNNC1-encoded troponin C

Andrew P Landstrom et al. J Mol Cell Cardiol.2008 Aug.

Abstract

Hypertrophic Cardiomyopathy (HCM) is a common primary cardiac disorder defined by a hypertrophied left ventricle, is one of the main causes of sudden death in young athletes, and has been associated with mutations in most sarcomeric proteins (tropomyosin, troponin T and I, and actin, etc.). Many of these mutations appear to affect the functional properties of cardiac troponin C (cTnC), i.e., by increasing the Ca(2+)-sensitivity of contraction, a hallmark of HCM, yet surprisingly, prior to this report, cTnC had not been classified as a HCM-susceptibility gene. In this study, we show that mutations occurring in the human cTnC (HcTnC) gene (TNNC1) have the same prevalence (~0.4%) as well established HCM-susceptibility genes that encode other sarcomeric proteins. Comprehensive open reading frame/splice site mutation analysis of TNNC1 performed on 1025 unrelated HCM patients enrolled over the last 10 years revealed novel missense mutations in TNNC1: A8V, C84Y, E134D, and D145E. Functional studies with these recombinant HcTnC HCM mutations showed increased Ca(2+) sensitivity of force development (A8V, C84Y and D145E) and force recovery (A8V and D145E). These results are consistent with the HCM functional phenotypes seen with other sarcomeric-HCM mutations (E134D showed no changes in these parameters). This is the largest cohort analysis of TNNC1 in HCM that details the discovery of at least three novel HCM-associated mutations and more strongly links TNNC1 to HCM along with functional evidence that supports a central role for its involvement in the disease. This study may help to further define TNNC1 as an HCM-susceptibility gene, a classification that has already been established for the other members of the troponin complex.

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Figures

Figure 1
Figure 1. Mapping and modeling of HCM-susceptibility mutations inTNNC1-encoded cardiac troponin C (HcTnC)
A) The gene and protein linear topology of HcTnC, including exon, splice junction, functional domains, and calcium binding site locations. The location of each of the four mutations is noted respectively.B) N-terminus (left) depicting the location of A8V and C84Y mutations in relationship to the Ca2+ binding sites and HcTnC helices. Ca2+ binding site I is defunct and Ca2+ binding site II shows Ca2+ bound (green sphere); N-helix (blue), A-helix (pink), B-helix (green), C-helix (orange), and D-helix (red). The Ala8 is located in the first helix of TnC in the beginning of the flexible linker connecting the two domains. C-terminus (right) depicting the location of E134D and D145E mutations in relationship to Ca2+ binding sites and helices. Ca2+ binding site III and IV pictured with Ca2+ bound (green spheres); E-helix (blue), F-helix (pink), G-helix (orange), H-helix (red). Glu134 is located in the G-helix between Ca2+ binding sites III and IV and Asp145 is situated at the Z position of Ca2+ coordinating residues of site IV.
Figure 2
Figure 2. Sequence conservation
The identified mutations inTNNC1 localize to residues completely conserved across all species queried.
Figure 3
Figure 3. The Ca2+ dependence of force development and maximal relative force in reconstituted muscle fibers
A) Ca2+ dependence of force development in (●) WT, (▲) A8V, (♦) C84Y, (▼) E134D, and (■) D145E.B) Relative force recovery measured after HcTnC reconstitution normalized to the initial force. Data in each experiment are the average of 7–9 experiments and are expressed as mean ± S.E. in Table 3.
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