A novel homozygous missense mutation in PNPLA2 in a patient manifesting primary triglyceride deposit cardiomyovasculopathy.
Mol Genet Metab Rep
; 34: 100960, 2023 Mar.
Article
em En
| MEDLINE
| ID: mdl-36846631
ABSTRACT
Primary triglyceride deposit cardiomyovasculopathy (P-TGCV), caused by a rare genetic mutation in PNPLA2 encoding adipose triglyceride lipase (ATGL), exhibits severe cardiomyocyte steatosis and heart failure. Here, we report the case of a 51-year-old man with P-TGCV homozygous for a novel PNPLA2 mutation (c.446C > G, P149R) in the catalytic domain of ATGL. Analyses of endomyocardial biopsy specimens and in vitro expression experiments showed mutant protein expression with conserved lipid binding, but reduced lipolytic activity, indicating mutation pathogenicity.
ATGL, adipose triglyceride lipase; Adipose triglyceride lipase; BMIPP, 123I-ß-idophenyl-p-pentadecanoic acid; CTx, cardiac transplantation; HE, hematoxylin-eosin; Heart failure; Mutation; NLSD, neutral lipid storage disease; NLSD-I, NLSD with ichthyosis; NLSD-M, NLSD with myopathy; PCR, polymerase chain reaction; PLIN2, perilipin-2; PNPLA2; TGCV, triglyceride deposit cardiomyovasculopathy; Triglyceride deposit cardiomyovasculopathy; WR, washout rate
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Mol Genet Metab Rep
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Japão