The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
A correction has been published: N Engl J Med 2001;345(7):552.

A correction has been published: N Engl J Med 2002;346(4):300.

Original Article
PreviousPrevious
Volume 344:1823-1831 June 14, 2001 Number 24
NextNext

Identification of a Gene Responsible for Familial Wolff–Parkinson–White Syndrome
Michael H. Gollob, M.D., Martin S. Green, M.D., Anthony S.-L. Tang, M.D., Tanya Gollob, R.N., Akihiko Karibe, M.D., Al-Sayegh Hassan, M.D., Ferhaan Ahmad, M.D., Ryan Lozado, B.S., Gopi Shah, M.D., Lameh Fananapazir, M.D., Linda L. Bachinski, Ph.D., Terry Tapscott, B.S., Oscar Gonzales, B.S., David Begley, M.D., Saidi Mohiddin, M.D., and Robert Roberts, M.D.

 Sign up for free e-toc
 

This Article
-Full Text
- PDF

Commentary
-Editorial
 by Basson, C. T.

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited

More Information
-Related Article
-Related Article
-PubMed Citation
ABSTRACT

Background The Wolff–Parkinson–White syndrome, with a prevalence in Western countries of 1.5 to 3.1 per 1000 persons, causes considerable morbidity and may cause sudden death. We identified two families in which the Wolff–Parkinson–White syndrome segregated as an autosomal dominant disorder.

Methods We studied 70 members of the two families (57 in Family 1 and 13 in Family 2). The subjects underwent 12-lead electrocardiography and two-dimensional echocardiography. Genotyping mapped the gene responsible to 7q34–q36, a locus previously identified to be responsible for an inherited form of Wolff–Parkinson–White syndrome. Candidate genes were identified, sequenced, and analyzed in normal and affected family members to identify the disease-causing gene.

Results A total of 31 members (23 from Family 1 and 8 from Family 2) had the Wolff–Parkinson–White syndrome. Affected members of both families had ventricular preexcitation with conduction abnormalities and cardiac hypertrophy. The maximal combined two-point lod score was 9.82 at a distance of 5 cM from marker D7S636, which confirmed the linkage of the gene in both families to 7q34–q36. Haplotype analysis indicated that there were no alleles in common in the two families at this locus, suggesting that the two families do not have a common founder. We identified a missense mutation in the gene that encodes the {gamma}2 regulatory subunit of AMP-activated protein kinase (PRKAG2). The mutation results in the substitution of glutamine for arginine at residue 302 in the protein.

Conclusions The identification of this genetic defect has important implications for elucidating the pathogenesis of ventricular preexcitation. Further understanding of how this molecular defect leads to supraventricular arrhythmias could influence the development of specific therapies for other forms of supraventricular arrhythmia.


Source Information

From the Section of Cardiology, Baylor College of Medicine, Houston (M.H.G., T.G., A.K., F.A., R.L., G.S., L.L.B., R.R.); the University of Ottawa Heart Institute, Ottawa, Ont., Canada (M.S.G., A.S.-L.T., A.-S.H.); and the Inherited Heart Disease Section, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md. (L.F.).

Other authors were Terry Tapscott, B.S., and Oscar Gonzales, B.S. (Section of Cardiology, Baylor College of Medicine, Houston); and David Begley, M.D., and Saidi Mohiddin, M.D. (Inherited Heart Disease Section, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md.).

Address reprint requests to Dr. Roberts at the Department of Medicine, Section of Cardiology, 6550 Fannin, MS SM 677, Baylor College of Medicine, Houston, TX 77030, or at rroberts{at}bcm.tmc.edu.

Full Text of this Article


This article has been cited by other articles:



HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.