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Page 58

J u l y 2 3 - 2 4 , 2 0 1 8 | R o m e , I t a l y

allied

academies

Joint Event on

Cardiology Congress 2018 & Microbe Infection 2018

Biomedical Research

|

ISSN: 0976-1683

|

Volume 29

2

nd

World Congress on

CARDIOLOGY

MICROBIOLOGY AND MICROBIAL INFECTION

&

39

th

Annual Congress on

Biomed Res 2018, Volume 29 | DOI: 10.4066/biomedicalresearch-C1-003

NOVEL COMPOUND HETEROZYGOUS MUTATIONS OF

KCNQ1

IN LONG

QT SYNDROME WITH FAMILIAL HISTORY OF UNEXPLAINED SUDDEN

DEATH: IDENTIFIED BY ANALYSIS OF WHOLE EXOME SEQUENCING AND

PREDISPOSING GENES

Ting Zhao

1

, Yubi Lin

1

, Zifeng Huang

2

and

Hongyun Lu

1

1

The Fifth Affiliated Hospital of Sun Yat-Sen University, China

2

Jinan University, China

Aim & Objective:

This study aimed to identify the pathogenic mutation in a Chinese family with long QT syndrome (LQTs) and

unexplained sudden death (USD).

Methods & Results:

Whole exome sequencing was conducted for the proband. The genetic data was screened using the 1000

genomes project and SNP database (PubMed), and the identified mutations were assessed for predicted pathogenicity using the

SIFT and polyphen-2 algorithms. We identified the compound heterozygous mutations in the

KCNQ1

gene at c. G527A (p. W176X)

and c. G1765A (p. G589S) predicted as damaging. The

in-silico

analysis showed that when compared to the characteristics of

mRNA and protein of wild-type

KCNQ1

, the mRNA of c. G527A mutation was significantly different in the centroid secondary

structure; the subunit coded by W176X would lose the transmembrane domains S3-S6 and helices A-D; the protein secondary

structure of G598S was slightly shortened in helix structure; the protein physics-chemical parameters of W176X and G589S

significantly and slightly changed, respectively.

Conclusions:

The compound heterozygous mutations of W176X and G589S coexisting in

KCNQ1

gene of homologous

chromosomes, resulting in more severe phenotype, are the likely pathogenic and genetic risks of LQTs and USD in this Chinese

family.