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First report of genetic variants detected in Argentinian patients with clinical Long QT Syndrome diagnosis

Dionisio, L.; Stupniki, S.; Aztiria, E.; Rias, E.; Dye, L.; Onetto, L.; Gregorietti, F.; Keegan, R.; Spitzmaul, G.

2023-02-23 genetic and genomic medicine
10.1101/2023.02.15.23285915 medRxiv
Show abstract

BackgroundLong QT Syndrome (LQTS) is a genetic cardiac condition in which disease severity and response to pharmacological treatments vary according to genetic variations. In Argentina, most of the LQTS diagnoses are made by clinical exploration and ECG analysis. In this work, we evaluated a group of subjects from our community to correlate their clinical LQTS diagnosis with genetic modifications. Material and methods: Using gDNA isolation, PCR, and exome sequencing, we screened the coding sequences of the KCNQ1, KCNH2, and SCN5A genes in the studied cohort. ResultsWe identified several DNA changes, among synonymous and non-synonymous, most of them previously described in the literature. In addition, we found a non reported alteration in the sequence of KCNQ1 sequence that suggests the lack (deletion) of an exon or a large part of it indicating exon deletion. 16 which did not allow us to amplify it. ConclusionsThis is the first report of genetic variations in LQTS-associated genes in Argentina. The variations detected could explain the prolongation of the QT interval observed in the ECG of some of the individuals or those with a suspicious family history and could improve treatment, making it more rational as well as providing genetic counselling to first-degree relatives. HighlightsO_LIGenetic screening correlates with clinical diagnosis in LQT patients C_LIO_LIStudied cases carry more than one variation in at least 2 genes simultaneously C_LIO_LIA Non-reported variation in KCNQ1 exon 16 was founded in one case C_LI

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