Abstract
BACKGROUND - Brugada syndrome is a rare, autosomal-dominant, male-predominant form of idiopathic ventricular fibrillation characterized by a right bundle-branch block and ST elevation in the right precordial leads of the surface ECG. Mutations in the cardiac Na channel SCN5A on chromosome 3p21 cause ≈20% of the cases of Brugada syndrome; most mutations decrease inward Na current, some by preventing trafficking of the channels to the surface membrane. We previously used positional cloning to identify a new locus on chromosome 3p24 in a large family with Brugada syndrome and excluded SCN5A as a candidate gene. METHODS AND RESULTS - We used direct sequencing to identify a mutation (A280V) in a conserved amino acid of the glycerol-3-phosphate dehydrogenase 1-like (GPD1-L) gene. The mutation was present in all affected individuals and absent in >500 control subjects. GPD1-L RNA and protein are abundant in the heart. Compared with wild-type GPD1-L, coexpression of A280V GPD1-L with SCN5A in HEK cells reduced inward Na currents by ≃50% (P<0.005). Wild-type GPD1-L localized near the cell surface to a greater extent than A280V GPD1-L. Coexpression of A280V GPD1-L with SCN5A reduced SCN5A cell surface expression by 31±5% (P=0.01). CONCLUSIONS - GPD1-L is a novel gene that may affect trafficking of the cardiac Na channel to the cell surface. A GPD1-L mutation decreases SCN5A surface membrane expression, reduces inward Na current, and causes Brugada syndrome.
Original language | English (US) |
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Pages (from-to) | 2260-2268 |
Number of pages | 9 |
Journal | Circulation |
Volume | 116 |
Issue number | 20 |
DOIs | |
State | Published - Nov 2007 |
Keywords
- Arrhythmia
- Electrophysiology
- Genetics
- Ion channels
- Sodium