
MOLECULAR CHARACTERIZATION OF MICRORNA
INTERFERENCE AND ARISTOLOCHIC ACID
INTOXICATION FOUND IN UPPER TRACT UROTHELIAL
CARCINOMA IN PATIENTS WITH BALKAN ENDEMIC
NEPHROPATHY: A SYSTEMATIC REVIEW
OF THE CURRENT LITERATURE Bašić D1*, Ignjatović I1, Janković Veličković Lj2, Veljković A3 *Corresponding Author: *Corresponding Authors: Dragoslav Bašić, Urology Clinic, University Clinical Center Niš, Faculty of
Medicine, University of Niš, Niš, Serbia, Puškinova 2, 18000 Niš, Serbia, Email: basicdr@gmail.com page: 8
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INTRODUCTION
Hypertrophic cardiomyopathy (HCM) is an inherited
cardiac disorder involving the heart muscle [1]. HCM is
manifested with left ventricular hypertrophy (LVH) [2].
HCM is a common cardiac disorder with a world-wide
incidence of 1:500 [1, 2]. Familial hypertrophic cardiomyopathy
(FHC) is a rare type of HCM, manifested with
myocardial hypertrophy which mostly involves the interventricular
septum with an autosomal dominant mode of
inheritance [3, 4]. FHC is usually presented with extreme
genotypic and phenotypic heterogeneity [5].
Mutations in genes encoding sarcomere proteins
causes FHC [6]. Up to the date of writing, 10 candidate
genes have been reported for causing FHC. In addition,
more than 200 variants of these 10 candidate genes have
been reported to be associated with FHC [6]. Moreover,
mutations in mitochondrial DNA and PRKAG2 have also
been reported to cause hypertrophic cardiomyopathy [7,
8]. Germline mutations in MYBPC3 cause 20% of all the
FHC cases [6, 9].
The MYBPC3 gene encodes the Myosin-binding protein
C with 1274 amino acids. Mutations in MYBPC3 is
very common in HCM patients but the gene-disease association
is not yet well investigated [10]. MYBPC3 associated
HCM is usually presented with extreme phenotypic
heterogeneity [10-13]. Previous studies reported that mutations
in MYBPC3 usually causes mild, moderate, or severe
forms of HCM with late onset [10-17]. However, HCM
patients with mutations in a single gene showed late onset
of disease with mild left ventricular (LV) hypertrophy and
reduced chances of heart failure and cardiac death [18-22].
Until now, approximately 150 mutations in the MYBPC3
gene have been reported to be associated with HCM [21,
22]. Furthermore, more than 70% of the MYBPC3 muta-tions were frameshift mutations, resulting in formation of
a C-terminal truncated protein [6, 23].
In this study, we investigated a Chinese man with
familial HCM. No chromosomal abnormalities were
found in the proband. A novel heterozygous deletion
(c.3781_3785delGAGGC) in exon 33 of the MYBPC3 gene
in the proband was identified by whole exome sequencing.
This deletion causes frameshift (p.Glu1261Thrfs*3), followed
by the formation of a truncated MYBPC3 protein
with 1263 amino acids. The proband’s father carries this
heterozygous deletion while the proband’s mother does not
harbor this variant. Segregation analysis showed that this
deletion is present among all the affected members as well
as absent among all the unaffected members of this family
and in the 100 ethnically matched healthy individuals. Our
present study reported a novel mutation in the MYBPC3
gene associated with HCM and the technical importance
of whole exome sequencing for identifying the mutation
underlying phenotypically highly heterogenous familial
hypertrophic cardiomyopathy.
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