PMID- 10525521 OWN - NLM STAT- MEDLINE DCOM- 19991223 LR - 20190503 IS - 1468-201X (Electronic) IS - 1355-6037 (Linking) VI - 82 IP - 5 DP - 1999 Nov TI - A new mutation of the cardiac troponin T gene causing familial hypertrophic cardiomyopathy without left ventricular hypertrophy. PG - 621-4 AB - AIM: To screen for a mutation of the cardiac troponin T gene in two families where there had been sudden deaths without an increase in left ventricular mass but with myocardial disarray suggesting hypertrophic cardiomyopathy. METHODS: DNA from affected individuals from both families was used to screen the cardiac troponin T gene on an exon by exon basis. Mutation screening was achieved by polymerase chain reaction and direct sequencing. Where appropriate, a mutation was confirmed by restriction digest. RESULTS: A novel missense mutation of exon 9 was found in the affected individuals of one of the families. This mutation at amino acid 94 resulted in the substitution of arginine for leucine and was not found in 100 normal control samples. A mutation of the cardiac troponin T gene was excluded in the second family. CONCLUSIONS: A mutation of the gene for the sarcomeric protein cardiac troponin T can cause familial hypertrophic cardiomyopathy with marked myocyte disarray and frequent premature sudden death in the absence of myocardial hypertrophy at clinical or macroscopic level. FAU - Varnava, A AU - Varnava A AD - Department of Cardiological Sciences, St George's Hospital Medical School, Cranmer Terrace, London SW17 ORE, UK. FAU - Baboonian, C AU - Baboonian C FAU - Davison, F AU - Davison F FAU - de Cruz, L AU - de Cruz L FAU - Elliott, P M AU - Elliott PM FAU - Davies, M J AU - Davies MJ FAU - McKenna, W J AU - McKenna WJ LA - eng PT - Journal Article PL - England TA - Heart JT - Heart (British Cardiac Society) JID - 9602087 RN - 0 (Troponin T) SB - IM MH - Adult MH - Cardiomyopathy, Hypertrophic/*congenital/*genetics MH - DNA Mutational Analysis MH - Death, Sudden, Cardiac/*etiology MH - Female MH - Genetic Testing MH - Humans MH - Male MH - Middle Aged MH - *Mutation, Missense MH - Pedigree MH - Polymerase Chain Reaction MH - Sarcomeres/genetics MH - Troponin T/*genetics PMC - PMC1760789 EDAT- 1999/10/20 00:00 MHDA- 1999/10/20 00:01 CRDT- 1999/10/20 00:00 PHST- 1999/10/20 00:00 [pubmed] PHST- 1999/10/20 00:01 [medline] PHST- 1999/10/20 00:00 [entrez] AID - 10.1136/hrt.82.5.621 [doi] PST - ppublish SO - Heart. 1999 Nov;82(5):621-4. doi: 10.1136/hrt.82.5.621.