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1.
Rev Sci Instrum ; 92(3): 034504, 2021 Mar 01.
Article in English | MEDLINE | ID: mdl-33819980

ABSTRACT

Understanding how the surfaces of airless planetary bodies-such as the Moon-scatter visible light enables constraints to be placed on their surface properties and top boundary layer inputs to be set within thermal models. Remote sensing instruments-such as Diviner onboard the Lunar Reconnaissance Orbiter-measure thermal emission and visible light scattering functions across visible (∼0.38-0.7 µm) to thermal infrared (TIR) wavelengths (∼0.7-350 µm). To provide ground support measurements for such instruments, the Oxford Space Environment Goniometer (OSEG) was built. Initially, the OSEG focused on measuring TIR directional emissivity functions for regolith and regolith simulant samples in a simulated space environment, but it has recently been modified to measure visible wavelength Bidirectional Reflectance Distribution Functions (BRDFs) of samples in ambient conditions. Laboratory-measured BRDFs can be used (1) to test and to help interpret models-such as the Hapke photometric model-and (2) as visible scattering function inputs for thermal models. This paper describes the modifications to and initial calibration measurements taken by the Visible Oxford Space Environment Goniometer with a 532 nm laser, and details how this setup can be used to measure BRDFs of regolith and regolith simulant samples of airless planetary bodies.

2.
J Geophys Res Planets ; 126(2): e2020JE006624, 2021 Feb.
Article in English | MEDLINE | ID: mdl-33777607

ABSTRACT

We describe the capabilities, radiometric stability, and calibration of a custom vacuum environment chamber capable of simulating the near-surface conditions of airless bodies. Here we demonstrate the collection of spectral measurements of a suite of fine particulate asteroid analogs made using the Planetary Analogue Surface Chamber for Asteroid and Lunar Environments (PASCALE) under conditions like those found on Earth and on airless bodies. The sample suite includes anhydrous and hydrated physical mixtures, and chondritic meteorites (CM, CI, CV, CR, and L5) previously characterized under Earth- and asteroid-like conditions. And for the first time, we measure the terrestrial and extra-terrestrial mineral end members used in the olivine- and phyllosilicate-dominated physical mixtures under the same conditions as the mixtures and meteorites allowing us better understand how minerals combine spectrally when mixed intimately. Our measurements highlight the sensitivity of thermal infrared emissivity spectra to small amounts of low albedo materials and the composition of the sample materials. As the albedo of the sample decreases, we observe smaller differences between Earth- and asteroid-like spectra, which results from a reduced thermal gradient in the upper hundreds of microns in the sample. These spectral measurements can be compared to thermal infrared emissivity spectra of asteroid (101955) Bennu's surface in regions where similarly fine particulate materials may be observed to infer surface compositions.

3.
Nat Astron ; 3(4): 332-340, 2019.
Article in English | MEDLINE | ID: mdl-31360777

ABSTRACT

Early spectral data from the Origins, Spectral Interpretation, Resource Identification, and Security-Regolith Explorer (OSIRIS-REx) mission reveal evidence for abundant hydrated minerals on the surface of near-Earth asteroid (101955) Bennu in the form of a near-infrared absorption near 2.7 µm and thermal infrared spectral features that are most similar to those of aqueously altered CM carbonaceous chondrites. We observe these spectral features across the surface of Bennu, and there is no evidence of substantial rotational variability at the spatial scales of tens to hundreds of meters observed to date. In the visible and near-infrared (0.4 to 2.4 µm) Bennu's spectrum appears featureless and with a blue (negative) slope, confirming previous ground-based observations. Bennu may represent a class of objects that could have brought volatiles and organic chemistry to Earth.

4.
Rev Sci Instrum ; 88(12): 124502, 2017 Dec.
Article in English | MEDLINE | ID: mdl-29289165

ABSTRACT

Measurements of the light scattering behaviour of the regoliths of airless bodies via remote sensing techniques in the Solar System, across wavelengths from the visible to the far infrared, are essential in understanding their surface properties. A key parameter is knowledge of the angular behaviour of scattered light, usually represented mathematically by a phase function. The phase function is believed to be dependent on many factors including the following: surface composition, surface roughness across all length scales, and the wavelength of radiation. Although there have been many phase function measurements of regolith analog materials across visible wavelengths, there have been no equivalent measurements made in the thermal infrared (TIR). This may have been due to a lack of TIR instruments as part of planetary remote sensing payloads. However, since the launch of Diviner to the Moon in 2009, OSIRIS-Rex to the asteroid Bennu in 2016, and the planned launch of BepiColombo to Mercury in 2018, there is now a large quantity of TIR remote sensing data that need to be interpreted. It is therefore important to extend laboratory phase function measurements to the TIR. This paper describes the design, build, calibration, and initial measurements from a new laboratory instrument that is able to make phase function measurements of analog planetary regoliths across wavelengths from the visible to the TIR.

5.
Rev Sci Instrum ; 83(12): 124502, 2012 Dec.
Article in English | MEDLINE | ID: mdl-23278007

ABSTRACT

One of the key problems in determining lunar surface composition for thermal-infrared measurements is the lack of comparable laboratory-measured spectra. As the surface is typically composed of fine-grained particulates, the lunar environment induces a thermal gradient within the near sub-surface, altering the emission spectra: this environment must therefore be simulated in the laboratory, considerably increasing the complexity of the measurement. Previous measurements have created this thermal gradient by either heating the cup in which the sample sits or by illuminating the sample using a solar-like source. This is the first setup able to measure in both configurations, allowing direct comparisons to be made between the two. Also, measurements across a wider spectral range and at a much higher spectral resolution can be acquired using this new setup. These are required to support new measurements made by the Diviner Lunar Radiometer, the first multi-spectral thermal-infrared instrument to orbit the Moon. Results from the two different heating methods are presented, with measurements of a fine-grained quartz sample compared to previous similar measurements, plus measurements of a common lunar highland material, anorthite. The results show that quartz gives the same results for both methods of heating, as predicted by previous studies, though the anorthite spectra are different. The new calibration pipeline required to convert the raw data into emissivity spectra is described also.

6.
J Med Genet ; 43(8): 653-9, 2006 Aug.
Article in English | MEDLINE | ID: mdl-16571646

ABSTRACT

BACKGROUND: Andersen-Tawil syndrome (ATS) is a rare inherited disorder, characterised by periodic paralysis, cardiac dysarrhythmias, and dysmorphic features, and is caused by mutations in the gene KCNJ2, which encodes the inward rectifier potassium channel, Kir2.1. This study sought to analyse KCNJ2 in patients with familial ATS and to determine the functional characteristics of the mutated gene. METHODS AND RESULTS: We screened a family with inherited ATS for the mutation in KCNJ2, using direct DNA sequencing. A missense mutation (T75R) of Kir2.1, located in the highly conserved cytoplasmic N-terminal domain, was identified in three affected members of this family. Using the Xenopus oocyte expression system and whole cell voltage clamp analyses, we found that the T75R mutant was non-functional and possessed a strong dominant negative effect when co-expressed with the same amount of wild type Kir2.1. Transgenic (Tg) mice expressing the mutated form of Kir2.1 in the heart had prolonged QTc intervals compared with mice expressing the wild type protein. Ventricular tachyarrhythmias were observed in 5 of 14 T75R-Tg mice compared with 1 of 7 Wt-Tg and none of 6 non-transgenic littermates. In three of five T75R-Tg mice with ventricular tachycardia, their ECG disclosed bidirectional tachycardia as in our proband. CONCLUSIONS: The in vitro studies revealed that the T75R mutant of Kir2.1 had a strong dominant negative effect in the Xenopus oocyte expression system. It still preserved the ability to co-assemble and traffic to the cell membrane in mammalian cells. For in vivo studies, the T75R-Tg mice had bidirectional ventricular tachycardia after induction and longer QT intervals.


Subject(s)
Andersen Syndrome/genetics , Genetic Predisposition to Disease , Mutation/genetics , Potassium Channels, Inwardly Rectifying/genetics , Adolescent , Animals , DNA Mutational Analysis , Electrocardiography , Electrophysiology , Female , Humans , Mice , Mice, Transgenic , Myocardium/cytology , Myocardium/pathology , Myocytes, Cardiac/cytology , Xenopus
7.
J Matern Fetal Neonatal Med ; 13(6): 381-4, 2003 Jun.
Article in English | MEDLINE | ID: mdl-12962262

ABSTRACT

AIM: The association between fetal viral infection and adverse pregnancy outcome is well documented. However, the prevalence of common viral pathogens in the amniotic fluid of normal pregnancies is not established. The purpose of this study was to determine this prevalence in asymptomatic patients. METHODS: This was a prospective observational study of patients at low risk for viral infection who were referred for second-trimester genetic amniocentesis. In patients with normal fetal anatomy on ultrasound and a normal fetal karyotype, a 2-ml aliquot of amniotic fluid obtained at amniocentesis was analyzed by multiplex polymerase chain reaction for cytomegalovirus (CMV), parvovirus B19, adenovirus, enterovirus, herpes simplex virus (HSV), respiratory syncytial virus (RSV) and Epstein-Barr virus (EBV). RESULTS: Among 686 patients, advanced maternal age was the most common indication for genetic testing (n = 469, 68.4%), followed by elevated aneuploidy risk on triple screen (n = 164, 23.9%), elevated maternal serum alpha-fetoprotein (n = 20, 2.9%), previous aneuploidy (n = 16, 2.3%) and family history of inheritable disease (n = 14, 2.1%). Forty-four (6.4%) amniotic fluid samples were positive for viral genome. A single genome was amplified in 41 samples (93%). In three samples, two viral genomes were identified. Adenovirus was most frequently identified (37/44), followed by CMV (5/44), EBV (2/44), enterovirus (2/44) and RSV (1/44). Parvovirus and HSV were not identified. There was a bimodal seasonal variation in prevalence, with the highest prevalence during the summer and late winter. CONCLUSION: Viral genome is commonly found in amniotic fluid with a sonographically normal fetus, and the prevalence follows a seasonal pattern. The mechanism, significance and effects of this asymptomatic viral presence require further study.


Subject(s)
Adenoviridae/isolation & purification , Amniotic Fluid/virology , Cytomegalovirus/isolation & purification , DNA, Viral/analysis , Enterovirus/isolation & purification , Herpesvirus 4, Human/isolation & purification , Respiratory Syncytial Viruses/isolation & purification , Adult , Amniocentesis , Aneuploidy , Congenital Abnormalities/diagnostic imaging , Congenital Abnormalities/genetics , Female , Genetic Predisposition to Disease , Genetic Testing/methods , Humans , Maternal Age , Polymerase Chain Reaction , Pregnancy , Pregnancy Trimester, Second , Pregnancy, High-Risk , Prevalence , Prospective Studies , Seasons , Ultrasonography, Prenatal , alpha-Fetoproteins/analysis
8.
Adv Pediatr ; 49: 87-129, 2002.
Article in English | MEDLINE | ID: mdl-12214781

ABSTRACT

In this review, the up-to-date understanding of the molecular basis of primary ventricular arrhythmias is outlined. Two disorders have recently been well described at the molecular level, the long QT syndromes and Brugada syndrome, and we review the current scientific knowledge of each disease. Two other disorders, arrhythmogenic right ventricular dysplasia and Wolff-Parkinson-White syndrome, which are on the cusp of understanding, are also described.


Subject(s)
Arrhythmias, Cardiac/genetics , Arrhythmias, Cardiac/therapy , Arrhythmogenic Right Ventricular Dysplasia/genetics , Chromosome Mapping , Genes, Recessive/physiology , Genotype , Heart Conduction System/physiopathology , Humans , Infant, Newborn , Phenotype , Sodium Channels/genetics , Sodium Channels/physiology , Sudden Infant Death/genetics , Syndrome
9.
Nature ; 415(6868): 227-33, 2002 Jan 10.
Article in English | MEDLINE | ID: mdl-11805847

ABSTRACT

Cardiomyopathies are disorders affecting heart muscle that usually result in inadequate pumping of the heart. They are the most common cause of heart failure and each year kill more than 10,000 people in the United States. In recent years, there have been breakthroughs in understanding the molecular mechanisms involved in this group of conditions, with knowledge of the genetic basis for cardiomyopathies perhaps seeing the largest advance, enabling clinicians to devise improved diagnostic strategies and preparing the stage for new therapies.


Subject(s)
Cardiomyopathies/genetics , Animals , Cardiomyopathies/etiology , Cardiomyopathy, Hypertrophic/genetics , Cardiomyopathy, Hypertrophic/physiopathology , Disease Models, Animal , Forecasting , Heart Failure/genetics , Humans
10.
N Engl J Med ; 344(20): 1498-503, 2001 May 17.
Article in English | MEDLINE | ID: mdl-11357152

ABSTRACT

BACKGROUND: The survival of recipients of cardiac allografts is limited by rejection, lymphoproliferative disease, and coronary vasculopathy. The purpose of this study in children who had received heart transplants was to evaluate the cardiac allografts for myocardial viral infections and to determine whether the presence of viral genome in the myocardium correlates with rejection, coronary vasculopathy, or graft loss. METHODS: We enrolled heart-transplant recipients 1 day to 18 years old who were undergoing evaluation for possible rejection and coronary vasculopathy. Endomyocardial-biopsy specimens were evaluated for evidence of rejection with the use of standard criteria and were analyzed for the presence of virus by the polymerase chain reaction (PCR). RESULTS: PCR analyses were performed on 553 consecutive biopsy samples from 149 transplant recipients. Viral genome was amplified from 48 samples (8.7 percent) from 34 patients (23 percent); adenovirus was found in 30 samples, enterovirus in 9 samples, parvovirus in 5 samples, cytomegalovirus in 2 samples, herpes simplex virus in 1 sample, and Epstein-Barr virus in 1 sample. In 29 of the 34 patients with positive results on PCR (85 percent), an adverse cardiac event occurred within three months after the positive biopsy, and 9 of the 34 patients had graft loss due to coronary vasculopathy, chronic graft failure, or acute rejection. In 39 of the 115 patients with negative results on PCR (34 percent), an adverse cardiac event occurred within three months of the negative PCR finding; graft loss did not occur in any of the patients in this group. The odds of graft loss were 6.5 times as great among those with positive results on PCR (P=0.006). The detection of adenovirus was associated with considerably reduced graft survival (P=0.002). CONCLUSIONS: Identification of viral genome, particularly adenovirus, in the myocardium of pediatric transplant recipients is predictive of adverse clinical events, including coronary vasculopathy and graft loss.


Subject(s)
Adenoviridae Infections/complications , Adenoviridae/isolation & purification , Genome, Viral , Graft Rejection/virology , Heart Transplantation , Heart/virology , Adenoviridae/genetics , Adenoviridae Infections/diagnosis , Adolescent , Biopsy , Child , Child, Preschool , Coronary Disease/virology , Follow-Up Studies , Humans , Infant , Polymerase Chain Reaction , Virus Diseases/complications , Virus Diseases/diagnosis
13.
Am J Physiol Heart Circ Physiol ; 280(4): H1464-71, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11247755

ABSTRACT

We have developed a transgenic mouse model in which tumor necrosis factor (TNF)-alpha is overexpressed exclusively in the heart under the regulation of the alpha-myosin heavy chain promoter. These animals develop chronic heart failure associated with severe leukocyte infiltration in both the atria and the ventricles. The purpose of this study was to investigate the role of adhesion molecules in mediating cardiac dysfunction in the TNF-alpha transgenic model. TNF-alpha transgenic mice were bred with mice null for intercellular adhesion molecule (ICAM)-1 and P-selectin genes to obtain a lineage of ICAM-1 and P-selectin null mice with selective overexpression of TNF-alpha in the heart. TNF-alpha transgenic animals showed marked upregulation of ICAM-1 mRNA and protein; however, P-selectin mRNA and protein remained undetectable despite chronic TNF overexpression. Cardiac function was markedly improved in the ICAM-1(-/-), P-selectin(-/-), TNF-alpha transgenic group versus the ICAM(+/+), P-selectin(+/+), TNF-alpha transgenic group. Kaplan-Meier survival curves showed statistically significant prolonged survival in the ICAM-1(-/-), P-selectin(-/-), TNF-alpha transgenic animals. These data suggest that ICAM-1 mediates at least in part the cardiac dysfunction induced by TNF-alpha expression by cardiac myocytes.


Subject(s)
Gene Expression Regulation, Developmental , Heart/physiology , Intercellular Adhesion Molecule-1/physiology , P-Selectin/physiology , Tumor Necrosis Factor-alpha/physiology , Animals , Calcium/metabolism , In Vitro Techniques , Intercellular Adhesion Molecule-1/genetics , Mice , Mice, Knockout , Mice, Transgenic , Myocardium/metabolism , Myosin Heavy Chains/genetics , P-Selectin/genetics , RNA, Messenger/genetics , Reverse Transcriptase Polymerase Chain Reaction , Time Factors , Transcription, Genetic , Tumor Necrosis Factor-alpha/genetics
14.
Circulation ; 103(9): 1256-63, 2001 Mar 06.
Article in English | MEDLINE | ID: mdl-11238270

ABSTRACT

BACKGROUND: Mutations in the gene G4.5 result in a wide spectrum of severe infantile cardiomyopathic phenotypes, including isolated left ventricular noncompaction (LVNC), as well as Barth syndrome (BTHS) with dilated cardiomyopathy (DCM). The purpose of this study was to investigate patients with LVNC or BTHS for mutations in G4.5 or other novel genes. METHODS AND RESULTS: DNA was isolated from 2 families and 3 individuals with isolated LVNC or LVNC with congenital heart disease (CHD), as well as 4 families with BTHS associated with LVNC or DCM, and screened for mutations by single-strand DNA conformation polymorphism analysis and DNA sequencing. In 1 family with LVNC and CHD, a C-->T mutation was identified at nucleotide 362 of alpha-dystrobrevin, changing a proline to leucine (P121L). Mutations in G4.5 were identified in 2 families with isolated LVNC: a missense mutation in exon 4 (C118R) in 1 and a splice donor mutation (IVS10+2T-->A) in intron 10 in the other. In a family with cardiomyopathies ranging from BTHS or fatal infantile cardiomyopathy to asymptomatic DCM, a splice acceptor mutation in exon 2 of G4.5 (398-2 A-->G) was identified, and a 1-bp deletion in exon 2 of G4.5, resulting in a stop codon after amino acid 41, was identified in a sporadic case of BTHS. CONCLUSIONS: These data demonstrate genetic heterogeneity in LVNC, with mutation of a novel gene, alpha-dystrobrevin, identified in LVNC associated with CHD. In addition, these results confirm that mutations in G4.5 result in a wide phenotypic spectrum of cardiomyopathies.


Subject(s)
Cardiomyopathies/genetics , Cardiomyopathy, Dilated/genetics , Cytoskeletal Proteins/genetics , Dystrophin-Associated Proteins , Hypertrophy, Left Ventricular/genetics , Membrane Proteins/genetics , Proteins/genetics , Transcription Factors , Acyltransferases , Base Sequence , Cardiomyopathies/pathology , Cardiomyopathy, Dilated/pathology , DNA/chemistry , DNA/genetics , DNA Mutational Analysis , Family Health , Female , Humans , Hypertrophy, Left Ventricular/pathology , Male , Mutation , Pedigree , Polymorphism, Single-Stranded Conformational , Syndrome
16.
Curr Mol Med ; 1(1): 81-90, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11899244

ABSTRACT

The left ventricle (LV) plays a central role in the maintenance of health of children and adults due to its role as the major pump of the heart. In cases of LV dysfunction, a significant percentage of affected individuals develop signs and symptoms of congestive heart failure (CHF), leading to the need for therapeutic intervention. Therapy for these patients include anticongestive medications and, in some, placement of devices such as aortic balloon pump or left ventricular assist device (LVAD), or cardiac transplantation. In the majority of patients the etiology is unknown, leading to the term idiopathic dilated cardiomyopathy (IDC). During the past decade, the basis of LV dysfunction has begun to unravel. In approximately 30-40% of cases, the disorder is inherited; autosomal dominant inheritance is most common (although X-linked, autosomal recessive and mitochondrial inheritance occurs). In the remaining patients, the disorder is presumed to be acquired, with inflammatory heart disease playing an important role. In the case of familial dilated cardiomyopathy (FDCM), the genetic basis is beginning to unfold. To date, two genes for X-linked FDCM (dystrophin, G4.5) have been identified and four genes for the autosomal dominant form (actin, desmin, lamin A/C, delta-sarcoglycan) have been described. In one form of inflammatory heart disease, coxsackievirus myocarditis, inflammatory mediators and dystrophin cleavage play a role in the development of LV dysfunction. In this review, we will describe the molecular genetics of LV dysfunction and provide evidence for a "final common pathway" responsible for the phenotype.


Subject(s)
Cardiomyopathies/genetics , Dystrophin/metabolism , Ventricular Dysfunction, Left/genetics , Cardiomyopathies/metabolism , Cardiomyopathies/physiopathology , Dystrophin/genetics , Echocardiography , Humans , Models, Biological , Syndrome , Ventricular Dysfunction, Left/metabolism , Ventricular Dysfunction, Left/physiopathology
17.
J Electrocardiol ; 34 Suppl: 151-65, 2001.
Article in English | MEDLINE | ID: mdl-11781950

ABSTRACT

The left ventricle (LV) plays a central role in the maintenance of health of children and adults due to its role as the major pump of the heart. In cases of LV dysfunction, a significant percentage of affected individuals develop signs and symptoms of congestive heart failure, leading to the need for therapeutic intervention. Therapy for these patients include anticongestive medications and, in some, placement of devices such as aortic balloon pump or left ventricular assist device, or cardiac transplantation. In the majority of patients the origin is unknown, leading to the term idiopathic dilated cardiomyopathy. During the past decade, the basis of LV dysfunction has begun to unravel. In approximately 30% to 40% of cases, the disorder is inherited; autosomal dominant inheritance is most common (although X-linked, autosomal recessive and mitochondrial inheritance occurs). In the remaining patients, the disorder is presumed to be acquired, with inflammatory heart disease playing an important role. In the case of familial dilated cardiomyopathy, the genetic basis is beginning to unfold. To date, 2 genes for X-linked familial dilated cardiomyopathy (dystrophin, G4.5) have been identified and 4 genes for the autosomal dominant form (actin, desmin, lamin A/C, delta-sarcoglycan) have been described. In 1 form of inflammatory heart disease, coxsackievirus myocarditis, inflammatory mediators, and dystrophin cleavage play a role in the development of LV dysfunction. This review describes the molecular genetics of LV dysfunction and provide evidence for a "final common pathway" responsible for the phenotype.


Subject(s)
Arrhythmias, Cardiac/genetics , Arrhythmogenic Right Ventricular Dysplasia/genetics , Cardiomyopathy, Dilated/genetics , Cardiomyopathy, Hypertrophic/genetics , Ventricular Dysfunction, Left/genetics , Child , Genes, Dominant , Genetic Linkage , Humans , X Chromosome
18.
Hum Pathol ; 31(11): 1433-5, 2000 Nov.
Article in English | MEDLINE | ID: mdl-11112222

ABSTRACT

We report a case of fatal hydrops fetalis owing to adenoviral endomyocarditis with aortic and pulmonary valve stenosis. A 1850-g macerated male stillborn delivered 1 week after fetal ultrasonography showed hydrops, cardiomegaly, and possible aortic valve stenosis. Autopsy confirmed hydrops and showed thickened, fibrotic semilunar valves with stenosis. The myocardium was focally fibrotic with areas of calcification. Polymerase chain reaction study of myocardial and aortic valve tissue was positive for adenovirus. Intrauterine viral myocarditis has been reported only rarely, but cases owing to Coxsackie B virus, adenovirus, and parvovirus B19 have appeared in the literature. With the exception of rubella, viral causation of significant valvular lesions in humans has received scanty support in the literature. This report suggests a broader group of causative agents. HUM PATHOL 31:1433-1435.


Subject(s)
Adenoviridae Infections/complications , Adenoviruses, Human/pathogenicity , Aortic Valve Stenosis/virology , Hydrops Fetalis/virology , Myocarditis/virology , Pulmonary Valve Stenosis/virology , Adenoviridae Infections/pathology , Adenoviruses, Human/isolation & purification , Adult , Aortic Valve/pathology , Aortic Valve/virology , Aortic Valve Stenosis/pathology , Calcinosis/pathology , DNA, Viral/analysis , Female , Fibrosis/pathology , Humans , Hydrops Fetalis/pathology , Infant, Newborn , Male , Myocarditis/pathology , Myocardium/pathology , Polymerase Chain Reaction , Pregnancy , Pulmonary Valve Stenosis/pathology , Ultrasonography, Prenatal
19.
Curr Cardiol Rep ; 2(5): 475-80, 2000 Sep.
Article in English | MEDLINE | ID: mdl-10980917

ABSTRACT

Dilated cardiomyopathy (DCM), a disorder in which left ventricular dilation and dysfunction leads to congestive heart failure, is inherited in over 30% of cases. The underlying genetic mechanisms are slowly being unraveled, with multiple genes recently identified as causing DCM in some patients. The genes identified to date appear to encode proteins that either support the cytoskeleton or interact with the cytoskeleton. When mutated, these proteins destabilize the cardiomyocyte membrane or cytoskeleton via mechanical instability or force transduction causing poor cardiac systolic function and compensatory dilation. Once the entire group of genes causing DCM (genetic heterogeneity) are identified, improvements in diagnosis and treatment are expected.


Subject(s)
Cardiomyopathy, Dilated/genetics , Cytoskeleton/genetics , Dystrophin/genetics , Genetic Linkage , Heart Failure/genetics , Humans , Membrane Proteins/genetics , Muscular Dystrophies/genetics , Mutation , Syndrome , X Chromosome
20.
J Clin Invest ; 106(5): 655-62, 2000 Sep.
Article in English | MEDLINE | ID: mdl-10974018

ABSTRACT

Dilated cardiomyopathy (DCM) is a major cause of morbidity and mortality. Two genes have been identified for the X-linked forms (dystrophin and tafazzin), whereas three other genes (actin, lamin A/C, and desmin) cause autosomal dominant DCM; seven other loci for autosomal dominant DCM have been mapped but the genes have not been identified. Hypothesizing that DCM is a disease of the cytoskeleton and sarcolemma, we have focused on candidate genes whose products are found in these structures. Here we report the screening of the human delta-sarcoglycan gene, a member of the dystrophin-associated protein complex, by single-stranded DNA conformation polymorphism analysis and by DNA sequencing in patients with DCM. Mutations affecting the secondary structure were identified in one family and two sporadic cases, whereas immunofluorescence analysis of myocardium from one of these patients demonstrated significant reduction in delta-sarcoglycan staining. No skeletal muscle disease occurred in any of these patients. These data suggest that delta-sarcoglycan is a disease-causing gene responsible for familial and idiopathic DCM and lend support to our "final common pathway" hypothesis that DCM is a cytoskeletalopathy.


Subject(s)
Cardiomyopathy, Dilated/genetics , Cytoskeletal Proteins/genetics , Cytoskeleton/pathology , Membrane Glycoproteins/genetics , Mutation , Adolescent , Cardiomyopathy, Dilated/etiology , Child , Child, Preschool , Cloning, Molecular , Female , Humans , Infant , Infant, Newborn , Male , Myocardium/pathology , Pedigree , Phenotype , Polymorphism, Single-Stranded Conformational , Sarcoglycans , Sequence Analysis, DNA
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