GPI-anchoring disorders and the heart : Is cardiomyopathy an overlooked feature?

© 2023 The Authors. Clinical Genetics published by John Wiley & Sons Ltd..

Glycosylphosphatidylinositol anchoring disorders (GPI-ADs) are a subgroup of congenital disorders of glycosylation. GPI biosynthesis requires proteins encoded by over 30 genes of which 24 genes are linked to neurodevelopmental disorders. Patients, especially those with PIGA-encephalopathy, have a high risk of premature mortality which sometimes is attributed to cardiomyopathy. We aimed to explore the occurrence of cardiomyopathy among patients with GPI-ADs and to raise awareness about this potentially lethal feature. Unpublished patients with genetically proven GPI-ADs and cardiomyopathy were identified through an international collaboration and recruited through the respective clinicians. We also reviewed the literature for published patients with cardiomyopathy and GPI-AD and contacted the corresponding authors for additional information. We identified four novel and unrelated patients with GPI-AD and cardiomyopathy. Cardiomyopathy was diagnosed before adulthood and was the cause of early demise in two patients. Only one patients underwent cardiac workup after being diagnosed with a GPI-AD. All were diagnosed with PIGA-encephalopathy and three had a disease-causing variant at the same residue. The literature reports five additional children with GPI-AD related cardiomyopathy, three of which died before adulthood. We have shown that patients with GPI-ADs are at risk of developing cardiomyopathy and that regular cardiac workup with echocardiography is necessary.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:104

Enthalten in:

Clinical genetics - 104(2023), 5 vom: 23. Nov., Seite 598-603

Sprache:

Englisch

Beteiligte Personen:

Bayat, Allan [VerfasserIn]
Lindau, Tobias [VerfasserIn]
Aledo-Serrano, Angel [VerfasserIn]
Gil-Nagel, Antonio [VerfasserIn]
Barić, Ivo [VerfasserIn]
Bartoniček, Dorotea [VerfasserIn]
Mateševac, Josipa [VerfasserIn]
Ramadža, Danijela Petković [VerfasserIn]
Žigman, Tamara [VerfasserIn]
Pušeljić, Silvija [VerfasserIn]
Dorner, Sanja [VerfasserIn]
Bupp, Caleb [VerfasserIn]
Devries, Seth [VerfasserIn]
Møller, Rikke Steensbjerre [VerfasserIn]

Links:

Volltext

Themen:

Cardiomyopathy
GPI
GPIAD
Genetics
Glycosylphosphatidylinositol biosynthesis defects
Glycosylphosphatidylinositols
Heart
Journal Article
Mortality
PIGA
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 03.10.2023

Date Revised 05.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/cge.14405

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359894992