Dupuytren's and Ledderhose Diseases in a Family with LMNA-Related Cardiomyopathy and a Novel Variant in the ASTE1 Gene

Michael V Zaragoza; Cecilia H H Nguyen; Halida P Widyastuti; Linda A McCarthy; Anna Grosberg

doi:10.3390/cells6040040

Dupuytren's and Ledderhose Diseases in a Family with LMNA-Related Cardiomyopathy and a Novel Variant in the ASTE1 Gene

Cells. 2017 Nov 1;6(4):40. doi: 10.3390/cells6040040.

Authors

Michael V Zaragoza^{1

2}, Cecilia H H Nguyen³, Halida P Widyastuti^{4

5}, Linda A McCarthy⁶, Anna Grosberg⁷

Affiliations

¹ UCI Cardiogenomics Program, Department of Pediatrics, Division of Genetics & Genomics, School of Medicine, University of California, Irvine, Irvine, CA 92697, USA. mzaragoz@uci.edu.
² Department of Biological Sciences, School of Medicine, University of California, Irvine, Irvine, CA 92697, USA. mzaragoz@uci.edu.
³ UCI Cardiogenomics Program, Department of Pediatrics, Division of Genetics & Genomics, School of Medicine, University of California, Irvine, Irvine, CA 92697, USA. cecilihn@uci.edu.
⁴ UCI Cardiogenomics Program, Department of Pediatrics, Division of Genetics & Genomics, School of Medicine, University of California, Irvine, Irvine, CA 92697, USA. hwidyast@uci.edu.
⁵ Department of Biological Sciences, School of Medicine, University of California, Irvine, Irvine, CA 92697, USA. hwidyast@uci.edu.
⁶ Department of Biomedical Engineering and The Edwards Lifesciences Center for Advanced Cardiovascular Technology, University of California, Irvine, Irvine, CA 92697, USA. mccarthl@uci.edu.
⁷ Department of Biomedical Engineering and The Edwards Lifesciences Center for Advanced Cardiovascular Technology, University of California, Irvine, Irvine, CA 92697, USA. grosberg@uci.edu.

Abstract

Dupuytren's disease (palmar fibromatosis) involves nodules in fascia of the hand that leads to flexion contractures. Ledderhose disease (plantar fibromatosis) is similar with nodules of the foot. While clinical aspects are well-described, genetic mechanisms are unknown. We report a family with cardiac disease due to a heterozygous LMNA mutation (c.736C>T, p.Gln246Stop) with palmar/plantar fibromatosis and investigate the hypothesis that a second rare DNA variant increases the risk for fibrotic disease in LMNA mutation carriers. The proband and six family members were evaluated for the cardiac and hand/feet phenotypes and tested for the LMNA mutation. Fibroblast RNA studies revealed monoallelic expression of the normal LMNA allele and reduced lamin A/C mRNAs consistent with LMNA haploinsufficiency. A novel, heterozygous missense variant (c.230T>C, p.Val77Ala) in the Asteroid Homolog 1 (ASTE1) gene was identified as a potential risk factor in fibrotic disease using exome sequencing and family studies of five family members: four LMNA mutation carriers with fibromatosis and one individual without the LMNA mutation and no fibromatosis. With a possible role in epidermal growth factor receptor signaling, ASTE1 may contribute to the increased risk for palmar/plantar fibromatosis in patients with Lamin A/C haploinsufficiency.

Keywords: ASTE1 gene; Dupuytren’s disease; LMNA gene; Ledderhose disease; arrhythmias; cardiomyopathy; fibromatosis; genetic susceptibility; lamin.

Grants and funding

R01 HL129008/HL/NHLBI NIH HHS/United States