A splicing LMNA mutation causing laminopathies accompanied by aortic valve malformation

J Clin Lab Anal. 2021 Apr;35(4):e23736. doi: 10.1002/jcla.23736. Epub 2021 Feb 24.

Abstract

Background: Laminopathies caused by LMNA gene mutations are characterized by different clinical manifestations. Among them, cardiac involvement is one of the most severe phenotypes.

Case presentation: A 30-year-old man visited the hospital because of palpitations, shortness of breath, and fatigue. He also had muscular dystrophy, joint contractures, scoliosis, and mild dysphagia. A novel de novo heterozygous LMNA splice variant (c.810+1G>T) with dilated cardiomyopathy, Emery-Dreifuss muscular dystrophy, and progressive cardiac conduction defect was identified by genetic analysis. The patient also presented with congenital aortic valve malformation, which has never been reported in laminopathies.

Conclusions: The LMNA mutation (c.810+1G>T) was identified for the first time, enriching the mutation spectrum of the LMNA gene. The correlation between an LMNA mutation and congenital aortic valve malformation deserves further study.

Keywords: Emery-Dreifuss muscular dystrophy; LMNA mutation; aortic valve malformation; cardiac conduction defect; dilated cardiomyopathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Valve / abnormalities*
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / physiopathology
  • Base Sequence
  • Humans
  • Lamin Type A / genetics*
  • Laminopathies / diagnostic imaging
  • Laminopathies / genetics*
  • Laminopathies / physiopathology
  • Magnetic Resonance Imaging
  • Male
  • Mutation / genetics*
  • Ventricular Function, Left

Substances

  • LMNA protein, human
  • Lamin Type A