CACNA1C gene mutation in Thai young adult with sudden unexplained death
รหัสดีโอไอ
Creator Jittiput Thitinilnithi
Title CACNA1C gene mutation in Thai young adult with sudden unexplained death
Publisher Faculty of Associated Medical Sciences, Khon Kaen University, Thailand
Publication Year 2563
Journal Title Archives of Allied Health Sciences
Journal Vol. 32
Journal No. 3
Page no. 22-31
Keyword Molecular autopsy, Sudden unexplained death syndrome, Sudden death, Cardiac ion channelopathies
URL Website https://he01.tci-thaijo.org/index.php/ams/about
Website title Archives of Allied Health Sciences (Arch AHS)
ISSN 2730-1990
Abstract Sudden unexplained death syndrome (SUDS) is an unexpected natural death in young healthy adults, especially Southeastern Asian populations, wherein no severe diseases can be detected to explain deathโs cause. Several studies confirmed that SUDS associated with genetically changed cardiac ion channels. However, CACNA1C mutations in SUDS are rarely reported in the Thai population. This study aimed to characterize CACNA1C gene mutation in Thai young adults who died with SUDS. Characteristics data of 32 SUDS cases in the Thai population were collected. Blood samples were collected from 27 males and 5 females of which categorized as an unexplained cause of death in a postmortem examination. Genomic DNA was extracted, amplified, and screened for nine variants mutation of CACNA1C gene, using pyrosequencing assay. Most cases were domiciled in the central region of Thailand. Men aged 19 - 39 years old (mean age 29.44 ยฑ 5.59) is the most common SUDS cases. In a total of 32 cases, we detected 7 cases (21.9 %) with heterozygous A/G, c.720016 G > A within exon 44. The variation was defined as a missense mutation of p. R1880Q at C-terminus of ฮฑ1C subunit of the L-type cardiac calcium channel. The heterozygous missense mutation of p. R1880Q of CACNA1C gene was identified in Thai SUDS. However, there is no evidence of studies about the effect of function and pathogenicity of CACNA1C-R1880Q. Further study is needed to clarify the role of this variant in the functional effect of pathogenesis in SUDS.
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