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Cited by 363

The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

Novel SCN5A Mutation Leading Either to Isolated Cardiac Conduction Defect or Brugada Syndrome in a Large French Family

Open access
Kyndt, Florence, Probst, Vincent, Potet, Franck, Demolombe, Sophie, Chevallier, Jean-Christophe, Baro, Isabelle, Moisan, Jean-Paul, Boisseau, Pierre, Schott, Jean-Jacques, Escande, Denis, Le Marec, Hervé·2001·Circulation

Abstract

Background—The SCN5A gene encoding the human cardiac sodium channel α subunit plays a key role in cardiac electrophysiology. Mutations in SCN5A lead to a large spectrum of phenotypes, including long-QT syndrome, Brugada syndrome, and isolated progressive cardiac conduction defect (Lenègre disease). Methods and Results—In the present study, we report the identification of a novel single SCN5A missense mutation causing either Brugada syndrome or an isolated cardiac conduction defect in the same family. A G-to-T mutation at position 4372 was identified by direct sequencing and was predicted to change a glycine for an arginine (G1406R) between the DIII-S5 and DIII-S6 domain of the sodium channel protein. Among 45 family members, 13 were carrying the G1406R SCN5A mutation. Four individuals from 2 family collateral branches showed typical Brugada phenotypes, including ST-segment elevation in the right precordial leads and right bundle branch block. One symptomatic patient with the Brugada phenotype required implantation of a cardioverter-defibrillator. Seven individuals from 3 other family collateral branches had isolated cardiac conduction defects but no Brugada phenotype. Three flecainide test were negative. One patient with an isolated cardiac conduction defect had an episode of syncope and required pacemaker implantation. An expression study of the G1406R-mutated SCN5A showed no detectable Na+current but normal protein trafficking. Conclusions—We conclude that the same mutation in the SCN5A gene can lead either to Brugada syndrome or to an isolated cardiac conduction defect. Our findings suggest that modifier gene(s) may influence the phenotypic consequences of a SCN5A mutation.

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Crossref · 10.1161/hc5001.100834

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Metadata

Authors
Kyndt, F., Probst, V., Potet, F., Demolombe, S., Chevallier, J.-C., Baro, I., Moisan, J.-P., Boisseau, P., Schott, J.-J., Escande, D., & Le Marec, H.
Venue
Circulation
Published
2001-12-17
Volume
104
Issue
25
Pages
3081-3086
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2170828372
Cited by
363
References
17
FWCI
12.24
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Novel SCN5A Mutation Leading Either to Isolated Cardiac Conduction Defect or Brugada Syndrome in a Large French Family. https://app.cochat.ai/papers/10.1161/hc5001.100834
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Kyndt, F., Probst, V., Potet, F., Demolombe, S., Chevallier, J.-C., Baro, I., Moisan, J.-P., Boisseau, P., Schott, J.-J., Escande, D., & Le Marec, H. (2001). Novel SCN5A Mutation Leading Either to Isolated Cardiac Conduction Defect or Brugada Syndrome in a Large French Family. Circulation. https://doi.org/10.1161/hc5001.100834

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