TY - JOUR
T1 - Genetic investigation of 100 heart genes in sudden unexplained death victims in a forensic setting
AU - Christiansen, Sofie Lindgren
AU - Hertz, Christin Løth
AU - Ferrero-Miliani, Laura
AU - Dahl, Morten
AU - Weeke, Peter Ejvin
AU - LuCamp, Lucamp
AU - Ottesen, Gyda Lolk
AU - Frank-Hansen, Rune
AU - Bundgaard, Henning
AU - Morling, Niels
PY - 2016/9/21
Y1 - 2016/9/21
N2 - In forensic medicine, one-third of the sudden deaths remain unexplained after medico-legal autopsy. A major proportion of these sudden unexplained deaths (SUD) are considered to be caused by inherited cardiac diseases. Sudden cardiac death (SCD) may be the first manifestation of these diseases. The purpose of this study was to explore the yield of next-generation sequencing of genes associated with SCD in a cohort of SUD victims. We investigated 100 genes associated with cardiac diseases in 61 young (1-50 years) SUD cases. DNA was captured with the Haloplex target enrichment system and sequenced using an Illumina MiSeq. The identified genetic variants were evaluated and classified as likely, unknown or unlikely to have a functional effect. The criteria for this classification were based on the literature, databases, conservation and prediction of the effect of the variant. We found that 21 (34%) individuals carried variants with a likely functional effect. Ten (40%) of these variants were located in genes associated with cardiomyopathies and 15 (60%) of the variants in genes associated with cardiac channelopathies. Nineteen individuals carried variants with unknown functional effect. Our findings indicate that broad genetic investigation of SUD victims increases the diagnostic outcome, and the investigation should comprise genes involved in both cardiomyopathies and cardiac channelopathies.European Journal of Human Genetics advance online publication, 21 September 2016; doi:10.1038/ejhg.2016.118.
AB - In forensic medicine, one-third of the sudden deaths remain unexplained after medico-legal autopsy. A major proportion of these sudden unexplained deaths (SUD) are considered to be caused by inherited cardiac diseases. Sudden cardiac death (SCD) may be the first manifestation of these diseases. The purpose of this study was to explore the yield of next-generation sequencing of genes associated with SCD in a cohort of SUD victims. We investigated 100 genes associated with cardiac diseases in 61 young (1-50 years) SUD cases. DNA was captured with the Haloplex target enrichment system and sequenced using an Illumina MiSeq. The identified genetic variants were evaluated and classified as likely, unknown or unlikely to have a functional effect. The criteria for this classification were based on the literature, databases, conservation and prediction of the effect of the variant. We found that 21 (34%) individuals carried variants with a likely functional effect. Ten (40%) of these variants were located in genes associated with cardiomyopathies and 15 (60%) of the variants in genes associated with cardiac channelopathies. Nineteen individuals carried variants with unknown functional effect. Our findings indicate that broad genetic investigation of SUD victims increases the diagnostic outcome, and the investigation should comprise genes involved in both cardiomyopathies and cardiac channelopathies.European Journal of Human Genetics advance online publication, 21 September 2016; doi:10.1038/ejhg.2016.118.
U2 - 10.1038/ejhg.2016.118
DO - 10.1038/ejhg.2016.118
M3 - Journal article
C2 - 27650965
SN - 1018-4813
VL - 24
SP - 1797
EP - 1802
JO - European Journal of Human Genetics
JF - European Journal of Human Genetics
ER -