Arrhythmias & electrophysiology

Mutation location and I Ks regulation in the arrhythmic risk of long QT syndrome type 1: the importance of the KCNQ1 S6 region

Eur Heart JPublished Cohort study with cellular electrophysiology

Authors' conclusion

KCNQ1 S6 segment mutations surrounding p.A341 increase arrhythmic risk. p.A341V-specific loss of PKA-dependent IKs enhancement correlates with its phenotypic severity.

Study context

Population
LQT1 patients (450 families, 166 unique KCNQ1 mutations)450 families
Participants
1,316 patients
Exposure
p.A341V vs p.A341-neighbouring vs Other LQT1
  • p.A341Vn = 277
  • p.A341-neighbouringn = 139
  • Other LQT1n = 900reference
Outcome
First cardiac event
Methodological detailsS6 missense variant characteristics, including cyclic adenosine monophosphate (cAMP) stimulation responses, analysed by cellular electrophysiology
  • S6 missense variant characteristics, including cAMP stimulation responses, analysed by cellular electrophysiology

Main finding

As reported in the abstract

Symptomatic subjects

Observational data: associations, not effects.

Further findings

QTc

  • QTc: P < 0.05 for both (neighbouring vs p.A341V; neighbouring vs other LQT1)

Original publication

Mutation location and I Ks regulation in the arrhythmic risk of long QT syndrome type 1: the importance of the KCNQ1 S6 region. Eur Heart J. Published 10 September 2021. doi:10.1093/eurheartj/ehab582

Summarised from the published abstract; every number is checked against it

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