Malignant hyperthermia and central core disease causative mutations in Swedish patients.
(2007) In Acta Anaesthesiologica Scandinavica 51(Nov 1). p.50-53- Abstract
- Background: Malignant hyperthermia (MH) susceptibility is a pharmacogenetic disorder of intracellular calcium homeostasis. In susceptible individuals, halogenated anaesthetics and/or suxamethonium may trigger an MH reaction. The diagnosis of MH susceptibility is made by an in vitro contracture test of biopsied muscle strips. Methods: In 27 MH susceptible (MHS) probands and four MH negative (MHN) probands, exons 17, 39, 40, 45 and 46 of the RYR1 gene were screened for MH causative mutations. In addition, in three patients with established central core disease (CCD), exons 17, 39, 40, 45 and 46 and exons 95, 100, 101 and 102 were screened for MH and CCD causative mutations. All screenings were performed by direct sequencing of the entire... (More)
- Background: Malignant hyperthermia (MH) susceptibility is a pharmacogenetic disorder of intracellular calcium homeostasis. In susceptible individuals, halogenated anaesthetics and/or suxamethonium may trigger an MH reaction. The diagnosis of MH susceptibility is made by an in vitro contracture test of biopsied muscle strips. Methods: In 27 MH susceptible (MHS) probands and four MH negative (MHN) probands, exons 17, 39, 40, 45 and 46 of the RYR1 gene were screened for MH causative mutations. In addition, in three patients with established central core disease (CCD), exons 17, 39, 40, 45 and 46 and exons 95, 100, 101 and 102 were screened for MH and CCD causative mutations. All screenings were performed by direct sequencing of the entire exons. Results: MH causative mutations were found in five of the 27 MHS probands (19%). CCD causative mutations were found in two of three CCD patients in the C-terminal exons. None of the CCD patients showed a mutation in N-terminal exon 17 or in the central exons. Conclusions: In a Swedish population, screening of N-terminal exon 17 and the central exons for MH causative mutations in the RYR1 gene covers 19% of families. Thus, other mutations must also be responsible for MH susceptibility in Sweden. Although the number of CCD patients in this study was small, screening of the C-terminal exons for CCD causative mutations seems to be a promising tool in the process of making a diagnosis. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/163469
- author
- Broman, M ; Islander, Gunilla LU ; Muller, C R and Ranklev Twetman, Eva LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- malignant hyperthermia, central core disease, Swedish probands, genetic screening
- in
- Acta Anaesthesiologica Scandinavica
- volume
- 51
- issue
- Nov 1
- pages
- 50 - 53
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000242902400008
- scopus:33845709024
- pmid:17081152
- ISSN
- 0001-5172
- DOI
- 10.1111/j.1399-6576.2006.01165.x
- language
- English
- LU publication?
- yes
- id
- 20c0fa51-36b0-4647-b286-b05dfb2fbee3 (old id 163469)
- alternative location
- http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17081152&dopt=Abstract
- date added to LUP
- 2016-04-01 11:57:19
- date last changed
- 2022-03-13 03:06:43
@article{20c0fa51-36b0-4647-b286-b05dfb2fbee3,
abstract = {{Background: Malignant hyperthermia (MH) susceptibility is a pharmacogenetic disorder of intracellular calcium homeostasis. In susceptible individuals, halogenated anaesthetics and/or suxamethonium may trigger an MH reaction. The diagnosis of MH susceptibility is made by an in vitro contracture test of biopsied muscle strips. Methods: In 27 MH susceptible (MHS) probands and four MH negative (MHN) probands, exons 17, 39, 40, 45 and 46 of the RYR1 gene were screened for MH causative mutations. In addition, in three patients with established central core disease (CCD), exons 17, 39, 40, 45 and 46 and exons 95, 100, 101 and 102 were screened for MH and CCD causative mutations. All screenings were performed by direct sequencing of the entire exons. Results: MH causative mutations were found in five of the 27 MHS probands (19%). CCD causative mutations were found in two of three CCD patients in the C-terminal exons. None of the CCD patients showed a mutation in N-terminal exon 17 or in the central exons. Conclusions: In a Swedish population, screening of N-terminal exon 17 and the central exons for MH causative mutations in the RYR1 gene covers 19% of families. Thus, other mutations must also be responsible for MH susceptibility in Sweden. Although the number of CCD patients in this study was small, screening of the C-terminal exons for CCD causative mutations seems to be a promising tool in the process of making a diagnosis.}},
author = {{Broman, M and Islander, Gunilla and Muller, C R and Ranklev Twetman, Eva}},
issn = {{0001-5172}},
keywords = {{malignant hyperthermia; central core disease; Swedish probands; genetic screening}},
language = {{eng}},
number = {{Nov 1}},
pages = {{50--53}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Anaesthesiologica Scandinavica}},
title = {{Malignant hyperthermia and central core disease causative mutations in Swedish patients.}},
url = {{http://dx.doi.org/10.1111/j.1399-6576.2006.01165.x}},
doi = {{10.1111/j.1399-6576.2006.01165.x}},
volume = {{51}},
year = {{2007}},
}