Detection of mutations of SCN5A gene in patients with Brugada syndrome

Nguyen Van Thanh, Dang Duy Phuong, Le Thi Phuong, Bach Thi Nhu Quynh, Tran Huy Thinh, Tran Van Khanh

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Abstract

 Brugada syndrome is the cause of 4 - 12% of sudden deaths and 20% of total deaths among
cardiovascular patients. The main cause of this disease is determined to be hereditary abnormalities
in genes coding for protein Nav1.5, in which mutation of the SCN5A gene accounts for the highest
percentage (approx. 20 - 25%). The objective of this study is to identify mutations in some exons
of the SCN5A gene in patients with Brugada syndrome. Using direct sequencing, exons of the SCN5A genes of 25 patients diagnosed with Brugada syndrome at Vietnamese Heart Institute
were examined for mutation. Of those, 7 patients were found to have mutation in SCN5A gene
with 7 different mutations in exons 9, 16, 17, 23, and 28, in which mutation of exon 28 was most
common (3/7, 42.8%); the remaining patients each has a mutation in exons 9, 16, 17, and 23.
The proportion of missense mutation was 85.7%, whereas that of in-frame mutation was 14.3%.

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