TY - JOUR A1 - Brodehl, Andreas A1 - Pour Hakimi, Seyed Ahmad A1 - Stanasiuk, Caroline A1 - Ratnavadivel, Sandra A1 - Hendig, Doris A1 - Gaertner, Anna A1 - Gerull, Brenda A1 - Gummert, Jan A1 - Paluszkiewicz, Lech A1 - Milting, Hendrik T1 - Restrictive cardiomyopathy is caused by a novel homozygous desmin (DES) mutation p.Y122H leading to a severe filament assembly defect JF - Genes N2 - Here, we present a small Iranian family, where the index patient received a diagnosis of restrictive cardiomyopathy (RCM) in combination with atrioventricular (AV) block. Genetic analysis revealed a novel homozygous missense mutation in the DES gene (c.364T > C; p.Y122H), which is absent in human population databases. The mutation is localized in the highly conserved coil-1 desmin subdomain. In silico, prediction tools indicate a deleterious effect of the desmin (DES) mutation p.Y122H. Consequently, we generated an expression plasmid encoding the mutant and wildtype desmin formed, and analyzed the filament formation in vitro in cardiomyocytes derived from induced pluripotent stem cells and HT-1080 cells. Confocal microscopy revealed a severe filament assembly defect of mutant desmin supporting the pathogenicity of the DES mutation, p.Y122H, whereas the wildtype desmin formed regular intermediate filaments. According to the guidelines of the American College of Medical Genetics and Genomics, we classified this mutation, therefore, as a novel pathogenic mutation. Our report could point to a recessive inheritance of the DES mutation, p.Y122H, which is important for the genetic counseling of similar families with restrictive cardiomyopathy caused by DES mutations. KW - cardiovascular genetics KW - restrictive cardiomyopathy KW - desmin KW - intermediate filaments KW - desmin-related myopathy KW - cardiomyopathy KW - desminopathy Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-193121 SN - 2073-4425 VL - 10 IS - 11 ER -