Constitutively active AMP kinase mutations cause glycogen storage disease mimicking hypertrophic cardiomyopathy
J. Clin. Invest. Michael Arad, et al. 109:357 doi:10.1172/JCI14571 [
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Figure 1Identification of three
PRKAG2 mutations inherited in six families and the clinical consequences of these mutations. (
a) Pedigrees indicate clinical findings of cardiac hypertrophy (left half filled), WPW (right upper quadrant filled), or conduction system disease (right lower quadrant filled) in individuals with a
PRKAG2 mutation (+). Open symbols denote unaffected individuals, and shading denotes uncertain clinical status. (
b) Sequence traces demonstrating G995A substitution (exon 7), C1289A (exon 11), and A1553T (exon 14), encoding Arg302Gln, Thr400Asn, and Asn488Ile substitutions, respectively. (
c) Comparison of PRKAG protein sequences demonstrates evolutionary conservation of residues altered by mutation. Note that human
PRKAG2 Arg302Gln mutation is homologous to R200Q mutation in
RN– pigs.