RT Journal Article T1 Calmodulin 2 Mutation N98S Is Associated with Unexplained Cardiac Arrest in Infants Due to Low Clinical Penetrance Electrical Disorders. A1 Jiménez-Jáimez, Juan A1 Palomino Doza, Julián A1 Ortega, Ángeles A1 Macías-Ruiz, Rosa A1 Perin, Francesca A1 Rodríguez-Vázquez Del Rey, M Mar A1 Ortiz-Genga, Martín A1 Monserrat, Lorenzo A1 Barriales-Villa, Roberto A1 Blanca, Enrique A1 Álvarez, Miguel A1 Tercedor, Luis K1 Calcio K1 Calmodulina K1 Niño K1 ADN K1 Muerte súbita cardíaca K1 Epinefrina K1 Síndrome de QT prolongado K1 Mutación K1 Padres K1 Penetrancia K1 España K1 Taquicardia ventricular K1 Fibrilación Ventricular K1 Complejos prematuros ventriculares AB BACKGROUNDCalmodulin 1, 2 and 3 (CALM) mutations have been found to cause cardiac arrest in children at a very early age. The underlying aetiology described is long QT syndrome (LQTS), catecholaminergic polymorphic ventricular tachycardia (CPVT) and idiopathic ventricular fibrillation (IVF). Little phenotypical data about CALM2 mutations is available.OBJECTIVESThe aim of this paper is to describe the clinical manifestations of the Asn98Ser mutation in CALM2 in two unrelated children in southern Spain with apparently unexplained cardiac arrest/death.METHODSTwo unrelated children aged 4 and 7, who were born to healthy parents, were studied. Both presented with sudden cardiac arrest. The first was resuscitated after a VF episode, and the second died suddenly. In both cases the baseline QTc interval was within normal limits. Peripheral blood DNA was available to perform targeted gene sequencing.RESULTSThe surviving 4-year-old girl had a positive epinephrine test for LQTS, and polymorphic ventricular ectopic beats were seen on a previous 24-hour Holter recording from the deceased 7-year-old boy, suggestive of a possible underlying CPVT phenotype. A p.Asn98Ser mutation in CALM2 was detected in both cases. This affected a highly conserved across species residue, and the location in the protein was adjacent to critical calcium binding loops in the calmodulin carboxyl-terminal domain, predicting a high pathogenic effect.CONCLUSIONSHuman calmodulin 2 mutation p.Asn98Ser is associated with sudden cardiac death in childhood with a variable clinical penetrance. Our results provide new phenotypical information about clinical behaviour of this mutation. PB Public Library of Science YR 2016 FD 2016-04-21 LK http://hdl.handle.net/10668/2305 UL http://hdl.handle.net/10668/2305 LA en NO Jiménez-Jáimez J, Palomino Doza J, Ortega Á, Macías-Ruiz R, Perin F, Rodríguez-Vázquez Del Rey MM, et al. Calmodulin 2 Mutation N98S Is Associated with Unexplained Cardiac Arrest in Infants Due to Low Clinical Penetrance Electrical Disorders. PLoS ONE. 2016; 11(4):e0153851 NO Journal Article; DS RISalud RD Apr 10, 2025