Evidence map›Paper›PMID 19926015›Full record

ArticleJournal of the American College of Cardiology2009

The RYR2-encoded ryanodine receptor/calcium release channel in patients diagnosed previously with either catecholaminergic polymorphic ventricular tachycardia or genotype negative, exercise-induced long QT syndrome: a comprehensive open reading frame mutational analysis.

Argelia Medeiros-Domingo, Zahurul A Bhuiyan, David J Tester, Nynke Hofman, Hennie Bikker, J Peter van Tintelen, Marcel M A M Mannens, Arthur A M Wilde, Michael J Ackerman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04832126 (Genetic Analysis of Heart Channelopathies in Brazilian Patients and Their Relatives), which is not on this map. Cited by 143 papers.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed
13.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04832126 unknown statusnot on this mapstarted 2018, after this paper: background citation

Genetic Analysis of Heart Channelopathies in Brazilian Patients and Their Relatives

TypeobservationalSponsorD'Or Institute for Research and EducationRan2018 to 2024Enrolled100ConditionsChannelopathiesArmsGenetic analysis
3 · Its place in the literature

Who cites it

143 citing papers in PubMed, 333 citations in OpenAlex.

  1. Characterization of cardiac disease-associated mutations in RyR2 CaAmerican journal of physiology. Cell physiology · 2026
    Article
  2. Review
  3. Calcium release channel deficiency syndrome in patients diagnosed with idiopathic ventricular fibrillation and decedents classified as sudden unexplained death in the young.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
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  5. Review
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  7. Genetics of Sudden Cardiac Death.Diseases (Basel, Switzerland) · 2025
    Review
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  9. Review
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  12. Identification of Mutations of theJournal of Korean medical science · 2025
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83 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Argelia Medeiros-DomingoDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, Minnesota 55905, USA.
Zahurul A Bhuiyan
David J Tester
Nynke Hofman
Hennie Bikker
J Peter van Tintelen
Marcel M A M Mannens
Arthur A M Wilde
Michael J Ackerman
Amsterdam UMC Location University of Amsterdam · NLMayo Clinic · USUniversity Medical Center Groningen · NL

Funding

RYANODINE RECEPTORS, Ca2+-TRIGGERED ARRHYTHMIAS AND HCMP01HL094291 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI MOSS, RICHARD L · 2009 to 2013
$9.7M
NHLBI NIH HHS P01 HL094291
6 · The paper itself

Abstract

objectivesThis study was undertaken to determine the spectrum and prevalence of mutations in the RYR2-encoded cardiac ryanodine receptor in cases with exertional syncope and normal corrected QT interval (QTc).

backgroundMutations in RYR2 cause type 1 catecholaminergic polymorphic ventricular tachycardia (CPVT1), a cardiac channelopathy with increased propensity for lethal ventricular dysrhythmias. Most RYR2 mutational analyses target 3 canonical domains encoded by <40% of the translated exons. The extent of CPVT1-associated mutations localizing outside of these domains remains unknown as RYR2 has not been examined comprehensively in most patient cohorts.

methodsMutational analysis of all RYR2 exons was performed using polymerase chain reaction, high-performance liquid chromatography, and deoxyribonucleic acid sequencing on 155 unrelated patients (49% females, 96% Caucasian, age at diagnosis 20 +/- 15 years, mean QTc 428 +/- 29 ms), with either clinical diagnosis of CPVT (n = 110) or an initial diagnosis of exercise-induced long QT syndrome but with QTc <480 ms and a subsequent negative long QT syndrome genetic test (n = 45).

resultsSixty-three (34 novel) possible CPVT1-associated mutations, absent in 400 reference alleles, were detected in 73 unrelated patients (47%). Thirteen new mutation-containing exons were identified. Two-thirds of the CPVT1-positive patients had mutations that localized to 1 of 16 exons.

conclusionsPossible CPVT1 mutations in RYR2 were identified in nearly one-half of this cohort; 45 of the 105 translated exons are now known to host possible mutations. Considering that approximately 65% of CPVT1-positive cases would be discovered by selective analysis of 16 exons, a tiered targeting strategy for CPVT genetic testing should be considered.

Indexed as

AdultCalcium ChannelsCatecholaminesDeath, Sudden, CardiacDNA Mutational AnalysisExerciseExercise TestFemaleGenetic Predisposition to DiseaseGenotypeHumansLong QT SyndromeMaleMosaicismOpen Reading FramesRyanodine Receptor Calcium Release ChannelCalcium ChannelsCatecholaminesRyanodine Receptor Calcium Release Channel

Identifiers

PMID19926015
PMCPMC2880864
OpenAlexW2119956887

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.