nih-gov/www.ncbi.nlm.nih.gov/omim/610193

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<title>
Entry
- #610193 - ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA, FAMILIAL, 10; ARVD10
- OMIM
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<span class="h4">#610193</span>
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<a href="#phenotypeMap"><strong>Phenotype-Gene Relationships</strong></a>
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<a href="/clinicalSynopsis/610193"><strong>Clinical Synopsis</strong></a>
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<a href="/phenotypicSeries/PS107970"> <strong>Phenotypic Series</strong> </a>
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<a href="#text"><strong>Text</strong></a>
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<a href="#molecularGenetics">Molecular Genetics</a>
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<a href="#references"><strong>References</strong></a>
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<a href="#contributors"><strong>Contributors</strong></a>
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<div><a href="https://clinicaltrials.gov/search?cond=(ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA, FAMILIAL) OR (DSG2)" class="mim-tip-hint" title="Clinical Trials" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Clinical Trials', 'domain': 'clinicaltrials.gov'})">Clinical Trials</a></div>
<div><a href="#mimEuroGentestFold" id="mimEuroGentestToggle" data-toggle="collapse" class="mim-tip-hint mimTriangleToggle" title="A list of European laboratories that offer genetic testing."><span id="mimEuroGentestToggleTriangle" class="small" style="margin-left: -0.8em;">&#9658;</span>EuroGentest</div>
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<div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=18885&Typ=Pat" title="Inherited isolated arrhythmogenic cardiomyopathy" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Inherited isolated arrhyth…&nbsp;</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=20886&Typ=Pat" title="Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Inherited isolated arrhyth…&nbsp;</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=20887&Typ=Pat" title="Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Inherited isolated arrhyth…&nbsp;</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/ClinicalLabs_Search_Simple.php?lng=EN&LnkId=20888&Typ=Pat" title="Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'EuroGentest', 'domain': 'orpha.net'})">Inherited isolated arrhyth…&nbsp;</a></div>
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<div><a href="https://www.ncbi.nlm.nih.gov/books/NBK1131/" class="mim-tip-hint" title="Expert-authored, peer-reviewed descriptions of inherited disorders including the uses of genetic testing in diagnosis, management, and genetic counseling." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Gene Reviews', 'domain': 'ncbi.nlm.nih.gov'})">Gene Reviews</a></div>
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<div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=217656" title="Inherited isolated arrhythmogenic cardiomyopathy" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Inherited isolated arrhyth…</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=293888" title="Inherited isolated arrhythmogenic cardiomyopathy, dominant-left variant" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Inherited isolated arrhyth…</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=293899" title="Inherited isolated arrhythmogenic ventricular dysplasia, biventricular variant" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Inherited isolated arrhyth…</a></div><div style="margin-left: 0.5em;"><a href="https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=293910" title="Inherited isolated arrhythmogenic cardiomyopathy, dominant-right variant" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrphaNet', 'domain': 'orpha.net'})">Inherited isolated arrhyth…</a></div>
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<a id="number" class="mim-anchor"></a>
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<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
<strong>ORPHA:</strong> 217656, 293888, 293899, 293910<br />
<strong>DO:</strong> 0110081<br />
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<span class="h3">
<span class="mim-font mim-tip-hint" title="Phenotype description, molecular basis known">
<span class="text-danger"><strong>#</strong></span>
610193
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<h3>
<span class="mim-font">
ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA, FAMILIAL, 10; ARVD10
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<br />
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<a id="alternativeTitles" class="mim-anchor"></a>
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<span class="mim-font">
<em>Alternative titles; symbols</em>
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<h4>
<span class="mim-font">
ARRHYTHMOGENIC RIGHT VENTRICULAR CARDIOMYOPATHY 10; ARVC10
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<h4>
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<strong>Phenotype-Gene Relationships</strong>
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<table class="table table-bordered table-condensed table-hover small mim-table-padding">
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Location
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Phenotype
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Phenotype <br /> MIM number
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<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
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Gene/Locus
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Gene/Locus <br /> MIM number
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<td>
<span class="mim-font">
<a href="/geneMap/18/118?start=-3&limit=10&highlight=118">
18q12.1
</a>
</span>
</td>
<td>
<span class="mim-font">
Arrhythmogenic right ventricular dysplasia 10
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610193"> 610193 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
DSG2
</span>
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<td>
<span class="mim-font">
<a href="/entry/125671"> 125671 </a>
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<span class="glyphicon glyphicon-question-sign mim-tip-hint" title="OMIM PheneGene graphics depict relationships between phenotypes, groups of related phenotypes (Phenotypic Series), and genes.<br /><a href='/static/omim/pdf/OMIM_Graphics.pdf' target='_blank'>A quick reference overview and guide (PDF)</a>"></span>
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<span class="h5 mim-font">
<strong> INHERITANCE </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Autosomal dominant <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/263681008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">263681008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/771269000" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">771269000</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0443147&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0443147</a>, <a href="https://bioportal.bioontology.org/search?q=C1867440&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1867440</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0000006" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0000006</a>]</span><br />
</span>
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<span class="h5 mim-font">
<strong> CARDIOVASCULAR </strong>
</span>
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<div style="margin-left: 2em;">
<div>
<div>
<span class="h5 mim-font">
<em> Heart </em>
</span>
</div>
<div style="margin-left: 2em;">
<span class="mim-font">
- Cardiomyopathy, right ventricular <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C2063326&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2063326</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0011663" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0011663</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0011663" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0011663</a>]</span><br /> -
Fibrofatty replacement of right ventricular myocardium <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C1968863&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C1968863</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0034364" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0034364</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0034364" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0034364</a>]</span><br /> -
Ventricular arrhythmia (PVC, nonsustained VT, sustained VT) <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C2674868&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C2674868</a>]</span> <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/44103008" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">44103008</a>, <a href="https://purl.bioontology.org/ontology/SNOMEDCT/164893009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">164893009</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0004308" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0004308</a>]</span><br /> -
Palpitations <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/80313002" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">80313002</a>]</span> <span class="mim-feature-ids hidden">[ICD10CM: <a href="https://purl.bioontology.org/ontology/ICD10CM/R00.2" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD10CM\', \'domain\': \'bioontology.org\'})">R00.2</a>]</span> <span class="mim-feature-ids hidden">[ICD9CM: <a href="https://purl.bioontology.org/ontology/ICD9CM/785.1" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'ICD9CM\', \'domain\': \'bioontology.org\'})">785.1</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0030252&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0030252</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001962" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001962</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001962" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001962</a>]</span><br /> -
Sudden cardiac death <span class="mim-feature-ids hidden">[SNOMEDCT: <a href="https://purl.bioontology.org/ontology/SNOMEDCT/95281009" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'SNOMEDCT\', \'domain\': \'bioontology.org\'})">95281009</a>]</span> <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0085298&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0085298</a> HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001645" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001645</a>]</span> <span class="mim-feature-ids hidden">[HPO: <a href="https://hpo.jax.org/app/browse/term/HP:0001645" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'HPO\', \'domain\': \'hpo.jax.org\'})">HP:0001645</a>]</span><br />
</span>
</div>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MISCELLANEOUS </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Genetic heterogeneity <span class="mim-feature-ids hidden">[UMLS: <a href="https://bioportal.bioontology.org/search?q=C0242960&searchproperties=true" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'UMLS\', \'domain\': \'bioontology.org\'})">C0242960</a>]</span><br /> -
Mean age at diagnosis is 38 years(range 11-63 years)<br />
</span>
</div>
</div>
</div>
<div>
<div>
<span class="h5 mim-font">
<strong> MOLECULAR BASIS </strong>
</span>
</div>
<div style="margin-left: 2em;">
<div>
<span class="mim-font">
- Caused by mutation in the desmoglein 2 gene (DSG2, <a href="/entry/125671#0001">125671.0001</a>)<br />
</span>
</div>
</div>
</div>
<div class="text-right">
<a href="#mimClinicalSynopsisFold" data-toggle="collapse">&#9650;&nbsp;Close</a>
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<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<h5>
Arrhythmogenic right ventricular dysplasia
- <a href="/phenotypicSeries/PS107970">PS107970</a>
- 13 Entries
</h5>
</div>
</div>
<div class="row" style="margin-left: 0.125em; margin-right: 0.125em;">
<table class="table table-bordered table-condensed table-hover mim-table-padding">
<thead>
<tr>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Location</strong>
</th>
<th class="col-lg-5 col-md-5 col-sm-5 col-xs-6 text-nowrap">
<strong>Phenotype</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Inheritance</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />mapping key</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Phenotype<br />MIM number</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus</strong>
</th>
<th class="col-lg-1 col-md-1 col-sm-1 col-xs-1 text-nowrap">
<strong>Gene/Locus<br />MIM number</strong>
</th>
</tr>
</thead>
<tbody>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/2/837?start=-3&limit=10&highlight=837"> 2q32.1-q32.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602087"> Arrhythmogenic right ventricular dysplasia 4 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="2 - The disorder was placed on the map by statistical methods"> 2 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602087"> 602087 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602087"> ARVD4 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602087"> 602087 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/3/80?start=-3&limit=10&highlight=80"> 3p25.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604400"> Arrhythmogenic right ventricular dysplasia 5 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604400"> 604400 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612048"> TMEM43 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/612048"> 612048 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/6/42?start=-3&limit=10&highlight=42"> 6p24.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607450"> Arrhythmogenic right ventricular dysplasia 8 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607450"> 607450 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125647"> DSP </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125647"> 125647 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/10/39?start=-3&limit=10&highlight=39"> 10p14-p12 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604401"> Arrhythmogenic right ventricular dysplasia 6 </a>
</span>
</td>
<td>
<span class="mim-font">
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="2 - The disorder was placed on the map by statistical methods"> 2 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604401"> 604401 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604401"> ARVD6 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/604401"> 604401 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/10/234?start=-3&limit=10&highlight=234"> 10q21.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615616"> Arrhythmogenic right ventricular dysplasia 13 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/615616"> 615616 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607667"> CTNNA3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/607667"> 607667 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/12/281?start=-3&limit=10&highlight=281"> 12p11.21 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609040"> Arrhythmogenic right ventricular dysplasia 9 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/609040"> 609040 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602861"> PKP2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602861"> 602861 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/14/109?start=-3&limit=10&highlight=109"> 14q12-q22 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602086"> Arrhythmogenic right ventricular dysplasia 3 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="2 - The disorder was placed on the map by statistical methods"> 2 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602086"> 602086 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602086"> ARVD3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/602086"> 602086 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/14/405?start=-3&limit=10&highlight=405"> 14q24.3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/107970"> Arrhythmogenic right ventricular dysplasia 1 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/107970"> 107970 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/190230"> TGFB3 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/190230"> 190230 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/17/555?start=-3&limit=10&highlight=555"> 17q21.2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611528"> ?Arrhythmogenic right ventricular dysplasia 12 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/611528"> 611528 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/173325"> JUP </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/173325"> 173325 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/18/111?start=-3&limit=10&highlight=111"> 18q12.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618920"> Arrhythmogenic right ventricular dysplasia 14 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/618920"> 618920 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/114020"> CDH2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/114020"> 114020 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/18/113?start=-3&limit=10&highlight=113"> 18q12.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610476"> Arrhythmogenic right ventricular dysplasia 11 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>, <abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610476"> 610476 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125645"> DSC2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125645"> 125645 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/18/113?start=-3&limit=10&highlight=113"> 18q12.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610476"> Arrhythmogenic right ventricular dysplasia 11 with mild palmoplantar keratoderma and woolly hair </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>, <abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610476"> 610476 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125645"> DSC2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125645"> 125645 </a>
</span>
</td>
</tr>
<tr>
<td>
<span class="mim-font">
<a href="/geneMap/18/118?start=-3&limit=10&highlight=118"> 18q12.1 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610193"> Arrhythmogenic right ventricular dysplasia 10 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal dominant">AD</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known"> 3 </abbr>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610193"> 610193 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125671"> DSG2 </a>
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/125671"> 125671 </a>
</span>
</td>
</tr>
</tbody>
</table>
</div>
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<a href="#mimPhenotypicSeriesFold" data-toggle="collapse">&#9650;&nbsp;Close</a>
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<div>
<br />
</div>
<div>
<a id="text" class="mim-anchor"></a>
<h4 href="#mimTextFold" id="mimTextToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimTextToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<span class="mim-tip-floating" qtip_title="<strong>Looking For More References?</strong>" qtip_text="Click the 'reference plus' icon &lt;span class='glyphicon glyphicon-plus-sign'&gt;&lt;/span&gt at the end of each OMIM text paragraph to see more references related to the content of the preceding paragraph.">
<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because of evidence that familial arrhythmogenic right ventricular dysplasia-10 (ARVD10) is caused by heterozygous mutation in the desmoglein-2 gene (DSG2; <a href="/entry/125671">125671</a>) on chromosome 18q12.</p><p>For a phenotypic description and a discussion of genetic heterogeneity of ARVD, see ARVD1 (<a href="/entry/107970">107970</a>).</p>
</span>
<div>
<br />
</div>
</div>
<div>
<a id="molecularGenetics" class="mim-anchor"></a>
<h4 href="#mimMolecularGeneticsFold" id="mimMolecularGeneticsToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span id="mimMolecularGeneticsToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<span class="mim-font">
<strong>Molecular Genetics</strong>
</span>
</h4>
</div>
<div id="mimMolecularGeneticsFold" class="collapse in mimTextToggleFold">
<span class="mim-text-font">
<p><a href="#2" class="mim-tip-reference" title="Pilichou, K., Nava, A., Basso, C., Beffagna, G., Bauce, B., Lorenzon, A., Frigo, G., Vettori, A., Valente, M., Towbin, J., Thiene, G., Danieli, G. A., Rampazzo, A. &lt;strong&gt;Mutations in desmoglein-2 gene are associated with arrhythmogenic right ventricular cardiomyopathy.&lt;/strong&gt; Circulation 113: 1171-1179, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16505173/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16505173&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1161/CIRCULATIONAHA.105.583674&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16505173">Pilichou et al. (2006)</a> analyzed the DSG2 gene in 54 probands of Italian descent with arrhythmogenic right ventricular cardiomyopathy who were negative for mutations in the TGFB3 (<a href="/entry/190230">190230</a>), DSP (<a href="/entry/125647">125647</a>), and PKP2 (<a href="/entry/602861">602861</a>) genes, and identified 5 missense mutations, 2 insertion-deletions, 1 nonsense mutation, and 1 splice site mutation. The mutations were found in heterozygosity in 7 probands (see, e.g., <a href="/entry/125671#0006">125671.0006</a>) and in compound heterozygosity in 1 proband (<a href="/entry/125671#0007">125671.0007</a>-<a href="/entry/125671#0008">125671.0008</a>). None of the patients had effort-induced polymorphic ventricular arrhythmias or gross skin/hair abnormalities. Endomyocardial biopsies performed in 5 mutation-positive patients revealed a mean area of residual myocardium of approximately 47%, fibrous tissue of 24%, and fatty tissue of 20%. Electron microscopy in 3 of the biopsied patients revealed a decreased desmosome number, intercalated disc paleness, and intercellular gap widening. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16505173" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#1" class="mim-tip-reference" title="Awad, M. M., Dalal, D., Cho, E., Amat-Alarcon, N., James, C., Tichnell, C., Tucker, A., Russell, S. D., Bluemke, D. A., Dietz, H. C., Calkins, H., Judge, D. P. &lt;strong&gt;DSG2 mutations contribute to arrhythmogenic right ventricular dysplasia/cardiomyopathy.&lt;/strong&gt; Am. J. Hum. Genet. 79: 136-142, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16773573/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16773573&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=16773573[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1086/504393&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16773573">Awad et al. (2006)</a> identified 33 cases of arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) in which no mutation in the PKP2 or DSP genes had been found. Amplification and sequencing of the exonic and adjacent intronic sequence of the entire DSG2 gene identified mutations in 4 individuals. Three of the 4 probands had a heterozygous missense mutation in DSG2. The fourth proband had a missense mutation on 1 DSG2 allele and a nonsense mutation on the other (see <a href="/entry/125671#0001">125671.0001</a>). His unaffected mother and sister shared the nonsense mutation. <a href="#1" class="mim-tip-reference" title="Awad, M. M., Dalal, D., Cho, E., Amat-Alarcon, N., James, C., Tichnell, C., Tucker, A., Russell, S. D., Bluemke, D. A., Dietz, H. C., Calkins, H., Judge, D. P. &lt;strong&gt;DSG2 mutations contribute to arrhythmogenic right ventricular dysplasia/cardiomyopathy.&lt;/strong&gt; Am. J. Hum. Genet. 79: 136-142, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16773573/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16773573&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=16773573[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1086/504393&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16773573">Awad et al. (2006)</a> suggested that this could indicate incomplete penetrance, or that this mutation is insufficient to result in ARVD/C in isolation. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16773573" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p><a href="#3" class="mim-tip-reference" title="Syrris, P., Ward, D., Asimaki, A., Evans, A., Sen-Chowdhry, S., Hughes, S. E., McKenna, W. J. &lt;strong&gt;Desmoglein-2 mutations in arrhythmogenic right ventricular cardiomyopathy: a genotype-phenotype characterization of familial disease.&lt;/strong&gt; Europ. Heart J. 28: 581-588, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17105751/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17105751&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/eurheartj/ehl380&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17105751">Syrris et al. (2007)</a> sequenced the DSG2 gene in 86 Caucasian ARVC patients known to be negative for mutations in the DSP, PKP2, and JUP (<a href="/entry/173325">173325</a>) genes and detected 8 mutations in 9 probands (see, e.g., V55M, <a href="/entry/125671#0009">125671.0009</a>); the mutations were not found in 400 control chromosomes. Clinical evaluation of 24 family members with DSG2 mutations demonstrated penetrance of 58 to 75%, depending on the criteria used. Morphologic abnormalities of the right ventricle were evident in 66% of mutation carriers, left ventricular involvement in 25%, and classic right precordial T-wave inversion in only 26%. Sustained ventricular arrhythmia was present in 8%, and a family history of sudden death or aborted sudden death in 66%. <a href="#3" class="mim-tip-reference" title="Syrris, P., Ward, D., Asimaki, A., Evans, A., Sen-Chowdhry, S., Hughes, S. E., McKenna, W. J. &lt;strong&gt;Desmoglein-2 mutations in arrhythmogenic right ventricular cardiomyopathy: a genotype-phenotype characterization of familial disease.&lt;/strong&gt; Europ. Heart J. 28: 581-588, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17105751/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17105751&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/eurheartj/ehl380&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17105751">Syrris et al. (2007)</a> concluded that mutations in DSG2 show a high degree of penetrance with variable severity of expression; regarding the low prevalence of classic ECG changes, the authors suggested that current diagnostic criteria be expanded to account for left ventricular disease, childhood disease expression, and incomplete penetrance. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17105751" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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Awad, M. M., Dalal, D., Cho, E., Amat-Alarcon, N., James, C., Tichnell, C., Tucker, A., Russell, S. D., Bluemke, D. A., Dietz, H. C., Calkins, H., Judge, D. P.
<strong>DSG2 mutations contribute to arrhythmogenic right ventricular dysplasia/cardiomyopathy.</strong>
Am. J. Hum. Genet. 79: 136-142, 2006.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16773573/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16773573</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16773573[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16773573" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1086/504393" target="_blank">Full Text</a>]
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<a id="Pilichou2006" class="mim-anchor"></a>
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Pilichou, K., Nava, A., Basso, C., Beffagna, G., Bauce, B., Lorenzon, A., Frigo, G., Vettori, A., Valente, M., Towbin, J., Thiene, G., Danieli, G. A., Rampazzo, A.
<strong>Mutations in desmoglein-2 gene are associated with arrhythmogenic right ventricular cardiomyopathy.</strong>
Circulation 113: 1171-1179, 2006.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16505173/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16505173</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16505173" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1161/CIRCULATIONAHA.105.583674" target="_blank">Full Text</a>]
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Syrris, P., Ward, D., Asimaki, A., Evans, A., Sen-Chowdhry, S., Hughes, S. E., McKenna, W. J.
<strong>Desmoglein-2 mutations in arrhythmogenic right ventricular cardiomyopathy: a genotype-phenotype characterization of familial disease.</strong>
Europ. Heart J. 28: 581-588, 2007.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/17105751/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">17105751</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17105751" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/eurheartj/ehl380" target="_blank">Full Text</a>]
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Marla J. F. O'Neill - updated : 6/26/2009
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Marla J. F. O'Neill - updated : 8/29/2007
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Anne M. Stumpf : 6/15/2006
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carol : 07/13/2023
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carol : 01/06/2015<br>wwang : 6/26/2009<br>wwang : 9/4/2007<br>terry : 8/29/2007<br>alopez : 6/15/2006
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<h3>
<span class="mim-font">
<strong>#</strong> 610193
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<h3>
<span class="mim-font">
ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA, FAMILIAL, 10; ARVD10
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<span class="mim-font">
<em>Alternative titles; symbols</em>
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<span class="mim-font">
ARRHYTHMOGENIC RIGHT VENTRICULAR CARDIOMYOPATHY 10; ARVC10
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<span class="mim-text-font">
<strong>ORPHA:</strong> 217656, 293888, 293899, 293910; &nbsp;
<strong>DO:</strong> 0110081; &nbsp;
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<strong>Phenotype-Gene Relationships</strong>
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Location
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Phenotype
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Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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Gene/Locus
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Gene/Locus <br /> MIM number
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18q12.1
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<span class="mim-font">
Arrhythmogenic right ventricular dysplasia 10
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610193
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<span class="mim-font">
Autosomal dominant
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<span class="mim-font">
3
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DSG2
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125671
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<strong>TEXT</strong>
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<p>A number sign (#) is used with this entry because of evidence that familial arrhythmogenic right ventricular dysplasia-10 (ARVD10) is caused by heterozygous mutation in the desmoglein-2 gene (DSG2; 125671) on chromosome 18q12.</p><p>For a phenotypic description and a discussion of genetic heterogeneity of ARVD, see ARVD1 (107970).</p>
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<span class="mim-font">
<strong>Molecular Genetics</strong>
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<p>Pilichou et al. (2006) analyzed the DSG2 gene in 54 probands of Italian descent with arrhythmogenic right ventricular cardiomyopathy who were negative for mutations in the TGFB3 (190230), DSP (125647), and PKP2 (602861) genes, and identified 5 missense mutations, 2 insertion-deletions, 1 nonsense mutation, and 1 splice site mutation. The mutations were found in heterozygosity in 7 probands (see, e.g., 125671.0006) and in compound heterozygosity in 1 proband (125671.0007-125671.0008). None of the patients had effort-induced polymorphic ventricular arrhythmias or gross skin/hair abnormalities. Endomyocardial biopsies performed in 5 mutation-positive patients revealed a mean area of residual myocardium of approximately 47%, fibrous tissue of 24%, and fatty tissue of 20%. Electron microscopy in 3 of the biopsied patients revealed a decreased desmosome number, intercalated disc paleness, and intercellular gap widening. </p><p>Awad et al. (2006) identified 33 cases of arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVD/C) in which no mutation in the PKP2 or DSP genes had been found. Amplification and sequencing of the exonic and adjacent intronic sequence of the entire DSG2 gene identified mutations in 4 individuals. Three of the 4 probands had a heterozygous missense mutation in DSG2. The fourth proband had a missense mutation on 1 DSG2 allele and a nonsense mutation on the other (see 125671.0001). His unaffected mother and sister shared the nonsense mutation. Awad et al. (2006) suggested that this could indicate incomplete penetrance, or that this mutation is insufficient to result in ARVD/C in isolation. </p><p>Syrris et al. (2007) sequenced the DSG2 gene in 86 Caucasian ARVC patients known to be negative for mutations in the DSP, PKP2, and JUP (173325) genes and detected 8 mutations in 9 probands (see, e.g., V55M, 125671.0009); the mutations were not found in 400 control chromosomes. Clinical evaluation of 24 family members with DSG2 mutations demonstrated penetrance of 58 to 75%, depending on the criteria used. Morphologic abnormalities of the right ventricle were evident in 66% of mutation carriers, left ventricular involvement in 25%, and classic right precordial T-wave inversion in only 26%. Sustained ventricular arrhythmia was present in 8%, and a family history of sudden death or aborted sudden death in 66%. Syrris et al. (2007) concluded that mutations in DSG2 show a high degree of penetrance with variable severity of expression; regarding the low prevalence of classic ECG changes, the authors suggested that current diagnostic criteria be expanded to account for left ventricular disease, childhood disease expression, and incomplete penetrance. </p>
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<strong>REFERENCES</strong>
</span>
</h4>
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<p />
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<ol>
<li>
<p class="mim-text-font">
Awad, M. M., Dalal, D., Cho, E., Amat-Alarcon, N., James, C., Tichnell, C., Tucker, A., Russell, S. D., Bluemke, D. A., Dietz, H. C., Calkins, H., Judge, D. P.
<strong>DSG2 mutations contribute to arrhythmogenic right ventricular dysplasia/cardiomyopathy.</strong>
Am. J. Hum. Genet. 79: 136-142, 2006.
[PubMed: 16773573]
[Full Text: https://doi.org/10.1086/504393]
</p>
</li>
<li>
<p class="mim-text-font">
Pilichou, K., Nava, A., Basso, C., Beffagna, G., Bauce, B., Lorenzon, A., Frigo, G., Vettori, A., Valente, M., Towbin, J., Thiene, G., Danieli, G. A., Rampazzo, A.
<strong>Mutations in desmoglein-2 gene are associated with arrhythmogenic right ventricular cardiomyopathy.</strong>
Circulation 113: 1171-1179, 2006.
[PubMed: 16505173]
[Full Text: https://doi.org/10.1161/CIRCULATIONAHA.105.583674]
</p>
</li>
<li>
<p class="mim-text-font">
Syrris, P., Ward, D., Asimaki, A., Evans, A., Sen-Chowdhry, S., Hughes, S. E., McKenna, W. J.
<strong>Desmoglein-2 mutations in arrhythmogenic right ventricular cardiomyopathy: a genotype-phenotype characterization of familial disease.</strong>
Europ. Heart J. 28: 581-588, 2007.
[PubMed: 17105751]
[Full Text: https://doi.org/10.1093/eurheartj/ehl380]
</p>
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Marla J. F. O&#x27;Neill - updated : 6/26/2009<br>Marla J. F. O&#x27;Neill - updated : 8/29/2007
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Anne M. Stumpf : 6/15/2006
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carol : 07/13/2023<br>carol : 01/06/2015<br>wwang : 6/26/2009<br>wwang : 9/4/2007<br>terry : 8/29/2007<br>alopez : 6/15/2006
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