Saskia N. van der Crabben's research while affiliated with University of Amsterdam and other places

Publications (45)

Article
Background Distinguishing mild dilated cardiomyopathy (DCM) from the athletes' heart is complex due to similar increases in indexed left ventricular end-diastolic volumes (LVEDVi) and decreases in ejection fractions (LVEF). Purpose To determine if Cardiac Magnetic Resonance (CMR) Imaging features can differentiate genotype- and CMR phenotype-posit...
Article
BACKGROUND Vascular Ehlers-Danlos syndrome (vEDS) is a rare connective tissue disorder with a high risk for arterial, bowel, and uterine rupture, caused by heterozygous pathogenic variants in COL3A1 . The aim of this cohort study is to provide further insights into the natural history of vEDS and describe genotype-phenotype correlations in a Dutch...
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Idiopathic ventricular fibrillation (IVF) is a diagnosis of exclusion in sudden cardiac arrest (SCA) survivors. Although there are clear guidelines on the clinical work-up of SCA survivors, less than one in five patients receives a complete work-up. This increases the chances of erroneously labelling these patients as having IVF, while 10–20% of th...
Preprint
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Background: MYBPC3 founder variants cause hypertrophic cardiomyopathy (HCM) leading to heart failure (HF) and malignant ventricular arrhythmias (MVA). Exercise is typically regarded a risk factor for disease expression, although evidence is conflicting. Stratifying by type of exercise may discriminate low- from high-risk activities in these patient...
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Patient-reported outcome measures (PROMs) are used to facilitate patient-centered care (PCC). While studies in patients with cardiac conditions have revealed poorer health-related quality of life (HRQoL) and elevated emotional stress, studies in inherited cardiac conditions (ICC) seem rare. A systematic review evaluated which (specific domains of)...
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Background and aims: During the diagnostic work-up of patients with idiopathic ventricular fibrillation (VF), next-generation sequencing panels can be considered to identify genotypes associated with arrhythmias. However, consensus for gene panel testing is still lacking, and variants of uncertain significance (VUS) are often identified. Methods:...
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Background: The genetic risk haplotype DPP6 has been linked to familial idiopathic ventricular fibrillation (IVF), but the associated long-term outcomes are unknown. Methods: DPP6 risk haplotype-positive family members (DPP6 cases) and their risk haplotype-negative relatives (DPP6 controls) were included. Clinical follow-up data were collected t...
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Background/Objectives The timely diagnosis of inherited metabolic disorders (IMD) is essential for initiating treatment, prognostication and genetic testing of relatives. Recognition of IMD in adults is difficult, because phenotypes are different from those in children and influenced by symptoms from acquired conditions. This systematic literature...
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Background Newborn screening (NBS) programmes identify a wide range of disease phenotypes, which raises the question whether early identification and treatment is beneficial for all. This study aims to answer this question for primary carnitine deficiency (PCD) taking into account that NBS for PCD identifies newborns with PCD and also until then un...
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Hypertrophic cardiomyopathy (HCM) is a relatively common genetic heart disease characterised by myocardial hypertrophy. HCM can cause outflow tract obstruction, sudden cardiac death and heart failure, but severity is highly variable. In this exploratory cross-sectional study, circulating acylcarnitines were assessed as potential biomarkers in 124 M...
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Hypertrophic cardiomyopathy (HCM) is the most prevalent monogenic heart disease, commonly caused by pathogenic MYBPC3 variants, and a significant cause of sudden cardiac death. Severity is highly variable, with incomplete penetrance among genotype-positive family members. Previous studies demonstrated metabolic changes in HCM. We aimed to identify...
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Objective To systematically investigate and document the infrastructure, practices, recommendations, and clinical consequences of a structured, organized sports cardiology multidisciplinary team (MDT) for athletes and patients who wish to engage in sports and exercise. Patients and Methods We established bimonthly sports cardiology MDT meetings, w...
Article
Neurodevelopmental disorders (NDDs) result from highly penetrant variation in hundreds of different genes, some of which have not yet been identified. Using the MatchMaker Exchange, we assembled a cohort of 27 individuals with rare, protein-altering variation in the transcriptional coregulator ZMYM3, located on the X chromosome. Most (n = 24) indiv...
Article
Background: Besides hard medical outcomes in patients with inherited cardiac conditions (ICC). it is crucial to focus on the patient-reported outcomes (PRO) as well. These patients may have a disease-specific need due to ICC-related distress concerning family members and reproductive choices. We evaluated which PRO scales are currently used in card...
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An accelerated idioventricular rhythm was seen on a routine preparticipation electrocardiogram of a 19-year-old healthy and symptom-free athlete. Family history was negative for cardiac disease. Additional investigations revealed a hypertrophic cardiomyopathy, confirmed with cardiac magnetic resonance imaging and genetic analysis. Accelerated idiov...
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Background Variants in KCNH2, encoding the hERG channel which is responsible for the rapid component of the cardiac delayed rectifier K+ current (IKr), are causal to Long QT Syndrome type 2 (LQTS2). We identified eight index patients with a new variant of unknown significance (VUS), KCNH2:c.2717C > T:p.(Ser906Leu). We aimed to elucidate the biophys...
Preprint
Full-text available
Neurodevelopmental disorders (NDDs) often result from highly penetrant variation in one of many genes, including genes not yet characterized. Using the MatchMaker Exchange, we assembled a cohort of 22 individuals with rare, protein-altering variation in the X-linked transcriptional coregulator gene ZMYM3. Most (n=19) individuals were males; 15 male...
Preprint
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Background Variants in KCNH2 , encoding the hERG channel which is responsible for the rapid component of the cardiac delayed rectifier K ⁺ current (I Kr ), are causal to Long QT Syndrome type 2 (LQTS2). We identified eight index patients with a new variant of unknown significance (VUS), KCNH2 :c.2717C>T:p.(Ser906Leu). We aimed to elucidate the biop...
Article
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Exome sequencing (ES) in the clinical setting of inborn metabolic disease (IMDs) has created tremendous improvement in achieving an accurate and timely molecular diagnosis for a greater number of patients, but it still leaves the majority of patients without a diagnosis. In parallel, (personalized) treatment strategies are increasingly available, b...
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Introduction Sodium-dependent multivitamin transporter (SMVT) deficiency is a recently described multivitamin-responsive IMD of which the phenotypic spectrum and response to treatment remains to be elucidated. So far, four pediatric patients have been described in three case reports with symptoms ranging from severe neurodevelopmental delay to feed...
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Background: Genetic variants associated with cardiomyopathies (CMPs) are prevalent in the general population. In young athletes, CMPs account for roughly a quarter of sudden cardiac death, with further unexplained clustering in specific sports. Consequently, most CMPs form a contraindication for competitive sports. We hypothesized that genetic var...
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Introduction: In some rare arrhythmia syndromes, arrhythmia risk in female patients increases during pregnancy, necessitating extra controls. We wanted to evaluate if the increased risk for arrhythmia during pregnancy applies in women with Brugada syndrome and their potentially affected fetuses. Methods: A comprehensive literature search was per...
Article
Background/Introduction Multidisciplinary teams (MDT) are an integral part of cardiology. In sports cardiology wide area of expertise is required to differentiate between extraordinary pathophysiological adaption and pathology. In Addition, expertise-based sports advice should be prescribed with great care considering the great impact on (professio...
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Guanidinoacetate methyltransferase (GAMT) deficiency is a creatine deficiency disorder and an inborn error of metabolism presenting with progressive intellectual and neurological deterioration. As most cases are identified and treated in early childhood, adult phenotypes that can help in understanding the natural history of the disorder are rare. W...
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Sudden death, especially at a young age, may be caused by an underlying genetic cause. Hereditary conditions with an increased risk of sudden death at a young age include cardiomyopathies, arrhythmia syndromes, and hereditary thoracic aortic aneurysms and dissections. The identification of a genetic cause allows for genetic testing and cardiologica...
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Pathogenic heterozygous NEXN variants are associated with progressive dilated cardiomyopathy (DCM) usually presenting around 50 years of age. We describe an asymptomatic boy who had transient DCM at 3 months of age, that resolved by 4 months. Presently, at 11 years of age, he has normal cardiac function with signs of mild DCM on cardiac MRI. Geneti...
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We report five patients with lung disease immuno-deficiency and chromosome breakage syndrome (LICS) but without recurrent infections and severe immunodeficiency. One patient had extended survival to 6.5 years. Hematopoietic stem-cell transplantation failed to cure another patient. Our findings suggest that the immunological abnormalities can be lim...
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Background Hypertrophic cardiomyopathy (HCM) is the most prevalent monogenic heart disease, commonly caused by truncating variants in the MYBPC3 gene. HCM is an important cause of sudden cardiac death; however, overall prognosis is good and penetrance in genotype-positive individuals is incomplete. The underlying mechanisms are poorly understood an...
Article
An amendment to this paper has been published and can be accessed via a link at the top of the paper.
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X-linked adrenoleukodystrophy (ALD) is a devastating metabolic disorder affecting the adrenal glands, brain and spinal cord. Males with ALD are at high risk for developing adrenal insufficiency or progressive cerebral white matter lesions (cerebral ALD) at an early age. If untreated, cerebral ALD is often fatal. Women with ALD are not at risk for a...
Preprint
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Purpose This study aims to provide the first comprehensive description of the phenotypic and genotypic spectrum of SNAP25 developmental and epileptic encephalopathy (SNAP25-DEE) by reviewing newly identified and previously reported individuals. Methods Individuals harboring heterozygous missense or truncating variants in SNAP25 were assembled throu...
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Background: Mandibuloacral Dysplasia with type B lipodystrophy (MADB) is a rare premature aging disorder with an autosomal recessive inheritance pattern. MADB is characterized by brittle hair, mottled, atrophic skin, generalized lipodystrophy, insulin resistance, metabolic complications and skeletal features like stunted growth, mandibular and cla...
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Phenotypic and biochemical categorization of humans with detrimental variants can provide valuable information on gene function. We illustrate this with the identification of two different homozygous variants resulting in enzymatic loss-of-function in LDHD, encoding lactate dehydrogenase D, in two unrelated patients with elevated D-lactate urinary...
Article
Congenital panhypopituitarism refers to the deficiency of two or more pituitary hormones in the newborn. It is a rare condition of which early recognition is of great importance because of its life threatening potential and its deleterious effects on growth and development. The aetiology remains unsolved in 80‐90% of cases.1,2 As such, genetic test...
Article
Purpose: Pathogenic variations in genes encoding aminoacyl-tRNA synthetases (ARSs) are increasingly associated with human disease. Clinical features of autosomal recessive ARS deficiencies appear very diverse and without apparent logic. We searched for common clinical patterns to improve disease recognition, insight into pathophysiology, and clini...
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The genetic basis of the many progressive, multi systemic, mitochondrial diseases that cause a lack of cellular ATP production is heterogeneous, with defects found both in the mitochondrial genome as well as in the nuclear genome. Many different mutations have been found in the genes encoding subunits of the enzyme complexes of the oxidative phosph...
Article
Serine deficiency disorders are rare causes of seizures in infants and children caused by a genetic defect in one of the three genes coding for the L-serine biosynthesis pathway enzymes. A wide phenotypic spectrum can be observed in patients with serine deficiency disorders ranging from a lethal disorder with multiple congenital abnormalities to a...

Citations

... 30 Data from the ongoing study of Dutch COL3A1 variant carriers may refute or confirm this observation. 31 In clinical practice, it is challenging to strike the right balance between encouraging the patient to live the fullest possible life, while taking the necessary precautions mandated by their disease. Our findings suggest that the rate of pregnancy-related deaths as well as other major events and surgical complications may be significantly lower in the patients diagnosed in the future. ...
... Measuring health related quality of life is important to understand the impact of diseases on peoples' lives. Van Pottelberghe and colleagues report a systematic review of patient reported outcome measures in inherited cardiac conditions [1]. Most studies used generic, non-disease specific measures. ...
... Moreover, new clinical classification of rare cardiac arrhythmogenic and conduction disorders and rare arrhythmias has been proposed to facilitate research and simplify differential diagnostics [1]. Significant progress has been made in assessing the genetic background of patients after sudden cardiac arrest [2], and new frontiers have also been reached in the field of stratifying cardiovascular risk and predicting sudden cardiac death. These advances concern the use of novel biomarkers in combination with clinical data [3,4]. ...
... Aside from the direct therapeutic consequences for the patient, the diagnosis of ICC also greatly affects morbidity and mortality in the patient's family [13,19]. In diseases such as the Dutch DPP6 haplo-Herzschrittmachertherapie + Elektrophysiologie 3 type, identification of family members at risk and primary prevention ICD implantation has saved lives [3]. However, also in other ICCs, such as LQTS or Brugada syndrome, lifestyle advice or the avoidance of specific drugs will lower the morbidity and mortality rate of everyone involved. ...
... A possible mechanism that could increase the risk of ventricular arrhythmia is the synthesis of lysophospholipids from the breakdown of membrane lipids and acylcarnitine from circulating FFA [51]. FFA may also impede the Na + , K + , and ATPase pump, causing a rise in intracellular Na + and Ca 2+ [52] that may raise the risk of arrhythmias [53,54]. ...
... There appear to be potential biomarkers for severe phenotypes of MYBPC3-associated HCM. Multiple pathways, including acylcarnitine, histidine, lysine, purine, steroid hormone metabolism, and proteolysis are altered in these patients, which could lead to possible risk stratification methods in the future [87]. ...
... The mother showed completely skewed XCI (100:0), and similar XCI skewing was found in both the II.2 (90:10) and II.3 unaffected sister (85:15), with the mutant allele preferentially inactive. Furthermore, a p.(Arg441Trp) variant was described by Philips et al. in 2014 in three male probands with ID and several dysmorphic features shared with our proband II.1, and was recently confirmed as a recurrent variant in a novel ZMYM3-associated NDD [33,34]. Other potentially causative ES-detected variants were excluded by functional analysis [e.g., de novo OSBPL8: c.1535 T > C; p.(Val512Ala)] that did not show altered protein activity (Prof. ...
... It is most commonly observed after reperfusion of an acute myocardial infarction; however, it has been documented in cases with drug intoxications (e.g., digoxin, beta agonists, and anesthetic agents), electrolyte disturbances, cardiomyopathies (e.g., hypertrophic, dilated, and arrhythmogenic), and in healthy individuals without any underlying cardiac pathology (Riera et al., 2010). It is important to note that typically AIVR has a favorable prognosis and, if necessary, medical intervention focuses on addressing the underlying responsible causes (Bijsterveld et al., 2022). It can be easily postulated that in our case report, chronic uremic state was the trigger for AIVR formation. ...
... However, mammalian cell lines in which the wild-type and the variant cDNA of a given ion channel can be expressed are still widely used to study the functional properties of ion currents [37,38]. Initially, patch clamp experiments were performed manually, but in recent years, the pathogenicity of SCN5A, KCNQ1, and KCNH2 variants involved in the inherited cardiac channelopathies Brugada syndrome and long QT syndrome types 1 and 2, respectively, have also been determined using high-throughput reclassification assays based on automated patch clamp devices [25,[39][40][41][42][43][44]. Various biophysical parameters of the membrane currents have been used to classify the risk of genetic variants, but current density is the most reliable marker for predicting the risk of SCN5A [45], KCNQ1 [39], and KCNH2 [46] ion channel variants, followed by their voltage dependence of activation (through their half-activation voltage, V 1 2 ). ...
... However, recent studies point towards the possibility of a more liberal approach [29]. Our sports advice for these individuals was based on the AHA [30] and ESC guidelines [7], but with the final advice formulated by our national multidisciplinary team [31]. The subject with an aortic aneurysm was advised to discontinue all intensive and explosive exercise. ...