Genetic Abnormalities Responsible for Dilated Cardiomyopathy
Overview
Authors
Affiliations
Dilated cardiomyopathy (DCM), a disorder in which left ventricular dilation and dysfunction leads to congestive heart failure, is inherited in over 30% of cases. The underlying genetic mechanisms are slowly being unraveled, with multiple genes recently identified as causing DCM in some patients. The genes identified to date appear to encode proteins that either support the cytoskeleton or interact with the cytoskeleton. When mutated, these proteins destabilize the cardiomyocyte membrane or cytoskeleton via mechanical instability or force transduction causing poor cardiac systolic function and compensatory dilation. Once the entire group of genes causing DCM (genetic heterogeneity) are identified, improvements in diagnosis and treatment are expected.
van der Meulen M, Herkert J, den Boer S, du Marchie Sarvaas G, Blom N, Ten Harkel A Circ Genom Precis Med. 2022; 15(5):e002981.
PMID: 36178741 PMC: 9622377. DOI: 10.1161/CIRCGEN.120.002981.
Toko H, Takahashi H, Kayama Y, Oka T, Minamino T, Okada S Circulation. 2010; 122(9):891-9.
PMID: 20713897 PMC: 3226824. DOI: 10.1161/CIRCULATIONAHA.109.935296.
Heterozygous inactivation of the vinculin gene predisposes to stress-induced cardiomyopathy.
Zemljic-Harpf A, Ponrartana S, Avalos R, Jordan M, Roos K, Dalton N Am J Pathol. 2004; 165(3):1033-44.
PMID: 15331426 PMC: 1618594. DOI: 10.1016/S0002-9440(10)63364-0.
M-band: a safeguard for sarcomere stability?.
Agarkova I, Ehler E, Lange S, Schoenauer R, Perriard J J Muscle Res Cell Motil. 2003; 24(2-3):191-203.
PMID: 14609030 DOI: 10.1023/a:1026094924677.
Barrans J, Allen P, Stamatiou D, Dzau V, Liew C Am J Pathol. 2002; 160(6):2035-43.
PMID: 12057908 PMC: 1850841. DOI: 10.1016/S0002-9440(10)61153-4.