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Identification and functional characterization of KLF5 as a novel disease gene responsible for familial dilated cardiomyopathy

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机构: [1]Fudan Univ, Peoples Hosp Shanghai 5, Dept Cardiol, 801 Heqing Rd, Shanghai 200240, Peoples R China [2]Fudan Univ, Peoples Hosp Shanghai 5, Ctr Complex Cardiac Arrhythmias Minhang Dist, Shanghai, Peoples R China [3]Tongji Univ, Tongji Hosp, Dept Cardiol, Sch Med, Shanghai, Peoples R China [4]Shanghai Jiao Tong Univ, Shanghai Tongren Hosp, Dept Cardiol, Sch Med, Shanghai, Peoples R China [5]Fudan Univ, Peoples Hosp Shanghai 5, Cardiovasc Res Lab, 801 Heqing Rd, Shanghai 200240, Peoples R China [6]Fudan Univ, Peoples Hosp Shanghai 5, Cent Lab, Shanghai, Peoples R China
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关键词: Dilated cardiomyopathy Genetics Transcription factor KLF5 Reporter gene analysis

摘要:
As a prevalent primary myocardial disease, dilated cardiomyopathy (DCM) represents the most common cause of heart failure in the young and the most frequent indication for cardiac transplantation. Aggregating evidence highlights the genetic basis of DCM. However, due to substantial genetic heterogeneity, the genetic defects of DCM in most cases remain elusive. In the current investigation, the entire coding exons and splicing junctions of the KLF5 gene, which encodes a key transcription factor required for cardiac structural and functional remodeling, were sequenced in 234 probands affected with DCM, and a heterozygous KLF5 mutation, NM_001730.5: c.1100T > A; p.(Leu367*), was identified in a proband. Genetic analysis of the proband's family members revealed that the identified KLF5 mutation co-segregated with DCM in the family with complete penetrance. The nonsense mutation was neither detected in 506 control individuals nor reported in such population-genetics databases as ExAC, dbSNP and gnomAD. Biological assays with a dual-luciferase reporter assay system demonstrated that the mutant KLF5 protein had no transcriptional activity when compared with its wildtype counterpart. Furthermore, the mutation abrogated the synergistic transactivation between KLF5 and NFKB1, another pivotal transcription factor that has been causally linked to DCM. The whole-exome sequencing analysis of the proband's family members revealed no other causative genes. The findings indicate KLF5 as a new gene contributing to DCM in humans, implying potential implications for the precision medicine of DCM.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 遗传学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 遗传学
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出版当年[2018]版:
Q3 GENETICS & HEREDITY
最新[2023]版:
Q3 GENETICS & HEREDITY Q4 GENETICS & HEREDITY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [1]Fudan Univ, Peoples Hosp Shanghai 5, Dept Cardiol, 801 Heqing Rd, Shanghai 200240, Peoples R China [2]Fudan Univ, Peoples Hosp Shanghai 5, Ctr Complex Cardiac Arrhythmias Minhang Dist, Shanghai, Peoples R China
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通讯机构: [1]Fudan Univ, Peoples Hosp Shanghai 5, Dept Cardiol, 801 Heqing Rd, Shanghai 200240, Peoples R China [2]Fudan Univ, Peoples Hosp Shanghai 5, Ctr Complex Cardiac Arrhythmias Minhang Dist, Shanghai, Peoples R China [5]Fudan Univ, Peoples Hosp Shanghai 5, Cardiovasc Res Lab, 801 Heqing Rd, Shanghai 200240, Peoples R China [6]Fudan Univ, Peoples Hosp Shanghai 5, Cent Lab, Shanghai, Peoples R China [*1]Department of Cardiology, The Fifth People's Hospital of Shanghai, Fudan University, 801 Heqing Road, Shanghai, 200240, China. [*2]Cardiovascular Research Laboratory, The Fifth People's Hospital of Shanghai, Fudan University, 801 Heqing Road, Shanghai, 200240, China.
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