Dilated cardiomyopathy (DCM) is a common primary myocardial disease leading to congestive heart failure, arrhythmia and sudden cardiac death. Increasing studies demonstrate substantial genetic determinants for DCM. Nevertheless, DCM is of substantial genetic heterogeneity, and the genetic basis for DCM in most patients remains unclear. The present study was sought to investigate the association of a genetic variant in the ZBTB17 gene with DCM. A cohort of 158 unrelated patients with idiopathic DCM and a total of 230 unrelated, ethnically matched healthy individuals used as controls were recruited. The coding exons and splicing boundaries of ZBTB17 were sequenced in all study participants. The functional effect of the mutant ZBTB17 was characterized by a dual-luciferase reporter assay system. A novel heterozygous ZBTB17 mutation, p.E243X, was discovered in an index patient. Genetic scan of the mutation carrier's available relatives showed that the mutation was present in all affected family members but absent in unaffected family members. Analysis of the proband's pedigree revealed that the mutation co-segregated with DCM, which was transmitted in an autosomal dominant pattern with complete penetrance. The nonsense mutation was absent in the 460 control chromosomes. Functional assays demonstrated that the truncated ZBTB17 protein had no transcriptional activity as compared with its wild-type counterpart. This study firstly associates ZBTB17 loss-of-function mutation with enhanced susceptibility to DCM in humans, which provides novel insight into the molecular mechanism underpinning DCM, implying potential implications for genetic counseling and personalized management of DCM.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81470372, 81400244, 81370400]; Key Program for Basic Research of Shanghai, China [14JC1405500]; Natural Science Foundation of Shanghai, ChinaNatural Science Foundation of Shanghai [15ZR1438100]; Experimental Animal Program of Shanghai, China [16140901602]
第一作者机构:[1]Department of Cardiology, Shanghai Jing’an District Central Hospital, Fudan University, Shanghai 200040, China
通讯作者:
通讯机构:[5]Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China[6]Department of Cardiovascular Research Laboratory, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China[7]Department of Central Laboratory, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China
推荐引用方式(GB/T 7714):
Sun Yu-Min,Wang Jun,Xu Ying-Jia,et al.ZBTB17 loss-of-function mutation contributes to familial dilated cardiomyopathy[J].HEART AND VESSELS.2018,33(7):722-732.doi:10.1007/s00380-017-1110-4.
APA:
Sun, Yu-Min,Wang, Jun,Xu, Ying-Jia,Wang, Xin-Hua,Yuan, Fang...&Yang, Yi-Qing.(2018).ZBTB17 loss-of-function mutation contributes to familial dilated cardiomyopathy.HEART AND VESSELS,33,(7)
MLA:
Sun, Yu-Min,et al."ZBTB17 loss-of-function mutation contributes to familial dilated cardiomyopathy".HEART AND VESSELS 33..7(2018):722-732