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ZBTB17 loss-of-function mutation contributes to familial dilated cardiomyopathy

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机构: [1]Department of Cardiology, Shanghai Jing’an District Central Hospital, Fudan University, Shanghai 200040, China [2]Department of Cardiology, The Fifth People′s Hospital of Shanghai, Fudan University, Shanghai 200240, China [3]Department of Cardiology, School of Medicine, Renji Hospital, Shanghai Jiao Tong University, Shanghai 200127, China [4]Department of Emergency Medicine, School of Medicine, Shanghai Tongren Hospital, Shanghai Jiao Tong University, Shanghai 200336, China [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
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关键词: Dilated cardiomyopathy Genetics Transcription factor ZBTB17 Reporter gene assay

摘要:
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.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 3 区 外周血管病 4 区 心脏和心血管系统
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 心脏和心血管系统 4 区 外周血管病
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出版当年[2016]版:
Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Q2 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Q3 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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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
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