Genetics and Genomics of Single-Gene Cardiovascular Diseases
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This is the first of 2 review papers on genetics and genomics appearing as part of the series on "omics." Genomics pertains to all components of an organism's genes, whereas genetics involves analysis of a specific gene or genes in the context of heredity. The paper provides introductory comments, describes the basis of human genetic diversity, and addresses the phenotypic consequences of genetic variants. Rare variants with large effect sizes are responsible for single-gene disorders, whereas complex polygenic diseases are typically due to multiple genetic variants, each exerting a modest effect size. To illustrate the clinical implications of genetic variants with large effect sizes, 3 common forms of hereditary cardiomyopathies are discussed as prototypic examples of single-gene disorders, including their genetics, clinical manifestations, pathogenesis, and treatment. The genetic basis of complex traits is discussed in a separate paper.
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Genotype alone is not sufficient to predict clinical outcomes in HCM patients, given the multifactorial nature of the disease.
“Moreover, genotype alone is not sufficient to predict clinical outcomes in HCM patients, given the multifactorial nature of the disease (3, 11, 42).”
From Distinct hypertrophic cardiomyopathy genotypes result in convergent sarcomeric proteoform profiles revealed by top-down proteomics (2020) · cites this paper as [42]
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Self-citationFamilial Dilated Cardiomyopathy: Clinical Features in French Families
Mangin, L., Charron, P., Tesson, F., Mallet, A., Dubourg, O., Desnos, M., Benaïsche, A., Gayet, C., Gibelin, P., Davy, J., et al. (1999) · European Journal of Heart Failure · doi:10.1016/s1388-9842(99)00047-1 · Cited by 27 · see citing works
Challenges in the Diagnosis of Anderson-Fabry Disease
Marian, A. J. (2016) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2016.06.026 · Cited by 21 · see citing works
Self-citationDistinct Patterns of Genetic Variations in Potential Functional Elements in Long Noncoding RNAs
Bhartiya, D., Jalali, S., Ghosh, S., & Scaria, V. (2013) · Human Mutation · doi:10.1002/humu.22472 · Cited by 17 · see citing works
The Case of “Missing Causal Genes” and the Practice of Medicine
Marian, A. J. (2016) · Circulation Research · doi:10.1161/circresaha.116.308830 · Cited by 16 · see citing works
Self-citationIdentifying Modifier Loci in Existing Genome Scan Data
Daw, E. W., Lu, Y., Marian, A. J., & Shete, S. S. (2008) · Annals of Human Genetics · doi:10.1111/j.1469-1809.2008.00449.x · Cited by 13 · see citing works
Self-citationEpsilon Waves Aid in the Prognosis and Risk Stratification of Patients With ARVC/D
Marcus, G. M. (2015) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.12775 · Cited by 11 · see citing works
On the diagnostic utility of junction plakoglobin in arrhythmogenic right ventricular cardiomyopathy
Marian, A. J. (2013) · Cardiovascular Pathology · doi:10.1016/j.carpath.2013.05.002 · Cited by 8 · see citing works
Self-citationThomas, A. S., & Hughes, D. A. (2014) · PubMed · Cited by 8 · see citing works
Genetic Causality in Complex Traits
Marian, A. J. (2016) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.09.109 · Cited by 6 · see citing works
Self-citationArrhythmogenic Right Ventricular Cardiomyopathy
Dunn, K. E., & Ashley, E. A. (2015) · Circulation Cardiovascular Genetics · doi:10.1161/circgenetics.115.001119 · Cited by 6 · see citing works
Flagged first, then by citations
2 of the 180 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [48]Elstein DA Altarescu Geona Beck M Fabry disease 2010 New York, NY Springer
Cited by
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Dilated Cardiomyopathy: Genetic Determinants and Mechanisms
McNally, E. M., & Mestroni, L. (2017) · Circulation Research · doi:10.1161/circresaha.116.309396 · Cited by 786 · see citing works
Genetic Risk of Arrhythmic Phenotypes in Patients With Dilated Cardiomyopathy
Gigli, M., Merlo, M., Graw, S. L., Barbati, G., Rowland, T. J., Slavov, D. B., Stolfo, D., Haywood, M. E., Ferro, M. D., Altinier, A., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.06.072 · Cited by 319 · see citing works
Genetic Pathogenesis of Hypertrophic and Dilated Cardiomyopathy
Garfinkel, A. C., Seidman, J. G., & Seidman, C. E. (2018) · Heart Failure Clinics · doi:10.1016/j.hfc.2017.12.004 · Cited by 125 · see citing works
Tucholski, T., Cai, W., Gregorich, Z. R., Bayne, E. F., Mitchell, S. D., McIlwain, S. J., de Lange, W. J., Wrobbel, M., Karp, H., Hite, Z., et al. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2006764117 · Cited by 107 · see citing works
Pathophysiology of dilated cardiomyopathy: from mechanisms to precision medicine
Gigli, M., Stolfo, D., Merlo, M., Sinagra, G., Taylor, M. R. G., & Mestroni, L. (2024) · Nature Reviews Cardiology · doi:10.1038/s41569-024-01074-2 · Cited by 98 · see citing works
Hall, C. L., Akhtar, M. M., Molina, M. S., Futema, M., Asimaki, A., Protonotarios, A., Dalageorgou, C., Pittman, A. M., Suárez, M. P., Aguilera, B., et al. (2019) · International Journal of Cardiology · doi:10.1016/j.ijcard.2019.09.048 · Cited by 70 · see citing works
The emerging role of sorting nexins in cardiovascular diseases
Yang, J., Villar, V. A. M., Rozyyev, S., Jose, P. A., & Zeng, C. (2019) · Clinical Science · doi:10.1042/cs20190034 · Cited by 55 · see citing works
Wilcox, J. E., & Hershberger, R. E. (2018) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000512 · Cited by 54 · see citing works
Perspectives on the Overall Risks of Living With Hypertrophic Cardiomyopathy
Maron, B. J., Maron, M. S., & Rowin, E. J. (2017) · Circulation · doi:10.1161/circulationaha.117.027738 · Cited by 49 · see citing works
Boogerd, C. J. J., Lacraz, G., Vértesy, Á., van Kampen, S. J., Perini, I., de Ruiter, H., Versteeg, D., Brodehl, A., van der Kraak, P. H., Giacca, M., et al. (2022) · Cardiovascular Research · doi:10.1093/cvr/cvac072 · Cited by 44 · see citing works
Bosscher, R. D., Dausin, C., Janssens, K., Bogaert, J. G., Elliott, A. D., Ghekiere, O., Heyning, C. M. V. D., Sanders, P., Kalman, J. M., Fatkin, D., et al. (2022) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2022-001309 · Cited by 39 · see citing works
Conceptos básicos en biología molecular relacionados con la genética y la epigenética
Corella, D., & Ordovás, J. M. (2017) · Revista Española de Cardiología · doi:10.1016/j.recesp.2017.02.034 · Cited by 35 · see citing works
Unraveling obscurins in heart disease
Grogan, A., & Kontrogianni‐Konstantopoulos, A. (2018) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-018-2191-3 · Cited by 34 · see citing works
Zhang, L., Zhang, G., Lu, Y., Gao, J., Qin, Z., Xu, S., Wang, Z., Xu, Y., Yang, Y. L., Zhang, J., et al. (2023) · Journal of Cellular and Molecular Medicine · doi:10.1111/jcmm.17789 · Cited by 30 · see citing works
Inferring the effect of genomic variation in the new era of genomics
Chakravorty, S., & Hegde, M. (2018) · Human Mutation · doi:10.1002/humu.23427 · Cited by 27 · see citing works
Butzner, M., Maron, M. S., Sarocco, P., Rowin, E. J., Teng, C., Tan, H., Stanek, E. J., & Robertson, L. (2021) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2021.08.024 · Cited by 27 · see citing works
Epigenetic regulation of phosphodiesterase 4d in restrictive cardiomyopathy mice with cTnI mutations
Zhao, W., Wu, X., Wang, Z., Pan, B., Liu, L., Liu, L., Huang, X., & Tian, J. (2019) · Science China Life Sciences · doi:10.1007/s11427-018-9463-9 · Cited by 23 · see citing works
Clinical impact of post-mortem genetic testing in cardiac death and cardiomyopathy
Marey, I., Fressart, V., Rambaud, C., Fornés, P., Martin, L., Grotto, S., Alembik, Y., Gorka, H., Millat, G., Gandjbakhch, E., et al. (2020) · Open Medicine · doi:10.1515/med-2020-0150 · Cited by 23 · see citing works
Basic Concepts in Molecular Biology Related to Genetics and Epigenetics
Corella, D., & Ordovás, J. M. (2017) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.rec.2017.05.011 · Cited by 23 · see citing works
Epigenetics in dilated cardiomyopathy
Yu, J., Zeng, C., & Wang, Y. (2019) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000616 · Cited by 23 · see citing works
Application of Spatial Omics in the Cardiovascular System
Hu, Y., Jia, H., Cui, H., & Song, J. (2025) · Research · doi:10.34133/research.0628 · Cited by 21 · see citing works
An overview of the genetic basis of cardiovascular disease
Laing, N., Kraus, S., Shaboodien, G., & Ntusi, N. (2019) · South African Medical Journal · doi:10.7196/samj.2019.v109i6.14069 · Cited by 15 · see citing works
Genetics, its role in preventing the pandemic of coronary artery disease
Roberts, R., & Fair, J. (2021) · Clinical Cardiology · doi:10.1002/clc.23627 · Cited by 12 · see citing works
Self-citationFerreira, G. C., Oberstaller, J., Fonseca, R., Keller, T. E., Adapa, S. R., Gibbons, J., Wang, C. C. Q., Liu, X., Li, C., Pham, M., et al. (2019) · F1000Research · doi:10.12688/f1000research.19140.1 · Cited by 12 · see citing works
Zhang, Y., & Karakikes, I. (2020) · Trends in Cardiovascular Medicine · doi:10.1016/j.tcm.2020.06.008 · Cited by 11 · see citing works
Vo, Q. D. (2025) · PLoS ONE · doi:10.1371/journal.pone.0325330 · Cited by 12 · see citing works
Molecular genetic diagnostics for ventricular arrhythmias and sudden cardiac death syndromes
Stallmeyer, B., Dittmann, S., Seebohm, G., Müller, J. G., & Schulze‐Bahr, E. (2017) · Herz · doi:10.1007/s00059-017-4583-0 · Cited by 10 · see citing works
New insights provided by myofibril mechanics in inherited cardiomyopathies.
Lin, Y., Yap, J. J. L., Ramachandra, C. J. A., & Hausenloy, D. J. (2019) · PubMed · Cited by 9 · see citing works
Мир микроРНК гепатобилиарной системы
Абатуров, А. Е., & Babуch, V. L. (2021) · CHILD`S HEALTH · doi:10.22141/2224-0551.16.1.2021.226462 · Cited by 7 · see citing works
Toste, A., Perrot, A., Özcelik, C., & Cardim, N. M. (2020) · Revista Portuguesa de Cardiologia · doi:10.1016/j.repc.2019.12.007 · Cited by 7 · see citing works
Genetic stratification for primary prevention of coronary artery disease
Roberts, R., & Campillo, A. (2018) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000542 · Cited by 4 · see citing works
Self-citationBosscher, R. D., Heidbüchel, H., Claessen, G., & Gerche, A. L. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2022-105440 · Cited by 4 · see citing works
Brunt, K. R., & Northrup, V. (2023) · JACC Advances · doi:10.1016/j.jacadv.2023.100769 · Cited by 2 · see citing works
Genetische Diagnostik zur Vermeidung des plötzlichen Herztods
Stallmeyer, B., Dittmann, S., & Schulze‐Bahr, E. (2018) · Der Internist · doi:10.1007/s00108-018-0462-x · Cited by 2 · see citing works
Genetic Risk Stratification and Prevention of CAD: An Idea Whose Time Is Now
Roberts, R. (2017) · Clinical Chemistry · doi:10.1373/clinchem.2017.278895 · Cited by 2 · see citing works
Self-citationA Devotion to Never Feeling Satisfied
Fuster, V. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2016.11.025 · Cited by 2 · see citing works
Fuster, V. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.03.476 · Cited by 2 · see citing works
Editor-in-Chief’s Top Picks From 2015: Part One
Fuster, V. (2016) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.12.002 · Cited by 1 · see citing works
Genetic Testing in Cardiovascular Medicine
Marian, A. J. (2018) · Texas Heart Institute Journal · doi:10.14503/thij-18-6674 · Cited by 1 · see citing works
Self-citationBunning, C. R., & Suvarna, S. K. (2019) · Springer eBooks · doi:10.1007/978-3-030-24560-3_11 · Cited by 1 · see citing works
New landscape of cardiovascular genetics and genomics
Marian, A. J. (2017) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000394
Self-citationRoberts, R. (2018) · Circulation Genomic and Precision Medicine · doi:10.1161/circgen.118.002222
Self-citationMyocardial morphology in hypertrophic cardiomyopathy: the current state of the problem
Balabai, A. A. (2019) · Zaporozhye Medical Journal · doi:10.14739/2310-1210.2019.3.169215
Editor-in-Chief’s Top Picks From 2016: Part One
Fuster, V. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2017.01.004
Toste, A., Perrot, A., Özcelik, C., & Cardim, N. M. (2020) · Revista Portuguesa de Cardiologia (English Edition) · doi:10.1016/j.repce.2019.12.008
Genetic Variation in Cardiac Troponin T Gene TNNT2 in Iraqi Patients with Cardiomyopathy
Mutlag, M. H., Yenzeel, J. H., & Subhi, M. R. (2022) · Pakistan Journal of Medical and Health Sciences · doi:10.53350/pjmhs22166373
Genetic Risk Stratification and the Primary Prevention of Coronary Artery Disease
Fair, J., Acuna, E., & Roberts, R. (2022) · Medical Research Archives · doi:10.18103/mra.v10i8.3039
Self-citationTHE ROLE OF PRECISION MEDICINE AND GENOMICS IN CARDIAC SURGERY
Bereza, M., Kmieć, K. K., Szymańska, E., Dembiński, M., Prabucka-Marciniak, J., Fiertek, P., Misarko, A., Rycyk, H., Pysiewicz, J., & Rycyk, M. (2025) · International Journal of Innovative Technologies in Social Science · doi:10.31435/ijitss.3(47).2025.3653
- Authors
- Marian, A. J., van Rooij, E., & Roberts, R.
- Affiliations
- Brown Foundation Institute of Molecular Medicine for the Prevention of Human Diseases (US)
- University of Arizona College of Medicine- Phoenix (US)
- Corresponding author
- Marian, Ali J.
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 68
- Issue
- 25
- Pages
- 2831-2849
- ISSN
- 0735-1097 (ISSN-L)
- PMC
- PMC5189923
- OpenAlex
- W2560999535
- Cited by
- 48
- References
- 180
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 10 · 2018: 9 · 2017: 9 · 2016: 1
- FWCI
- 1.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- KNAW Research Portal (The Royal Netherlands Academy of Arts and Sciences) (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UA Campus Repository (The University of Arizona) (acceptedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R34HL105563, R01HL088498, R01HL132401)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- familial cardiomyopathy, genetic variants, human genetic variation, rare variants, clinical features, pathogenesis, treatment, polygenic disease
- MeSH terms
- Cardiovascular Diseases, Genetic Testing, Humans, Cardiomyopathies, Phenotype, Genetic Variation, Genetic Predisposition to Disease, Genomics
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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