Advances in the Genetic Basis and Pathogenesis of Sarcomere Cardiomyopathies
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Hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM) are common heart muscle disorders that are caused by pathogenic variants in sarcomere protein genes. HCM is characterized by unexplained cardiac hypertrophy (increased chamber wall thickness) that is accompanied by enhanced cardiac contractility and impaired relaxation. DCM is defined as increased ventricular chamber volume with contractile impairment. In this review, we discuss recent analyses that provide new insights into the molecular mechanisms that cause these conditions. HCM studies have uncovered the critical importance of conformational changes that occur during relaxation and enable energy conservation, which are frequently disturbed by HCM mutations. DCM studies have demonstrated the considerable prevalence of truncating variants in titin and have discerned that these variants reduce contractile function by impairing sarcomerogenesis. These new pathophysiologic mechanisms open exciting opportunities to identify new pharmacological targets and develop future cardioprotective strategies.
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The molecular events leading to the HCM disease phenotype remain largely misunderstood.
“While around 1,400 mutations have been identified in 11 genes related to the sarcomere, the molecular events leading to disease phenotype remain largely misunderstood [148].”
From Top-down proteomics: challenges, innovations, and applications in basic and clinical research (2020) · cites this paper as [148]
Around 1,400 mutations have been identified in 11 genes related to the sarcomere.
“While around 1,400 mutations have been identified in 11 genes related to the sarcomere, the molecular events leading to disease phenotype remain largely misunderstood [148].”
From Top-down proteomics: challenges, innovations, and applications in basic and clinical research (2020) · cites this paper as [148]
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Houdusse, A. (2021) · Comptes Rendus Biologies · doi:10.5802/crbiol.45 · Cited by 7 · see citing works
- Authors
- Yotti, R., Seidman, C. E., & Seidman, J. G.
- Affiliations
- Instituto de Salud Carlos III (ES)
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Venue
- Annual Review of Genomics and Human Genetics
- Publisher
- Annual Reviews
- Published
- 2019-08-31
- Volume
- 20
- Issue
- 1
- Pages
- 129-153
- ISSN
- 1527-8204 (ISSN-L)
- 1545-293X
- OpenAlex
- W2936587264
- Cited by
- 168
- References
- 154
- Citations by year
- 2026: 10 · 2025: 17 · 2024: 35 · 2023: 27 · 2022: 24 · 2021: 33 · 2020: 18 · 2019: 4
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annual Review of Genomics and Human Genetics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Howard Hughes Medical Institute
- Fondation Leducq
- Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares
- National Institutes of Health
- Instituto de Salud Carlos III (PI15/02229)
- National Heart, Lung, and Blood Institute (R01HL084553)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Keywords
- hypertrophic cardiomyopathy, dilated cardiomyopathy, pathogenic variants, myocardial relaxation, sarcomerogenesis, cardiac contractility, energy conservation, therapeutic target, cardioprotection
- MeSH terms
- Myosin Binding Protein C, Benzylamines, Cardiomyopathy, Dilated, Cardiomyopathy, Hypertrophic, Cardiotonic Agents, Carrier Proteins, Humans, Mutation, Myocardial Contraction, Myocardium, Sarcomeres, Uracil, Urea, Gene Expression, RNA-Binding Proteins, Myosin Heavy Chains, Troponin T, Cardiac Myosins, Connectin
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