Esslinger, U.B.* ; Garnier, S.* ; Korniat, A.* ; Proust, C.* ; Kararigas, G.* ; Müller-Nurasyid, M. ; Empana, J.* ; Morley, M.P.* ; Perret, C.* ; Stark, K.* ; Bick, A.G.* ; Prasad, S.K.* ; Kriebel, J. ; Li, J.* ; Tiret, L.* ; Strauch, K. ; O'Regan, D.P.* ; Marguiles, K.B.* ; Seidman, J.G.* ; Boutouyrie, P.* ; Lacolley, P.* ; Jouven, X.* ; Hengstenberg, C.* ; Komajda, M.* ; Hakonarson, H.H.* ; Isnard, R.* ; Arbustini, E.* ; Grallert, H. ; Cook, S.A.* ; Seidman, C.E.* ; Regitz-Zagrosek, V.* ; Cappola, T.P.* ; Charron, P.* ; Cambien, F.* ; Villard, E.*
     
    
        
Exome-wide association study reveals novel susceptibility genes to sporadic dilated cardiomyopathy.
    
    
        
    
    
        
        PLoS ONE 12:e0172995 (2017)
    
    
    
      
      
	
	    Aims Dilated cardiomyopathy (DCM) is an important cause of heart failure with a strong familial component. We performed an exome-wide array-based association study (EWAS) to assess the contribution of missense variants to sporadic DCM. Methods and results 116,855 single nucleotide variants (SNVs) were analyzed in 2796 DCM patients and 6877 control subjects from 6 populations of European ancestry. We confirmed two previously identified associations with SNVs in BAG3 and ZBTB17 and discovered six novel DCM-associated loci (Q-value<0.01). The lead-SNVs at novel loci are common and located in TTN, SLC39A8, MLIP, FLNC, ALPK3 and FHOD3. In silico fine mapping identified HSPB7 as the most likely candidate at the ZBTB17 locus. Rare variant analysis (MAF<0.01) demonstrated significant association for TTN variants only (P = 0.0085). All candidate genes but one (SLC39A8) exhibit preferential expression in striated muscle tissues and mutations in TTN, BAG3, FLNC and FHOD3 are known to cause familial cardiomyopathy. We also investigated a panel of 48 known cardiomyopathy genes. Collectively, rare (n = 228, P = 0.0033) or common (n = 36, P = 0.019) variants with elevated in silico severity scores were associated with DCM, indicating that the spectrum of genes contributing to sporadic DCM extends beyond those identified here. Conclusion We identified eight loci independently associated with sporadic DCM. The functions of the best candidate genes at these loci suggest that proteostasis regulation might play a role in DCM pathophysiology.
	
	
	    
	
       
      
	
	    
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        Publication type
        Article: Journal article
    
 
    
        Document type
        Scientific Article
    
 
    
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        Keywords
        Skeletal-muscles; Common Variants; Heart-failure; P19cl6 Cells; Protein; Mutations; Hspb7; Fhod3; Differentiation; Architecture
    
 
    
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        Language
        english
    
 
    
        Publication Year
        2017
    
 
    
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        HGF-reported in Year
        2017
    
 
    
    
        ISSN (print) / ISBN
        1932-6203
    
 
    
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	    Volume: 12,  
	    Issue: 3,  
	    Pages: ,  
	    Article Number: e0172995 
	    Supplement: ,  
	
    
 
    
        
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            Publisher
            Public Library of Science (PLoS)
        
 
        
            Publishing Place
            Lawrence, Kan.
        
 
	
        
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        Reviewing status
        Peer reviewed
    
 
     
    
        POF-Topic(s)
        30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
30202 - Environmental Health
90000 - German Center for Diabetes Research
    
 
    
        Research field(s)
        Genetics and Epidemiology
    
 
    
        PSP Element(s)
        G-504100-001
G-504091-002
G-501900-402
    
 
    
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        Erfassungsdatum
        2017-04-26