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Published on: August 8, 2022
Molecular genetic and functional characterization implicate muscle-restricted coiled-coil gene (MURC) as a causal
Gabriela Rodriguez1, Tomomi Ueyama, Takehiro Ogata
1Center for Cardiovascular Genetics, Institute of Molecular Medicine, The University of Texas Health Science Center, Houston, USA.
Insights
Mutations in the MURC gene are likely causes of dilated cardiomyopathy (DCM) in humans, leading to heart failure. The role of MURC mutations in hypertrophic cardiomyopathy (HCM) requires further investigation.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Basis of Heart Disease
Background:
- Dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM) are primary forms of systolic and diastolic heart failure.
- Genetic mutations in sarcomere and cytoskeletal proteins are established causes of HCM and DCM.
- MURC, a Z-line protein, is known to regulate cardiac function in mice.
Purpose of the Study:
- To investigate the potential causal role of the MURC gene in human cardiomyopathies.
- To identify and characterize mutations in MURC associated with DCM and HCM.
Main Methods:
- Sequencing of the MURC gene in 1199 individuals (383 DCM, 307 HCM, 509 controls).
- Segregation analysis of identified variants within families.
- Functional studies using recombinant adenoviruses to express mutant MURC proteins in neonatal rat cardiac myocytes.
Main Results:
- Identified 6 heterozygous DCM-specific missense variants in 8 unrelated probands.
- Two variants (p.N128K and p.S307T) segregated with DCM inheritance.
- A deletion variant in MURC was found in 3 HCM probands, but its segregation with HCM was uncertain.
- Mutant MURC expression reduced RhoA activity and hypertrophic markers in cultured myocytes.
Conclusions:
- MURC mutations likely cause loss-of-function effects and are probable causal variants in human DCM.
- The identified DCM-associated MURC variants lead to progressive heart failure, conduction defects, and arrhythmias.
- The causal role of a specific deletion mutation in HCM remains uncertain.
Background:
Dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM) are classic forms of systolic and diastolic heart failure, respectively. Mutations in genes encoding sarcomere and cytoskeletal proteins are major causes of HCM and DCM. MURC, encoding muscle-restricted coiled-coil, a Z-line protein, regulates cardiac function in mice. We investigated potential causal role of MURC in human cardiomyopathies.
Methods And Results:
We sequenced MURC in 1199 individuals, including 383 probands with DCM, 307 with HCM, and 509 healthy control subjects. We found 6 heterozygous DCM-specific missense variants (p.N128K, p.R140W, p.L153P, p.S307T, p.P324L, and p.S364L) in 8 unrelated probands. Variants p.N128K and p.S307T segregated with inheritance of DCM in small families (χ(2)=8.5, P=0.003). Variants p.N128K, p.R140W, p.L153P, and p.S364L were considered probably or possibly damaging. Variant p.P324L recurred in 3 independent probands, including 1 proband with a TPM1 mutation (p.M245T). A deletion variant (p.L232-R238del) was present in 3 unrelated HCM probands, but it did not segregate with HCM in a family who also had a MYH7 mutation (p.L907V). The phenotype in mutation carriers was notable for progressive heart failure leading to heart transplantation in 4 patients, conduction defects, and atrial arrhythmias. Expression of mutant MURC proteins in neonatal rat cardiac myocytes transduced with recombinant adenoviruses was associated with reduced RhoA activity, lower mRNA levels of hypertrophic markers and smaller myocyte size as compared with wild-type MURC.
Conclusions:
MURC mutations impart loss-of-function effects on MURC functions and probably are causal variants in human DCM. The causal role of a deletion mutation in HCM is uncertain.
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