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Cardiac troponin T (TNNT2) mutations in chinese dilated cardiomyopathy patients
Xiaoping Li1, Rong Luo2, Haiyong Gu3
1Cardiac Arrhythmia Center, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, China ; Department of Cardiology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan 610072, China.
Background:
Dilated cardiomyopathy (DCM) is one of the leading causes of heart failure with high morbidity and mortality. Although more than 40 genes have been reported to cause DCM, the role of genetic testing in clinical practice is not well defined. Mutations in the troponin T (TNNT2) gene represent an important subset of known disease-causing mutations associated with DCM. Therefore, the aim of the present study was to determine the genetic variations in TNNT2 and the associations of those variations with DCM in Chinese patients.
Methods:
An approximately 4 kb fragment of the TNNT2 gene was isolated from 103 DCM patients and 192 healthy controls and was analyzed by DNA sequence analysis for genetic variations.
Results:
A total of 6 TNNT2 mutations were identified in 99 patients, including a G321T missense mutation (Leu84Phe) and 5 novel intronic mutations. Alleles of two novel SNPs (c.192 + 353 C>A, OR = 0.095, 95% CI: 0.013-0.714, P = 0.022; c.192 + 463 G>A, OR = 0.090, 95% CI: 0.012-0.675, P = 0.019) and SNP rs3729843 (OR = 1.889, 95% CI: 1.252-2.852; P = 0.002) were significantly correlated with DCM.
Conclusions:
These results suggest that the missense mutation (Leu84Phe) and two novel SNPs (c.192 + 353 C>A, c.192 + 463 G>A) in TNNT2 gene might be associated with DCM in the Chinese population.
Insights
Genetic variations in the TNNT2 gene, including a missense mutation (Leu84Phe) and two novel SNPs, are associated with dilated cardiomyopathy (DCM) in Chinese patients. These findings highlight TNNT2 as a potential genetic factor in DCM development.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Epidemiology
Background:
- Dilated cardiomyopathy (DCM) is a primary cause of heart failure with significant morbidity and mortality.
- Over 40 genes are linked to DCM, yet the clinical utility of genetic testing remains unclear.
- Mutations in the troponin T (TNNT2) gene are a known cause of DCM.
Purpose of the Study:
- To investigate genetic variations within the TNNT2 gene.
- To determine the association of these TNNT2 variations with DCM in a Chinese patient cohort.
Main Methods:
- DNA sequencing of a 4 kb fragment of the TNNT2 gene.
- Analysis of 103 DCM patients and 192 healthy controls.
- Identification and statistical correlation of genetic variations with DCM.
Main Results:
- Six TNNT2 mutations were found in 99 patients, including Leu84Phe missense mutation and 5 novel intronic mutations.
- Two novel single nucleotide polymorphisms (SNPs), c.192 + 353 C>A and c.192 + 463 G>A, showed significant correlation with DCM.
- SNP rs3729843 was also significantly correlated with DCM.
Conclusions:
- The TNNT2 missense mutation (Leu84Phe) may be associated with DCM in the Chinese population.
- Two novel SNPs (c.192 + 353 C>A, c.192 + 463 G>A) in TNNT2 are potentially linked to DCM in this cohort.
- TNNT2 gene variations warrant further investigation for their role in DCM pathogenesis.
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