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Published on: August 8, 2022
Genetic variants in Chinese patients with sporadic dilated cardiomyopathy: a cross-sectional study
Cheng Shen1,2, Lei Xu1, Xiaoning Sun3
1Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai, China.
Insights
Genetic variations in dilated cardiomyopathy (DCM) are common in sporadic DCM (SDCM) patients. These findings suggest genetic factors contribute to the development of SDCM.
Area of Science:
- Cardiovascular Genetics
- Genomics
- Molecular Cardiology
Background:
- Familial dilated cardiomyopathy (DCM) has known genetic links.
- The genetic basis of sporadic DCM (SDCM) remains largely unknown.
- This study investigates genetic variations in Chinese SDCM patients.
Purpose of the Study:
- To identify genetic variations associated with sporadic DCM in a Chinese cohort.
- To determine the frequency and potential pathogenicity of these variants.
- To explore the contribution of genetic factors to SDCM pathogenesis.
Main Methods:
- Targeted next-generation sequencing of 24 key DCM-associated genes.
- Analysis of 66 unrelated Chinese patients diagnosed with SDCM.
- Comparison of identified variants against population databases (1000 Genomes, NHLBI Go Exome Sequencing Project).
- Pathogenicity evaluation using PolyPhen 2 and SIFT algorithms.
Main Results:
- Eighty-five nonsynonymous variants were detected in 17 genes.
- Forty-nine variants showed significantly higher frequencies in SDCM patients compared to the general population.
- Risk variants were found in 61% of patients, with 25% carrying multiple variants.
- MYBPC3, SCN5A, MYH7, MYPN, and LDB3 were identified as high-risk genes.
Conclusions:
- Genetic variants potentially increasing DCM risk are prevalent in SDCM patients.
- Genetic factors likely play a significant role in the pathogenesis and onset of SDCM.
- This study highlights the importance of genetic screening in SDCM.
Background:
Multiple genes have been associated with familial dilated cardiomyopathy (DCM). However, the role of genetic factors in sporadic DCM (SDCM) remains unclear. Therefore, we studied the genetic variations in Chinese patients with SDCM.
Methods:
Sixty-six unrelated Chinese patients (mean age 49.1±17.0 years; 71% male) diagnosed with SDCM were enrolled. The clinical history and genomic DNA of the cohort were collected and examined. The exons of 24 genes closely associated with familial DCM (ABCC9, ACTC1, ACTN2, DES, LAMA4, LDB3, LMNA, MYBPC3, MYH6, MYH7, MYPN, PLN, PSEN1, PSEN2, RBM20, SCN5A, SGCD, TAZ, TCAP, TMPO, TNNI3, TNNT2, TPM1, and VCL) were sequenced using targeted next-generation sequencing method. All called nonsynonymous variants and their occurrence frequencies were compared against population data from public databases. And the nonsynonymous variants were also evaluated for pathogenicity by PolyPhen 2 (PP2) and Sorts Intolerant From Tolerant (SIFT) algorithms.
Results:
Eighty-five nonsynonymous variants were detected in 17 genes. The variants and their occurrence frequencies in the patients were compared against population data from the 1000 Genomes and NHLBI (National Heart, Lung, and Blood Institute) Go Exome Sequencing Project. Forty-nine nonsynonymous variants had occurrence frequencies that were significantly higher in the study patients than in the general population, indicating that they have the potential to increase the risk of DCM. The risk variants were distributed in 40 (61%) patients, among whom 25 carried a single variant, while the remaining patients carried multiple (2 to 4) variants. Risk variants occurred more frequently in MYBPC3 (14% of the patients), SCN5A (14%), MYH7 (12%), MYPN (9%), and LDB3 (8%), as verified by Poisson distribution analysis, which were considered "the five risky genes".
Conclusions:
We found that genetic variants with potential risk for DCM were commonly present in SDCM patients, indicating that genetic factors contribute to the pathogenesis, and (probably) the onset, of DCM in these patients.
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