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Updated: Jul 29, 2026

Gene Transfer for Ischemic Heart Failure in a Preclinical Model
Published on: May 15, 2011
Case Report: Filamin C gene mutation associated with restrictive cardiomyopathy leading to heart transplantation
Ludmila De Oliveira Jaime Sales1, Paulo Sampaio Gutierrez1, Adailson Wagner D Siqueira1
1Pediatric Cardiology and Adult with Congenital Heart Disease Unit, Instituto do Coração (InCor) do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Insights
Restrictive cardiomyopathy, a rare condition, can be caused by mutations in the Filamin C (FLNC) gene. Understanding FLNC gene mutations is crucial for diagnosing and managing this heart muscle disease.
Area of Science:
- Cardiology
- Genetics
- Molecular Biology
Background:
- Cardiomyopathy encompasses dilated, restrictive, and hypertrophic types, affecting the heart muscle.
- Restrictive cardiomyopathy, characterized by impaired ventricular filling, has rare causes including Filamin C (FLNC) gene mutations.
- Filamin C, an actin-binding protein, is vital for sarcomere stability in striated muscle and its variants are linked to various cardiomyopathies.
Background:
Cardiomyopathy is a disease that affects the myocardium and can be classified as dilated, restrictive, or hypertrophic cardiomyopathy. Among the subtypes, restrictive cardiomyopathy is characterized by restriction of ventricular filling and its uncommon cause is a disease due to mutation on Filamin C (FLNC) gene. Filamin C is an actin-binding protein encoded by FLNC gene and participates in sarcomere stability maintenance, which is expressed on the striated muscle. FLNC variants have been associated with restrictive cardiomyopathy and non-compaction cardiomyopathies. The association of FLNC with a broad spectrum of cardiac phenotypes shows an important gap in knowledge. Therefore, a wide investigation is necessary to diagnose this pathology, including an anatomopathological study and genetic tests.
Methods/Results:
The purpose of this study is to report about a patient who had restrictive cardiomyopathy due to mutation on Filamin C gene and was indicated for heart transplantation.
Conclusion:
The etiology of cardiomyopathy is important for the clinical management of the patient and also for guiding families regarding genetic counseling and prevention of new cases in the family.
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Cardiomyopathy IV: Restrictive Cardiomyopathy
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