Titin-truncating variants affect heart function in disease cohorts and the general population

Titin-truncating variants (TTNtv) commonly cause dilated cardiomyopathy (DCM). TTNtv are also encountered in ∼1% of the general population, where they may be silent, perhaps reflecting allelic factors. To better understand TTNtv, we integrated TTN allelic series, cardiac imaging and genomic data in...

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Autores principales: Schafer, S, de Marvao, A, Adami, E, Fiedler, LR, Ng, B, Khin, E, Rackham, OJL, van Heesch, S, Pua, CJ, Kui, M, Walsh, R, Tayal, U, Prasad, SK, Dawes, TJW, Ko, NSJ, Sim, D, Chan, LLH, Chin, CWL, Mazzarotto, F, Barton, PJ, Kreuchwig, F, de Kleijn, DPV, Totman, T, Biffi, C, Tee, N, Rueckert, D, Schneider, V, Faber, A, Regitz-Zagrosek, V, Seidman, JG, Seidman, CE, Linke, WA, Kovalik, J-P, O'Regan, D, Ware, JS, Hubner, N, Cook, SA
Formato: Journal article
Publicado: Springer Nature 2016
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author Schafer, S
de Marvao, A
Adami, E
Fiedler, LR
Ng, B
Khin, E
Rackham, OJL
van Heesch, S
Pua, CJ
Kui, M
Walsh, R
Tayal, U
Prasad, SK
Dawes, TJW
Ko, NSJ
Sim, D
Chan, LLH
Chin, CWL
Mazzarotto, F
Barton, PJ
Kreuchwig, F
de Kleijn, DPV
Totman, T
Biffi, C
Tee, N
Rueckert, D
Schneider, V
Faber, A
Regitz-Zagrosek, V
Seidman, JG
Seidman, CE
Linke, WA
Kovalik, J-P
O'Regan, D
Ware, JS
Hubner, N
Cook, SA
author_facet Schafer, S
de Marvao, A
Adami, E
Fiedler, LR
Ng, B
Khin, E
Rackham, OJL
van Heesch, S
Pua, CJ
Kui, M
Walsh, R
Tayal, U
Prasad, SK
Dawes, TJW
Ko, NSJ
Sim, D
Chan, LLH
Chin, CWL
Mazzarotto, F
Barton, PJ
Kreuchwig, F
de Kleijn, DPV
Totman, T
Biffi, C
Tee, N
Rueckert, D
Schneider, V
Faber, A
Regitz-Zagrosek, V
Seidman, JG
Seidman, CE
Linke, WA
Kovalik, J-P
O'Regan, D
Ware, JS
Hubner, N
Cook, SA
author_sort Schafer, S
collection OXFORD
description Titin-truncating variants (TTNtv) commonly cause dilated cardiomyopathy (DCM). TTNtv are also encountered in ∼1% of the general population, where they may be silent, perhaps reflecting allelic factors. To better understand TTNtv, we integrated TTN allelic series, cardiac imaging and genomic data in humans and studied rat models with disparate TTNtv. In patients with DCM, TTNtv throughout titin were significantly associated with DCM. Ribosomal profiling in rat showed the translational footprint of premature stop codons in Ttn, TTNtv-position-independent nonsense-mediated degradation of the mutant allele and a signature of perturbed cardiac metabolism. Heart physiology in rats with TTNtv was unremarkable at baseline but became impaired during cardiac stress. In healthy humans, machine-learning-based analysis of high-resolution cardiac imaging showed TTNtv to be associated with eccentric cardiac remodeling. These data show that TTNtv have molecular and physiological effects on the heart across species, with a continuum of expressivity in health and disease.
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spelling oxford-uuid:850f94c1-5ec3-4f49-94dc-dca625b4a9a62022-03-26T21:55:07ZTitin-truncating variants affect heart function in disease cohorts and the general populationJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:850f94c1-5ec3-4f49-94dc-dca625b4a9a6Symplectic Elements at OxfordSpringer Nature2016Schafer, Sde Marvao, AAdami, EFiedler, LRNg, BKhin, ERackham, OJLvan Heesch, SPua, CJKui, MWalsh, RTayal, UPrasad, SKDawes, TJWKo, NSJSim, DChan, LLHChin, CWLMazzarotto, FBarton, PJKreuchwig, Fde Kleijn, DPVTotman, TBiffi, CTee, NRueckert, DSchneider, VFaber, ARegitz-Zagrosek, VSeidman, JGSeidman, CELinke, WAKovalik, J-PO'Regan, DWare, JSHubner, NCook, SATitin-truncating variants (TTNtv) commonly cause dilated cardiomyopathy (DCM). TTNtv are also encountered in ∼1% of the general population, where they may be silent, perhaps reflecting allelic factors. To better understand TTNtv, we integrated TTN allelic series, cardiac imaging and genomic data in humans and studied rat models with disparate TTNtv. In patients with DCM, TTNtv throughout titin were significantly associated with DCM. Ribosomal profiling in rat showed the translational footprint of premature stop codons in Ttn, TTNtv-position-independent nonsense-mediated degradation of the mutant allele and a signature of perturbed cardiac metabolism. Heart physiology in rats with TTNtv was unremarkable at baseline but became impaired during cardiac stress. In healthy humans, machine-learning-based analysis of high-resolution cardiac imaging showed TTNtv to be associated with eccentric cardiac remodeling. These data show that TTNtv have molecular and physiological effects on the heart across species, with a continuum of expressivity in health and disease.
spellingShingle Schafer, S
de Marvao, A
Adami, E
Fiedler, LR
Ng, B
Khin, E
Rackham, OJL
van Heesch, S
Pua, CJ
Kui, M
Walsh, R
Tayal, U
Prasad, SK
Dawes, TJW
Ko, NSJ
Sim, D
Chan, LLH
Chin, CWL
Mazzarotto, F
Barton, PJ
Kreuchwig, F
de Kleijn, DPV
Totman, T
Biffi, C
Tee, N
Rueckert, D
Schneider, V
Faber, A
Regitz-Zagrosek, V
Seidman, JG
Seidman, CE
Linke, WA
Kovalik, J-P
O'Regan, D
Ware, JS
Hubner, N
Cook, SA
Titin-truncating variants affect heart function in disease cohorts and the general population
title Titin-truncating variants affect heart function in disease cohorts and the general population
title_full Titin-truncating variants affect heart function in disease cohorts and the general population
title_fullStr Titin-truncating variants affect heart function in disease cohorts and the general population
title_full_unstemmed Titin-truncating variants affect heart function in disease cohorts and the general population
title_short Titin-truncating variants affect heart function in disease cohorts and the general population
title_sort titin truncating variants affect heart function in disease cohorts and the general population
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