Entry - #601493 - CARDIOMYOPATHY, DILATED, 1C, WITH OR WITHOUT LEFT VENTRICULAR NONCOMPACTION; CMD1C - OMIM
# 601493

CARDIOMYOPATHY, DILATED, 1C, WITH OR WITHOUT LEFT VENTRICULAR NONCOMPACTION; CMD1C


Other entities represented in this entry:

LEFT VENTRICULAR NONCOMPACTION 3, INCLUDED; LVNC3, INCLUDED
CARDIOMYOPATHY, FAMILIAL HYPERTROPHIC, 24, INCLUDED; CMH24, INCLUDED

Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
10q23.2 Left ventricular noncompaction 3 601493 AD 3 LDB3 605906
10q23.2 Cardiomyopathy, dilated, 1C, with or without LVNC 601493 AD 3 LDB3 605906
10q23.2 Cardiomyopathy, hypertrophic, 24 601493 AD 3 LDB3 605906
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal dominant
CARDIOVASCULAR
Heart
- Left ventricular dilation
- Left ventricular noncompaction (in some patients)
- Left ventricular hypertrophy (in some patients)
- Sigmoid septal shape (in some patients)
- Congestive heart failure
- Ventricular arrhythmia (in some patients)
- Sudden cardiac death (in some patients)
- Moderate to marked myocyte hypertrophy seen on biopsy
- Mild to moderate endocardial fibrosis
- Focal myocyte disarray
MOLECULAR BASIS
- Caused by mutation in the LIM domain binding 3 gene (LDB3, 605906.0005)
Left ventricular noncompaction - PS604169 - 18 Entries
Cardiomyopathy, familial hypertrophic - PS192600 - 37 Entries
Location Phenotype Inheritance Phenotype
mapping key
Phenotype
MIM number
Gene/Locus Gene/Locus
MIM number
1p31.1 Cardiomyopathy, hypertrophic, 20 AD 3 613876 NEXN 613121
1q32.1 Cardiomyopathy, hypertrophic, 2 AD 3 115195 TNNT2 191045
1q43 Cardiomyopathy, dilated, 1AA, with or without LVNC AD 3 612158 ACTN2 102573
1q43 Cardiomyopathy, hypertrophic, 23, with or without LVNC AD 3 612158 ACTN2 102573
2q31.2 Cardiomyopathy, familial hypertrophic, 9 AD 3 613765 TTN 188840
3p25.3 Cardiomyopathy, familial hypertrophic AD, DD 3 192600 CAV3 601253
3p21.31 Cardiomyopathy, hypertrophic, 8 AD, AR 3 608751 MYL3 160790
3p21.1 Cardiomyopathy, hypertrophic, 13 AD 3 613243 TNNC1 191040
3q27.1 Cardiomyopathy, familial hypertrophic, 29, with polyglucosan bodies AR 3 620236 KLHL24 611295
4p12 ?Cardiomyopathy, familial hypertrophic, 30, atrial AR 3 620734 CORIN 605236
4q26 Cardiomyopathy, hypertrophic, 16 AD 3 613838 MYOZ2 605602
6q22.31 Cardiomyopathy, hypertrophic, 18 AD 3 613874 PLN 172405
7p12.1-q21 Cardiomyopathy, hypertrophic, 21 AD 2 614676 CMH21 614676
7q32.1 Cardiomyopathy, familial restrictive 5 AD 3 617047 FLNC 102565
7q32.1 Arrhythmogenic right ventricular dysplasia, familial AD 3 617047 FLNC 102565
7q32.1 Cardiomyopathy, familial hypertrophic, 26 AD 3 617047 FLNC 102565
7q36.1 Cardiomyopathy, hypertrophic 6 AD 3 600858 PRKAG2 602743
10q21.3 Cardiomyopathy, familial restrictive, 4 AD 3 615248 MYPN 608517
10q21.3 Cardiomyopathy, hypertrophic, 22 AD 3 615248 MYPN 608517
10q21.3 Cardiomyopathy, dilated, 1KK AD 3 615248 MYPN 608517
10q22.2 Cardiomyopathy, hypertrophic, 15 AD 3 613255 VCL 193065
10q23.2 Left ventricular noncompaction 3 AD 3 601493 LDB3 605906
10q23.2 Cardiomyopathy, dilated, 1C, with or without LVNC AD 3 601493 LDB3 605906
10q23.2 Cardiomyopathy, hypertrophic, 24 AD 3 601493 LDB3 605906
11p15.1 Cardiomyopathy, hypertrophic, 12 AD 3 612124 CSRP3 600824
11p11.2 Cardiomyopathy, hypertrophic, 4 AD, AR 3 115197 MYBPC3 600958
12q24.11 Cardiomyopathy, hypertrophic, 10 AD 3 608758 MYL2 160781
14q11.2 Cardiomyopathy, hypertrophic, 14 AD 3 613251 MYH6 160710
14q11.2 Cardiomyopathy, hypertrophic, 1 AD, DD 3 192600 MYH7 160760
15q14 Cardiomyopathy, hypertrophic, 11 AD 3 612098 ACTC1 102540
15q22.2 Cardiomyopathy, hypertrophic, 3 AD 3 115196 TPM1 191010
15q25.3 Cardiomyopathy, familial hypertrophic 27 AR 3 618052 ALPK3 617608
17q12 Cardiomyopathy, hypertrophic, 25 AD 3 607487 TCAP 604488
18q12.2 Cardiomyopathy, familial hypertrophic, 28 AD 3 619402 FHOD3 609691
19q13.42 Cardiomyopathy, hypertrophic, 7 AD 3 613690 TNNI3 191044
20q11.21 Cardiomyopathy, hypertrophic, 1, digenic AD, DD 3 192600 MYLK2 606566
20q13.12 Cardiomyopathy, hypertrophic, 17 AD 3 613873 JPH2 605267
Dilated cardiomyopathy - PS115200 - 60 Entries
Location Phenotype Inheritance Phenotype
mapping key
Phenotype
MIM number
Gene/Locus Gene/Locus
MIM number
1p36.32 Left ventricular noncompaction 8 AD 3 615373 PRDM16 605557
1p36.32 Cardiomyopathy, dilated, 1LL AD 3 615373 PRDM16 605557
1p34.2 Cardiomyopathy, dilated, 2C AR 3 618189 PPCS 609853
1p31.1 Cardiomyopathy, dilated, 1CC AD 3 613122 NEXN 613121
1q22 Cardiomyopathy, dilated, 1A AD 3 115200 LMNA 150330
1q32.1 Cardiomyopathy, dilated, 1D AD 3 601494 TNNT2 191045
1q32.1 Left ventricular noncompaction 6 AD 3 601494 TNNT2 191045
1q42.13 Cardiomyopathy, dilated, 1V AD 3 613697 PSEN2 600759
1q43 Cardiomyopathy, hypertrophic, 23, with or without LVNC AD 3 612158 ACTN2 102573
1q43 Cardiomyopathy, dilated, 1AA, with or without LVNC AD 3 612158 ACTN2 102573
2q14-q22 Cardiomyopathy, dilated, 1H 2 604288 CMD1H 604288
2q31.2 Cardiomyopathy, dilated, 1G AD 3 604145 TTN 188840
2q35 Cardiomyopathy, dilated, 1I AD 3 604765 DES 125660
3p25.2 Cardiomyopathy, dilated, 1NN AD 3 615916 RAF1 164760
3p22.2 Cardiomyopathy, dilated, 1E AD 3 601154 SCN5A 600163
3p21.1 Cardiomyopathy, dilated, 1Z AD 3 611879 TNNC1 191040
5p15.33 Cardiomyopathy, dilated, 1GG AR 3 613642 SDHA 600857
5q33.2-q33.3 Cardiomyopathy, dilated, 1L 3 606685 SGCD 601411
6p22.3 Cardiomyopathy, dilated, 2I AR 3 620462 CAP2 618385
6q12-q16 Cardiomyopathy, dilated, 1K 2 605582 CMD1K 605582
6q21 Cardiomyopathy, dilated, 1JJ AD 3 615235 LAMA4 600133
6q22.31 Cardiomyopathy, dilated, 1P 3 609909 PLN 172405
6q23.2 ?Cardiomyopathy, dilated, 1J AD 3 605362 EYA4 603550
7q21.2 ?Cardiomyopathy, dilated, 2B AR 3 614672 GATAD1 614518
7q22.3-q31.1 Cardiomyopathy, dilated, 1Q 2 609915 CMD1Q 609915
7q31.32 Cardiomyopathy, dilated, 2G AR 3 619897 LMOD2 608006
9q13 Cardiomyopathy, dilated 1B AD 2 600884 CMD1B 600884
9q31.2 Cardiomyopathy, dilated, 1X AR 3 611615 FKTN 607440
10q21.3 Cardiomyopathy, dilated, 1KK AD 3 615248 MYPN 608517
10q21.3 Cardiomyopathy, familial restrictive, 4 AD 3 615248 MYPN 608517
10q21.3 Cardiomyopathy, hypertrophic, 22 AD 3 615248 MYPN 608517
10q22.2 Cardiomyopathy, dilated, 1W 3 611407 VCL 193065
10q23.2 Cardiomyopathy, dilated, 1C, with or without LVNC AD 3 601493 LDB3 605906
10q23.2 Cardiomyopathy, hypertrophic, 24 AD 3 601493 LDB3 605906
10q23.2 Left ventricular noncompaction 3 AD 3 601493 LDB3 605906
10q25.2 Cardiomyopathy, dilated, 1DD AD 3 613172 RBM20 613171
10q26.11 Cardiomyopathy, dilated, 1HH AD 3 613881 BAG3 603883
11p15.1 ?Cardiomyopathy, dilated, 1M 3 607482 CSRP3 600824
11p11.2 Left ventricular noncompaction 10 AD 3 615396 MYBPC3 600958
11p11.2 Cardiomyopathy, dilated, 1MM AD 3 615396 MYBPC3 600958
11q23.1 Cardiomyopathy, dilated, 1II AD 3 615184 CRYAB 123590
12p12.1 Cardiomyopathy, dilated, 1O AD 3 608569 ABCC9 601439
14q11.2 Cardiomyopathy, dilated, 1EE AD 3 613252 MYH6 160710
14q11.2 Cardiomyopathy, dilated, 1S AD 3 613426 MYH7 160760
14q11.2 Left ventricular noncompaction 5 AD 3 613426 MYH7 160760
14q24.2 Cardiomyopathy, dilated, 1U AD 3 613694 PSEN1 104311
14q32.33 Cardiomyopathy, dilated, 2F AR 3 619747 BAG5 603885
15q14 Left ventricular noncompaction 4 AD 3 613424 ACTC1 102540
15q14 Cardiomyopathy, dilated, 1R AD 3 613424 ACTC1 102540
15q22.2 Left ventricular noncompaction 9 AD 3 611878 TPM1 191010
15q22.2 Cardiomyopathy, dilated, 1Y AD 3 611878 TPM1 191010
16p13.3 Cardiomyopathy, dilated, 2D AR 3 619371 RPL3L 617416
17p11.2 Cardiomyopathy, dilated, 2J AR 3 620635 FLII 600362
17q22 ?Cardiomyopathy, dilated, 1OO AD 3 620247 VEZF1 606747
18q12.1 Cardiomyopathy, dilated, 1BB AR 3 612877 DSG2 125671
19p13.13 ?Cardiomyopathy, dilated, 2H AR 3 620203 GET3 601913
19q13.42 ?Cardiomyopathy, dilated, 2A AR 3 611880 TNNI3 191044
19q13.42 Cardiomyopathy, dilated, 1FF 3 613286 TNNI3 191044
20q13.12 Cardiomyopathy, dilated, 2E AR 3 619492 JPH2 605267
Xp21.2-p21.1 Cardiomyopathy, dilated, 3B XL 3 302045 DMD 300377

TEXT

A number sign (#) is used with this entry because of evidence that dilated cardiomyopathy-1C with or without left ventricular noncompaction (CMD1C), left ventricular noncompaction-3 (LVNC3), and familial hypertrophic cardiomyopathy-24 (CMH24) are caused by heterozygous mutation in the LDB3 gene (605906) on chromosome 10p23.

For a general phenotypic description and a discussion of genetic heterogeneity of dilated cardiomyopathy, see CMD1A (115200); for a similar discussion of left ventricular noncompaction and familial hypertrophic cardiomyopathy, see LVNC1 (604169) and CMH1 (192600), respectively.


Clinical Features

Xing et al. (2006) reported 2 Japanese families, one with dilated cardiomyopathy and/or left ventricular noncompaction, and the other with isolated LVNC. In the first family, twin sisters presented with isolated LVNC shortly after birth; their father and paternal grandfather were reportedly diagnosed with LVNC and dilated cardiomyopathy. In the second family, the male proband was diagnosed with isolated LVNC and Wolff-Parkinson-White syndrome (WPW; 194200) on routine physical examination at 13 years of age; his asymptomatic mother was found to have LVNC on echocardiography. A maternal aunt died at 10 years of age of indistinct cardiac disease.

Theis et al. (2006) reported 6 unrelated patients with CMH who were diagnosed in the third to seventh decades of life and who had maximum left ventricular wall thicknesses ranging from 13 to 27 mm; all but 1 had a sigmoid septal shape. Two of the patients underwent myectomy, with moderate to marked myocyte hypertrophy, mild to moderate endocardial fibrosis, and focal myocyte disarray noted on histopathologic examination. Only 1 patient had a family history of CMH, and none of the 6 had a family history of sudden cardiac death.


Mapping

Bowles et al. (1996) found linkage between familial autosomal dominant dilated cardiomyopathy and markers at 10q21-q23 in a family in which 12 of 26 members were affected.


Molecular Genetics

Vatta et al. (2003) screened the LDB3 gene in 100 probands with dilated cardiomyopathy (CMD), 15 of whom also had left ventricular noncompaction (LVNC). They identified heterozygous missense mutations in 2 families, one with CMD and left ventricular hypertrophy (LVH) and the other with CMD, severe LVH, and LVNC (605906.0004 and 605906.0005, respectively), and 4 sporadic patients, 1 with CMD and LVH (605906.0008) and 3 with CMD and LVNC, 1 of whom also had severe LVH (605906.0006 and 605906.0007, respectively).

Arimura et al. (2004) analyzed the LDB3 gene in 96 unrelated Japanese patients with dilated cardiomyopathy who were negative for mutation in 11 other cardiomyopathy-associated genes and identified a missense mutation (605906.0009) in a 61-year-old man; his affected brother and sister also carried the mutation as did an unaffected sister. An older brother had died suddenly at age 51 and another brother died of CMD at age 61. Development of disease occurred relatively late in this family: after 50 years of age in the 4 affected brothers, and at 69 years of age in their affected sister. The authors noted that the 65-year-old mutation-positive unaffected sister might yet develop disease. There were no signs of skeletal muscle involvement in these patients and no evidence of a primary conduction defect on electrocardiogram. The mutation was not found in 2 unaffected brothers or in 400 unrelated healthy controls.

In 4 affected members of 2 unrelated Japanese families with LVNC, Xing et al. (2006) identified heterozygosity for a 1876G-A transition in exon 15 of LDB3, resulting in the D626N substitution. The mutation was not found in 200 controls. In the first family, twin sisters presented with isolated LVNC shortly after birth; their father and paternal grandfather were reportedly diagnosed with LVNC and dilated cardiomyopathy, but DNA was not available for study. In the second family, the male proband was diagnosed with isolated LVNC and Wolff-Parkinson-White syndrome (WPW; 194200) on routine physical examination at 13 years of age; his asymptomatic mutation-positive mother was found to have LVNC on echocardiography. A maternal aunt died at 10 years of age of indistinct cardiac disease.

In a cohort of 239 patients with CMH who were negative for mutation in the 8 most common CMH-associated myofilament genes, Theis et al. (2006) analyzed 5 candidate Z-disc genes and identified 14 mutations in 13 patients, including 5 different heterozygous missense mutations in the LDB3 gene in 6 unrelated patients (see, e.g., 605906.0005 and 605906.0010). The authors observed that 11 (85%) of the 13 patients with Z-disc-associated CMH had a sigmoidal septal contour, in contrast to the reverse septal curvature seen with myofilament-associated CMH.

Levitas et al. (2016) studied 2 large Bedouin families segregating autosomal dominant CMD and ventricular arrhythmias, with focal LVNC in some patients of the first family and apical trabeculations compatible with a mild variant of LVNC some patients of the second family. Analysis of 100 cardiomyopathy-associated genes revealed only 1 putative mutation, the D117N variant in the LDB3 gene (605906.0007). However, the variant was present in only 6 of 16 genotyped patients, and was also detected in 5 healthy family members who were thoroughly evaluated. In addition, there was no apparent correlation between disease severity and the presence of D117N. The variant was present in heterozygosity in 11 (5.2%) of 210 chromosomes from unrelated individuals from the general Bedouin population from the same region of southern Israel, which was much higher than the incidence of idiopathic CMD in that population. Levitas et al. (2016) concluded that, at least in the Bedouin population, D117N is not the causative mutation for these cardiac abnormalities, and suggested that it may not be causative in other patients as well.


REFERENCES

  1. Arimura, T., Hayashi, T., Terada, H., Lee, S.-Y., Zhou, Q., Takahashi, M., Ueda, K., Nouchi, T., Hohda, S., Shibutani, M., Hirose, M., Chen, J., Park, J.-E., Yasunami, M., Hayashi, H., Kimura, A. A Cypher/ZASP mutation associated with dilated cardiomyopathy alters the binding affinity to protein kinase C. J. Biol. Chem. 279: 6746-6752, 2004. [PubMed: 14660611, related citations] [Full Text]

  2. Bowles, K. R., Gajarski, R., Porter, P., Goytia, V., Bachinski, L., Roberts, R., Pignatelli, R., Towbin, J. A. Gene mapping of familial autosomal dominant dilated cardiomyopathy to chromosome 10q21-23. J. Clin. Invest. 98: 1355-1360, 1996. [PubMed: 8823300, related citations] [Full Text]

  3. Levitas, A., Konstantino, Y., Muhammad, E., Afawi, Z., Weinstein, J. M., Amit, G., Etzion, Y., Parvari, R. D117N in Cypher/ZASP may not be a causative mutation for dilated cardiomyopathy and ventricular arrhythmias. Europ. J. Hum. Genet. 24: 666-671, 2016. [PubMed: 26419279, related citations] [Full Text]

  4. Theis, J. L., Bos, J. M., Bartleson, V. B., Will, M. L., Binder, J., Vatta, M., Towbin, J. A., Gersh, B. J., Ommen, S. R., Ackerman, M. J. Echocardiographic-determined septal morphology in Z-disc hypertrophic cardiomyopathy. Biochem. Biophys. Res. Commun. 351: 896-902, 2006. [PubMed: 17097056, related citations] [Full Text]

  5. Vatta, M., Mohapatra, B., Jimenez, S., Sanchez, X., Faulkner, G., Perles, Z., Sinagra, G., Lin, J.-H., Vu, T. M., Zhou, Q., Bowles, K. R., Di Lenarda, A., and 10 others. Mutations in Cypher/ZASP in patients with dilated cardiomyopathy and left ventricular non-compaction. J. Am. Coll. Cardiol. 42: 2014-2017, 2003. [PubMed: 14662268, related citations] [Full Text]

  6. Xing, Y., Ichida, F., Matsuoka, T., Isobe, T., Ikemoto, Y., Higaki, T., Tsuji, T., Haneda, N., Kuwabara, A., Chen, R., Futatani, T., Tsubata, S., Watanabe, S., Watanabe, K., Hirono, K., Uese, K., Miyawaki, T., Bowles, K. R., Bowles, N. E., Towbin, J. A. Genetic analysis in patients with left ventricular noncompaction and evidence for genetic heterogeneity. Molec. Genet. Metab. 88: 71-77, 2006. [PubMed: 16427346, related citations] [Full Text]


Marla J. F. O'Neill - updated : 07/11/2016
Marla J. F. O'Neill - updated : 4/20/2015
Marla J. F. O'Neill - updated : 6/7/2010
Marla J. F. O'Neill - updated : 9/4/2007
Marla J. F. O'Neill - updated : 10/14/2005
Victor A. McKusick - updated : 3/25/2003
Creation Date:
Victor A. McKusick : 11/11/1996
carol : 01/17/2020
alopez : 07/11/2016
carol : 5/28/2015
mcolton : 5/26/2015
mcolton : 5/26/2015
carol : 4/21/2015
carol : 4/20/2015
carol : 4/20/2015
carol : 6/7/2010
carol : 6/7/2010
carol : 9/4/2007
carol : 9/4/2007
carol : 9/4/2007
carol : 10/14/2005
carol : 10/14/2005
joanna : 3/18/2004
carol : 3/28/2003
terry : 3/25/2003
mgross : 9/13/1999
carol : 8/20/1998
dkim : 6/30/1998
mark : 11/21/1996
terry : 11/21/1996
mark : 11/11/1996
mark : 11/11/1996

# 601493

CARDIOMYOPATHY, DILATED, 1C, WITH OR WITHOUT LEFT VENTRICULAR NONCOMPACTION; CMD1C


Other entities represented in this entry:

LEFT VENTRICULAR NONCOMPACTION 3, INCLUDED; LVNC3, INCLUDED
CARDIOMYOPATHY, FAMILIAL HYPERTROPHIC, 24, INCLUDED; CMH24, INCLUDED

ORPHA: 154, 54260;   DO: 0110423;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
10q23.2 Left ventricular noncompaction 3 601493 Autosomal dominant 3 LDB3 605906
10q23.2 Cardiomyopathy, dilated, 1C, with or without LVNC 601493 Autosomal dominant 3 LDB3 605906
10q23.2 Cardiomyopathy, hypertrophic, 24 601493 Autosomal dominant 3 LDB3 605906

TEXT

A number sign (#) is used with this entry because of evidence that dilated cardiomyopathy-1C with or without left ventricular noncompaction (CMD1C), left ventricular noncompaction-3 (LVNC3), and familial hypertrophic cardiomyopathy-24 (CMH24) are caused by heterozygous mutation in the LDB3 gene (605906) on chromosome 10p23.

For a general phenotypic description and a discussion of genetic heterogeneity of dilated cardiomyopathy, see CMD1A (115200); for a similar discussion of left ventricular noncompaction and familial hypertrophic cardiomyopathy, see LVNC1 (604169) and CMH1 (192600), respectively.


Clinical Features

Xing et al. (2006) reported 2 Japanese families, one with dilated cardiomyopathy and/or left ventricular noncompaction, and the other with isolated LVNC. In the first family, twin sisters presented with isolated LVNC shortly after birth; their father and paternal grandfather were reportedly diagnosed with LVNC and dilated cardiomyopathy. In the second family, the male proband was diagnosed with isolated LVNC and Wolff-Parkinson-White syndrome (WPW; 194200) on routine physical examination at 13 years of age; his asymptomatic mother was found to have LVNC on echocardiography. A maternal aunt died at 10 years of age of indistinct cardiac disease.

Theis et al. (2006) reported 6 unrelated patients with CMH who were diagnosed in the third to seventh decades of life and who had maximum left ventricular wall thicknesses ranging from 13 to 27 mm; all but 1 had a sigmoid septal shape. Two of the patients underwent myectomy, with moderate to marked myocyte hypertrophy, mild to moderate endocardial fibrosis, and focal myocyte disarray noted on histopathologic examination. Only 1 patient had a family history of CMH, and none of the 6 had a family history of sudden cardiac death.


Mapping

Bowles et al. (1996) found linkage between familial autosomal dominant dilated cardiomyopathy and markers at 10q21-q23 in a family in which 12 of 26 members were affected.


Molecular Genetics

Vatta et al. (2003) screened the LDB3 gene in 100 probands with dilated cardiomyopathy (CMD), 15 of whom also had left ventricular noncompaction (LVNC). They identified heterozygous missense mutations in 2 families, one with CMD and left ventricular hypertrophy (LVH) and the other with CMD, severe LVH, and LVNC (605906.0004 and 605906.0005, respectively), and 4 sporadic patients, 1 with CMD and LVH (605906.0008) and 3 with CMD and LVNC, 1 of whom also had severe LVH (605906.0006 and 605906.0007, respectively).

Arimura et al. (2004) analyzed the LDB3 gene in 96 unrelated Japanese patients with dilated cardiomyopathy who were negative for mutation in 11 other cardiomyopathy-associated genes and identified a missense mutation (605906.0009) in a 61-year-old man; his affected brother and sister also carried the mutation as did an unaffected sister. An older brother had died suddenly at age 51 and another brother died of CMD at age 61. Development of disease occurred relatively late in this family: after 50 years of age in the 4 affected brothers, and at 69 years of age in their affected sister. The authors noted that the 65-year-old mutation-positive unaffected sister might yet develop disease. There were no signs of skeletal muscle involvement in these patients and no evidence of a primary conduction defect on electrocardiogram. The mutation was not found in 2 unaffected brothers or in 400 unrelated healthy controls.

In 4 affected members of 2 unrelated Japanese families with LVNC, Xing et al. (2006) identified heterozygosity for a 1876G-A transition in exon 15 of LDB3, resulting in the D626N substitution. The mutation was not found in 200 controls. In the first family, twin sisters presented with isolated LVNC shortly after birth; their father and paternal grandfather were reportedly diagnosed with LVNC and dilated cardiomyopathy, but DNA was not available for study. In the second family, the male proband was diagnosed with isolated LVNC and Wolff-Parkinson-White syndrome (WPW; 194200) on routine physical examination at 13 years of age; his asymptomatic mutation-positive mother was found to have LVNC on echocardiography. A maternal aunt died at 10 years of age of indistinct cardiac disease.

In a cohort of 239 patients with CMH who were negative for mutation in the 8 most common CMH-associated myofilament genes, Theis et al. (2006) analyzed 5 candidate Z-disc genes and identified 14 mutations in 13 patients, including 5 different heterozygous missense mutations in the LDB3 gene in 6 unrelated patients (see, e.g., 605906.0005 and 605906.0010). The authors observed that 11 (85%) of the 13 patients with Z-disc-associated CMH had a sigmoidal septal contour, in contrast to the reverse septal curvature seen with myofilament-associated CMH.

Levitas et al. (2016) studied 2 large Bedouin families segregating autosomal dominant CMD and ventricular arrhythmias, with focal LVNC in some patients of the first family and apical trabeculations compatible with a mild variant of LVNC some patients of the second family. Analysis of 100 cardiomyopathy-associated genes revealed only 1 putative mutation, the D117N variant in the LDB3 gene (605906.0007). However, the variant was present in only 6 of 16 genotyped patients, and was also detected in 5 healthy family members who were thoroughly evaluated. In addition, there was no apparent correlation between disease severity and the presence of D117N. The variant was present in heterozygosity in 11 (5.2%) of 210 chromosomes from unrelated individuals from the general Bedouin population from the same region of southern Israel, which was much higher than the incidence of idiopathic CMD in that population. Levitas et al. (2016) concluded that, at least in the Bedouin population, D117N is not the causative mutation for these cardiac abnormalities, and suggested that it may not be causative in other patients as well.


REFERENCES

  1. Arimura, T., Hayashi, T., Terada, H., Lee, S.-Y., Zhou, Q., Takahashi, M., Ueda, K., Nouchi, T., Hohda, S., Shibutani, M., Hirose, M., Chen, J., Park, J.-E., Yasunami, M., Hayashi, H., Kimura, A. A Cypher/ZASP mutation associated with dilated cardiomyopathy alters the binding affinity to protein kinase C. J. Biol. Chem. 279: 6746-6752, 2004. [PubMed: 14660611] [Full Text: https://doi.org/10.1074/jbc.M311849200]

  2. Bowles, K. R., Gajarski, R., Porter, P., Goytia, V., Bachinski, L., Roberts, R., Pignatelli, R., Towbin, J. A. Gene mapping of familial autosomal dominant dilated cardiomyopathy to chromosome 10q21-23. J. Clin. Invest. 98: 1355-1360, 1996. [PubMed: 8823300] [Full Text: https://doi.org/10.1172/JCI118922]

  3. Levitas, A., Konstantino, Y., Muhammad, E., Afawi, Z., Weinstein, J. M., Amit, G., Etzion, Y., Parvari, R. D117N in Cypher/ZASP may not be a causative mutation for dilated cardiomyopathy and ventricular arrhythmias. Europ. J. Hum. Genet. 24: 666-671, 2016. [PubMed: 26419279] [Full Text: https://doi.org/10.1038/ejhg.2015.195]

  4. Theis, J. L., Bos, J. M., Bartleson, V. B., Will, M. L., Binder, J., Vatta, M., Towbin, J. A., Gersh, B. J., Ommen, S. R., Ackerman, M. J. Echocardiographic-determined septal morphology in Z-disc hypertrophic cardiomyopathy. Biochem. Biophys. Res. Commun. 351: 896-902, 2006. [PubMed: 17097056] [Full Text: https://doi.org/10.1016/j.bbrc.2006.10.119]

  5. Vatta, M., Mohapatra, B., Jimenez, S., Sanchez, X., Faulkner, G., Perles, Z., Sinagra, G., Lin, J.-H., Vu, T. M., Zhou, Q., Bowles, K. R., Di Lenarda, A., and 10 others. Mutations in Cypher/ZASP in patients with dilated cardiomyopathy and left ventricular non-compaction. J. Am. Coll. Cardiol. 42: 2014-2017, 2003. [PubMed: 14662268] [Full Text: https://doi.org/10.1016/j.jacc.2003.10.021]

  6. Xing, Y., Ichida, F., Matsuoka, T., Isobe, T., Ikemoto, Y., Higaki, T., Tsuji, T., Haneda, N., Kuwabara, A., Chen, R., Futatani, T., Tsubata, S., Watanabe, S., Watanabe, K., Hirono, K., Uese, K., Miyawaki, T., Bowles, K. R., Bowles, N. E., Towbin, J. A. Genetic analysis in patients with left ventricular noncompaction and evidence for genetic heterogeneity. Molec. Genet. Metab. 88: 71-77, 2006. [PubMed: 16427346] [Full Text: https://doi.org/10.1016/j.ymgme.2005.11.009]


Contributors:
Marla J. F. O'Neill - updated : 07/11/2016
Marla J. F. O'Neill - updated : 4/20/2015
Marla J. F. O'Neill - updated : 6/7/2010
Marla J. F. O'Neill - updated : 9/4/2007
Marla J. F. O'Neill - updated : 10/14/2005
Victor A. McKusick - updated : 3/25/2003

Creation Date:
Victor A. McKusick : 11/11/1996

Edit History:
carol : 01/17/2020
alopez : 07/11/2016
carol : 5/28/2015
mcolton : 5/26/2015
mcolton : 5/26/2015
carol : 4/21/2015
carol : 4/20/2015
carol : 4/20/2015
carol : 6/7/2010
carol : 6/7/2010
carol : 9/4/2007
carol : 9/4/2007
carol : 9/4/2007
carol : 10/14/2005
carol : 10/14/2005
joanna : 3/18/2004
carol : 3/28/2003
terry : 3/25/2003
mgross : 9/13/1999
carol : 8/20/1998
dkim : 6/30/1998
mark : 11/21/1996
terry : 11/21/1996
mark : 11/11/1996
mark : 11/11/1996