Abstract
Heart failure is a leading cause of mortality in South Asians. However, its genetic etiology remains largely unknown. Cardiomyopathies due to sarcomeric mutations are a major monogenic cause for heart failure (MIM600958). Here, we describe a deletion of 25 bp in the gene encoding cardiac myosin binding protein C (MYBPC3) that is associated with heritable cardiomyopathies and an increased risk of heart failure in Indian populations (initial study OR = 5.3 (95% CI = 2.3-13), P = 2 x 10(-6); replication study OR = 8.59 (3.19-25.05), P = 3 x 10(-8); combined OR = 6.99 (3.68-13.57), P = 4 x 10(-11)) and that disrupts cardiomyocyte structure in vitro. Its prevalence was found to be high (approximately 4%) in populations of Indian subcontinental ancestry. The finding of a common risk factor implicated in South Asian subjects with cardiomyopathy will help in identifying and counseling individuals predisposed to cardiac diseases in this region.
MeSH Terms
Asia
Autopsy
Base Sequence
Cardiomyopathies/genetics,pathology
Carrier Proteins/genetics,physiology
Case-Control Studies
Cohort Studies
DNA Mutational Analysis
Gene Frequency
Genetic Linkage
Genetic Predisposition to Disease
Geography
Humans
Molecular Sequence Data
Polymorphism, Genetic/physiology
Chemicals
Carrier Proteins
myosin-binding protein C
Authors & Affiliations
25 authors, click to expand affiliations / ORCID
Dhandapany Perundurai S
Department of Biochemistry, Madurai Kamaraj University, Madurai 625 021, India.
Sadayappan Sakthivel
Xue Yali
Powell Gareth T
Rani Deepa Selvi
Nallari Prathiba
Rai Taranjit Singh
Khullar Madhu
Soares Pedro
Bahl Ajay
Tharkan Jagan Mohan
Vaideeswar Pradeep
Rathinavel Andiappan
Narasimhan Calambur
Ayapati Dharma Rakshak
Ayub Qasim
Mehdi S Qasim
Oppenheimer Stephen
Richards Martin B
Price Alkes L
Patterson Nick
Reich David
Singh Lalji
Tyler-Smith Chris
Thangaraj Kumarasamy
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