Abstract
Cardiomyopathy is caused by functional abnormalities of cardiac muscle, which include both extrinsic and intrinsic factors. The intrinsic factor involves mutations in genes playing roles in performance, regulation, or maintenance of cardiac function. Cardiomyopathy caused by the intrinsic factor is called idiopathic or primary cardiomyopathy, and there are several clinical types of primary cardiomyopathy including hypertrophic cardiomyopathy and dilated cardiomyopathy. Linkage studies and candidate gene approaches have deciphered the disease genes for hereditary primary cardiomyopathy: mutations in genes for components of sarcomere, sarcolemma, Z-disk, proteins of I band region, nuclear membrane, and transcriptional machinery. The most interesting findings are that mutations in different disease genes can be found in the same clinical types of cardiomyopathy and that mutations in the same disease gene can be found in different clinical types of cardiomyopathy. Functional analyses of disease-related mutations have revealed that characteristic functional alterations are associated with each clinical type of cardiomyopathy. In this review I focus on the cardiomyopathy-associated mutations found in genes for sarcomere and Z-disk elements and their functional relevance in the pathogenesis of primary cardiomyopathy.
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Acknowledgments
This work was supported in part by Grant-in-Aids for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology, Japan; research grant for Idiopathic Cardiomyopathy from the Ministry of Health, Labor and Welfare, Japan; grants for Basic Scientific Cooperation Program between Japan and Korea from the Japan Society for the Promotion of Science, the Korea Science and Engineering Foundation, and National Research Foundation of Korea; and research grants from the Institute of Life Science. This work was also supported by the follow-up grants provided from the Tokyo Medical and Dental University.
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Kimura, A. (2011). Cardiomyopathy, Sarcomeropathy, and Z-diskopathy. In: Ostadal, B., Nagano, M., Dhalla, N. (eds) Genes and Cardiovascular Function. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-7207-1_21
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DOI: https://doi.org/10.1007/978-1-4419-7207-1_21
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