PUBLICATION

RAF1 mutations in childhood-onset dilated cardiomyopathy

Authors
Dhandapany, P.S., Razzaque, M.A., Muthusami, U., Kunnoth, S., Edwards, J.J., Mulero-Navarro, S., Riess, I., Pardo, S., Sheng, J., Rani, D.S., Rani, B., Govindaraj, P., Flex, E., Yokota, T., Furutani, M., Nishizawa, T., Nakanishi, T., Robbins, J., Limongelli, G., Hajjar, R.J., Lebeche, D., Bahl, A., Khullar, M., Rathinavel, A., Sadler, K.C., Tartaglia, M., Matsuoka, R., Thangaraj, K., Gelb, B.D.
ID
ZDB-PUB-140513-67
Date
2014
Source
Nature Genetics   46(6): 635-9 (Journal)
Registered Authors
Sadler Edepli, Kirsten C.
Keywords
none
MeSH Terms
  • Adult
  • Age of Onset
  • Aged
  • Amino Acid Sequence
  • Animals
  • Cardiomyopathy, Dilated/ethnology
  • Cardiomyopathy, Dilated/genetics*
  • Case-Control Studies
  • Cohort Studies
  • Extracellular Signal-Regulated MAP Kinases/metabolism
  • Female
  • Fibroblasts/metabolism
  • HEK293 Cells
  • Humans
  • India
  • Japan
  • Male
  • Mice
  • Middle Aged
  • Molecular Sequence Data
  • Mutation*
  • Phenotype
  • Prevalence
  • Proto-Oncogene Proteins c-raf/genetics*
  • Sequence Homology, Amino Acid
  • Sirolimus/chemistry
  • Zebrafish
PubMed
24777450 Full text @ Nat. Genet.
Abstract
Dilated cardiomyopathy (DCM) is a highly heterogeneous trait with sarcomeric gene mutations predominating. The cause of a substantial percentage of DCMs remains unknown, and no gene-specific therapy is available. On the basis of resequencing of 513 DCM cases and 1,150 matched controls from various cohorts of distinct ancestry, we discovered rare, functional RAF1 mutations in 3 of the cohorts (South Indian, North Indian and Japanese). The prevalence of RAF1 mutations was ~9% in childhood-onset DCM cases in these three cohorts. Biochemical studies showed that DCM-associated RAF1 mutants had altered kinase activity, resulting in largely unaltered ERK activation but in AKT that was hyperactivated in a BRAF-dependent manner. Constitutive expression of these mutants in zebrafish embryos resulted in a heart failure phenotype with AKT hyperactivation that was rescued by treatment with rapamycin. These findings provide new mechanistic insights and potential therapeutic targets for RAF1-associated DCM and further expand the clinical spectrum of RAF1-related human disorders.
Genes / Markers
Figures
Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping