PUBLICATION

Genome-wide Studies of Copy Number Variation and Exome Sequencing Identify Rare Variants in BAG3 as a Cause of Dilated Cardiomyopathy

Authors
Norton, N., Li, D., Rieder, M.J., Siegfried, J.D., Rampersaud, E., Züchner, S., Mangos, S., Gonzalez-Quintana, J., Wang, L., McGee, S., Reiser, J., Martin, E., Nickerson, D.A., and Hershberger, R.E.
ID
ZDB-PUB-110316-36
Date
2011
Source
American journal of human genetics   88(3): 273-282 (Journal)
Registered Authors
Mangos, Steve
Keywords
none
MeSH Terms
  • Adaptor Proteins, Signal Transducing/genetics*
  • Adult
  • Aged
  • Animals
  • Apoptosis Regulatory Proteins
  • Base Sequence
  • Cardiomyopathy, Dilated/genetics*
  • DNA Copy Number Variations/genetics*
  • DNA Mutational Analysis
  • Exons/genetics*
  • Female
  • Gene Knockdown Techniques
  • Genome-Wide Association Study*
  • Heterozygote
  • Humans
  • Hybridization, Genetic
  • Male
  • Middle Aged
  • Models, Animal
  • Molecular Sequence Data
  • Pedigree
  • Phenotype
  • Point Mutation/genetics*
  • Quality Control
  • Young Adult
  • Zebrafish/genetics
  • Zebrafish Proteins/genetics
PubMed
21353195 Full text @ Am. J. Hum. Genet.
Abstract
Dilated cardiomyopathy commonly causes heart failure and is the most frequent precipitating cause of heart transplantation. Familial dilated cardiomyopathy has been shown to be caused by rare variant mutations in more than 30 genes but only ∼35% of its genetic cause has been identified, principally by using linkage-based or candidate gene discovery approaches. In a multigenerational family with autosomal dominant transmission, we employed whole-exome sequencing in a proband and three of his affected family members, and genome-wide copy number variation in the proband and his affected father and unaffected mother. Exome sequencing identified 428 single point variants resulting in missense, nonsense, or splice site changes. Genome-wide copy number analysis identified 51 insertion deletions and 440 copy number variants > 1 kb. Of these, a 8733 bp deletion, encompassing exon 4 of the heat shock protein cochaperone BCL2-associated athanogene 3 (BAG3), was found in seven affected family members and was absent in 355 controls. To establish the relevance of variants in this protein class in genetic DCM, we sequenced the coding exons in BAG3 in 311 other unrelated DCM probands and identified one frameshift, two nonsense, and four missense rare variants absent in 355 control DNAs, four of which were familial and segregated with disease. Knockdown of bag3 in a zebrafish model recapitulated DCM and heart failure. We conclude that new comprehensive genomic approaches have identified rare variants in BAG3 as causative of DCM.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping