Cardiovascular Diseases Clinical Trial
To identify new dilated cardiomyopathy genes by genetic linkage and mutational analyses.
BACKGROUND:
Dilated cardiomyopathy (DCM) is a heritable, genetically heterogeneous disorder causing
congestive heart failure. Current medical therapy has minimal impact on prognosis and
cardiac transplantation is the only definitive treatment for end-stage disease. The
molecular and cellular mechanisms underlying DCM are poorly defined, but the importance of
single gene defects in disease pathogenesis is becoming increasingly apparent.
DESIGN NARRATIVE:
The genetic epidemiology study will identify novel dilated cardiomyopathy genes using
genetic linkage and mutational analyses. The first aim is to determine the chromosomal
location of novel familial dilated cardiomyopathy genes. This will be accomplished by
genome-wide genotyping and genetic linkage analyses in three large families with autosomal
dominant dilated cardiomyopathy. Previously identified dilated cardiomyopathy genes have
been excluded in these families. The second aim is to identify mutations in novel genes that
cause familial dilated cardiomyopathy by linkage and sequence analyses of candidate genes
mapping to dilated cardiomyopathy loci. Once novel genes for familial dilated cardiomyopathy
are identified, the third aim will be to determine the role of these genes in a large cohort
of unrelated patients with familial and sporadic dilated cardiomyopathy. High throughput DNA
sequence analyses will be performed to identify additional inherited and de novo mutations.
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