TY - JOUR A1 - Friedrichs, Frauke A1 - Zugck, Christian A1 - Rauch, Gerd-Jörg A1 - Ivandic, Boris A1 - Weichenhan, Dieter A1 - Müller-Bardorff, Margit A1 - Meder, Benjamin A1 - El Mokhtari, Nour Eddine A1 - Regitz-Zagrosek, Vera A1 - Hetzer, Roland A1 - Schäfer, Arne A1 - Schreiber, Stefan A1 - Chen, Jian A1 - Neuhaus, Isaac A1 - Ji, Ruiru A1 - Siemers, Nathan O. A1 - Frey, Norbert A1 - Rottbauer, Wolfgang A1 - Katus, Hugo A. A1 - Stoll, Monika T1 - HBEGF, SRA1, and IK: Three cosegregating genes as determinants of cardiomyopathy Y1 - 2009/03/01 JF - Genome Research JO - Genome Research DO - 10.1101/gr.076653.108 UR - http://genome.cshlp.org/content/early/2009/02/05/gr.076653.108.abstract N2 - Human dilated cardiomyopathy (DCM), a disorder of the cardiac muscle, causes considerable morbidity and mortality and is one of the major causes of sudden cardiac death. Genetic factors play a role in the etiology and pathogenesis of DCM. Disease-associated genetic variations identified to date have been identified in single families or single sporadic patients and explain a minority of the etiology of DCM. We show that a 600-kb region of linkage disequilibrium (LD) on 5q31.2-3, harboring multiple genes, is associated with cardiomyopathy in three independent Caucasian populations (combined P-value = 0.00087). Functional assessment in zebrafish demonstrates that at least three genes, orthologous to loci in this LD block, HBEGF, IK, and SRA1, result independently in a phenotype of myocardial contractile dysfunction when their expression is reduced with morpholino antisense reagents. Evolutionary analysis across multiple vertebrate genomes suggests that this heart failure-associated LD block emerged by a series of genomic rearrangements across amphibian, avian, and mammalian genomes and is maintained as a cluster in mammals. Taken together, these observations challenge the simple notion that disease phenotypes can be traced to altered function of a single locus within a haplotype and suggest that a more detailed assessment of causality can be necessary. ER -