Evidence map›Paper›PMID 24119082›Full record

ArticleClinical and translational science2013

Poor prognosis of rare sarcomeric gene variants in patients with dilated cardiomyopathy.

Marco Merlo, Gianfranco Sinagra, Elisa Carniel, Dobromir Slavov, Xiao Zhu, Giulia Barbati, Anita Spezzacatene, Federica Ramani, Ernesto Salcedo, Andrea Di Lenarda and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Clinical and translational science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Genotype-phenotype associations in dilated cardiomyopathy: meta-analysis on more than 8000 individuals.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Pooled it
  2. Article
  3. Article
  4. Current RNA strategies in treating cardiovascular diseases.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Review
  5. Review
  6. Titin: roles in cardiac function and diseases.Frontiers in physiology · 2024
    Review
  7. Article
  8. Myosin-Related Dilated Cardiomyopathy: Another Elephant Emerges From Darkness.Journal of the American College of Cardiology · 2022
    Article
  9. Observational
  10. Article
  11. Significance of α-Myosin Heavy Chain (Journal of cardiovascular development and disease · 2022
    Article
  12. Clinical Implication of Genetic Testing in Dilated Cardiomyopathy.International journal of heart failure · 2022
    Review
  13. Article
  14. Review
  15. The Role of AI in Characterizing the DCM Phenotype.Frontiers in cardiovascular medicine · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Marco MerloCardiovascular Institute and Adult Medical Genetics, University of Colorado, Aurora, Colorado, USA; Cardiovascular Department "Ospedali Riuniti,"and University of Trieste, Trieste, Italy.
Gianfranco Sinagra
Elisa Carniel
Dobromir Slavov
Xiao Zhu
Giulia Barbati
Anita Spezzacatene
Federica Ramani
Ernesto Salcedo
Andrea Di Lenarda
Luisa Mestroni
Matthew R G Taylor
Familial Cardiomyopathy Registry
University of Colorado Anschutz Medical Campus · USUniversity of Trieste · ITInternational School of Trieste · IT

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Molecular Epidemiology of Dilated CardiomyopathR01HL069071 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MESTRONI, LUISA · 2002 to 2005
$2.3M
Whole genome DNA sequencing to identify novel genes in dilated cardiomyopathyR01HL109209 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI TAYLOR, MATTHEW R · 2012 to 2016
$2.1M
Cardiomyocyte phenotype and mechanotransduction in Filamin C gene variants causing arrhythmogenic cardiomyopathyR01HL147064 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MESTRONI, LUISA, TAYLOR, MATTHEW R · 2020 to 2023
$2.1M
Familial Dilated Cardiomyopathy:Genetic CharacterizationK23HL067915 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI TAYLOR, MATTHEW R · 2002 to 2006
$653k
NCATS NIH HHS UL1 TR001082NCRR NIH HHS UL1 RR025780NHLBI NIH HHS 1R01HL109209-01A1NHLBI NIH HHS K23 HL067915NHLBI NIH HHS R01 HL069071NHLBI NIH HHS R01 HL109209NHLBI NIH HHS R01 HL147064NHLBI NIH HHS R01 HL69071PHS HHS K23 JL067915
6 · The paper itself

Abstract

backgroundIn dilated cardiomyopathy (DCM), the clinical and prognostic implications of rare variants in sarcomeric genes remain poorly understood. To address this question, we analyzed the outcome of rare sarcomeric gene variants in patients enrolled in our Familial Cardiomyopathy Registry.

methodsDCM families harboring rare sarcomeric variants in MYH6, MYH7, MYBPC3, TNNT2, and TTN were identified. Genotype-phenotype association analysis was performed, and long-term survival-free from death or heart transplant was compared between carriers and noncarriers.

resultsWe found 24 rare variants (3 in MYH6, 3 in MYH7, 3 in MYBPC3, 2 in TNNT2, and 13 in TTN) affecting 52 subjects in 25 families. The phenotypes of variant carriers were severe (3 sudden deaths, 6 heart failure deaths, 8 heart transplants, 2 ventricular fibrillations). There was no difference in the overall long-term survival between carriers and the 33 noncarriers (p = 0.322). However after 50 years of age, the combined endpoint of death or transplant was decreased in carriers as compared to noncarriers (p = 0.026).

conclusionsPatients with DCM carrying rare variants in sarcomeric genes manifest a poorer prognosis as compared to noncarriers after the age of 50 years. These data further support the role of genetic testing in DCM for risk stratification.

Indexed as

Genetic VariationSarcomeresAdultAge FactorsCardiac MyosinsCardiomyopathy, DilatedCarrier ProteinsColoradoConnectinDeath, Sudden, CardiacDisease-Free SurvivalFemaleGene FrequencyGenetic Association StudiesGenetic Predisposition to DiseaseHeart FailureCardiac MyosinsCarrier ProteinsConnectinMYH6 protein, humanMYH7 protein, humanMyosin Binding Protein CMyosin Heavy ChainsTNNT2 protein, humanTroponin TTTN protein, humancardiomyopathygenesgeneticsmolecular geneticsphenotypingprognosis

Identifiers

PMID24119082
PMCPMC3865161
OpenAlexW1918241200

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.