Evidence map›Paper›PMID 37463913›Full record

ArticleNature communications2023

Mislocalization of pathogenic RBM20 variants in dilated cardiomyopathy is caused by loss-of-interaction with Transportin-3.

Julia Kornienko, Marta Rodríguez-Martínez, Kai Fenzl, Florian Hinze, Daniel Schraivogel, Markus Grosch, Brigit Tunaj, Dominik Lindenhofer, Laura Schraft, Moritz Kueblbeck and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Novel Truncating Variant c.1222DupC inCirculation. Genomic and precision medicine · 2026
    Article
  3. Review
  4. Article
  5. RBM20 variants disrupt CaSignal transduction and targeted therapy · 2026
    Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Treating RBM20-related cardiomyopathy-Ready for prime time?Molecular therapy. Nucleic acids · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

19 authors at 11 institutions in 4 countries.

Julia KornienkoGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID 0000-0002-7876-230X
Marta Rodríguez-MartínezGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.
Kai FenzlGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID 0000-0001-8097-7740
Florian HinzeMax Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Daniel SchraivogelGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.
Markus GroschGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID 0000-0001-9016-8920
Brigit TunajGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.
Dominik LindenhoferGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID 0000-0001-8838-7163
Laura SchraftGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID 0009-0005-4504-8926
Moritz KueblbeckGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.
Eric SmithUniversity of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-5915-9492
Chad MaoChildren's Healthcare of Atlanta & Emory University, Atlanta, GA, USA.ORCID 0000-0002-6765-5621
Emily BrownJohns Hopkins Hospital, Baltimore, MD, USA.
Anjali OwensUniversity of Pennsylvania, Philadelphia, PA, USA.
Ardan M SagunerDepartment of Cardiology, University Heart Center Zurich, University Hospital Zurich, Zurich, Switzerland.
Benjamin MederCardiogenetics Center Heidelberg, Department of Cardiology, Angiology and Pulmology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0003-0741-2633
Victoria ParikhStanford Center for Inherited Cardiovascular Disease, Division of Cardiovascular Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-5138-5559
Michael GotthardtMax Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.ORCID 0000-0003-1788-3172
Lars M SteinmetzGenome Biology Unit, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany. Lars.Steinmetz@stanford.edu.
European Molecular Biology Laboratory · DEGerman Centre for Cardiovascular Research · DEHeidelberg University · DEMax Delbrück Center · DEEmory University · USEuropean Bioinformatics Institute · GBJohns Hopkins Hospital · USStanford University · USUniversity Hospital of Zurich · CHUniversity of Michigan · USUniversity of Pennsylvania · US

Funding

TRAINING IN MOLECULAR AND CELLULAR CARDIOLOGYT32HL007853 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David J. Pinsky · 1996 to 2026
$11.6M
The Role of RBM20 Sequence and Expression in Dilated CardiomyopathiesK08HL143185 · NHLBI · STANFORD UNIVERSITY · PI PARIKH, VICTORIA · 2019 to 2023
$725k
NHLBI NIH HHS K08 HL143185NHLBI NIH HHS T32 HL007853
6 · The paper itself

Abstract

Severe forms of dilated cardiomyopathy (DCM) are associated with point mutations in the alternative splicing regulator RBM20 that are frequently located in the arginine/serine-rich domain (RS-domain). Such mutations can cause defective splicing and cytoplasmic mislocalization, which leads to the formation of detrimental cytoplasmic granules. Successful development of personalized therapies requires identifying the direct mechanisms of pathogenic RBM20 variants. Here, we decipher the molecular mechanism of RBM20 mislocalization and its specific role in DCM pathogenesis. We demonstrate that mislocalized RBM20 RS-domain variants retain their splice regulatory activity, which reveals that aberrant cellular localization is the main driver of their pathological phenotype. A genome-wide CRISPR knockout screen combined with image-enabled cell sorting identified Transportin-3 (TNPO3) as the main nuclear importer of RBM20. We show that the direct RBM20-TNPO3 interaction involves the RS-domain, and is disrupted by pathogenic variants. Relocalization of pathogenic RBM20 variants to the nucleus restores alternative splicing and dissolves cytoplasmic granules in cell culture and animal models. These findings provide proof-of-principle for developing therapeutic strategies to restore RBM20's nuclear localization in RBM20-DCM patients.

Indexed as

Cardiomyopathy, DilatedAlternative SplicingAnimalsKaryopherinsMutationRNA SplicingKaryopherins

Identifiers

PMID37463913
PMCPMC10353998
OpenAlexW4384662760

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.