Dilated cardiomyopathy (DCM) is more prevalent among individuals of African descent, but a genetic basis for this increased risk has remained unclear. By integrating genomic and phenotypic data from multiple African ancestry cohorts, we identified a common, ancestry-specific nonsense variant in CD36 that increases DCM risk by impairing myocardial energetics. This variant explains one-fifth of the excess DCM burden observed in individuals of African descent.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$32.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout

References
Bibbins-Domingo, K. et al. Racial differences in incident heart failure among young adults. N. Engl. J. Med. 360, 1179–1190 (2009). This paper reported a markedly higher incidence of early onset, nonischemic heart failure among young Black adults compared with white adults, in a pattern often consistent with DCM.
Coburn, C. T. et al. Defective uptake and utilization of long chain fatty acids in muscle and adipose tissues of CD36 knockout mice. J. Biol. Chem. 275, 32523–32529 (2000). This paper provided functional evidence that loss of function of CD36 severely impairs cellular lipid handling, confirming its central role in facilitating fatty acid transport and metabolism in vivo.
Sepúlveda, N. et al. Malaria host candidate genes validated by association with current, recent, and historical measures of transmission intensity. J. Infect. Dis. 216, 45–54 (2017). This paper provided contemporary, population-based evidence that the CD36 nonsense variant rs3211938 is under positive selection in African populations and may confer protection against malaria.
Jurgens, S. J. et al. Genome-wide association study reveals mechanisms underlying dilated cardiomyopathy and myocardial resilience. Nat. Genet. 56, 2636–2645 (2024). This paper presented one of the largest genome-wide association studies of DCM, analyzing around 9,000 cases and 1 million controls of predominantly European ancestry and identifying 70 genomic loci linked to disease susceptibility.
Murashige, D. et al. Comprehensive quantification of fuel use by the failing and nonfailing human heart. Science 370, 364–368 (2020). This paper used metabolomic profiling to show that failing hearts rely less on fatty acid oxidation and more on alternative substrates such as ketone bodies.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This is a summary of: Huffman, J. E. et al. An African ancestry-specific nonsense variant in CD36 is associated with a higher risk of dilated cardiomyopathy. Nat. Genet. https://doi.org/10.1038/s41588-025-02372-2 (2025).
Rights and permissions
About this article
Cite this article
CD36 loss-of-function variant underlies dilated cardiomyopathy risk in African ancestry. Nat Genet 57, 2628–2629 (2025). https://doi.org/10.1038/s41588-025-02426-5
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41588-025-02426-5