Extended Data Table 2 Summary of genes associated with recessive CM without replication in multiple families/studies

From: Exploring the complex spectrum of dominance and recessiveness in genetic cardiomyopathies

Gene

Gene function

CM

PMID

Cases

Variant(s)

Methods

AASDH

Synthesises peptides independently of ribosomes

DCM

32870709

1

p.Tyr1061Cysfs*3 (last exon)

ES/HM

ACACB

Fatty acid synthesis enzyme

LVNC

32870709

1

p.Arg2102Gln

ES/HM

Supporting evidence: KO mice had normal lifespan, higher fatty acid oxidation rate, lower fat (PMID:11283375).

BICD2

Cargo adaptor protein for retrograde COPI-independent Golgi-ER transport

DCM

36068540

3

p.Arg810His

ES

Supporting evidence: KO zebrafish displayed a greater rate of embryonic lethality; echocardiography showed a reduction in cardiac output but no significant change in cardiac area or volume, unlike DCM. RNAseq of the zebrafish showed an altered transcriptome, relative to wild-type, though the findings were not particularly specific to DCM (PMID:36068540).

CASZ1

Zinc finger transcription factor

DCM/LVNC

32870709

1

p.Ser237Cys

ES/HM

Supporting evidence: KO mice: embryonic lethality, abnormal heart development/shape, Z line formation (PMID:25190801). GWAS loci - atrial fibrillation (PMID:35872910,30061737,29892015), ECG traits (PMID:36050321,32916098).

GATAD1

H3K4me3 histone code reader protein

DCM

21965549

3

p.Ser102Pro

Linkage /HM/ES

Supporting evidence: In KO zebrafish, 1/6 had enlarged heart, all had lower survival rates (PMID:28955713).

GET3 (ASNA1)

Chaperone for the insertion of tail-anchored proteins into the ER membrane

DCM

31461301

2

p.Cys289Trp / p.Gln305* / p.Val163Ala

ES

Supporting evidence: Homozygous KO zebrafish died by 9 days post fertilisation. Injections of wild-type GET3/ASNA1 mRNA slowed the progression of cardiac failure whereas mutant GET3/ASNA1 mRNA did not (PMID:31461301).

KIF20A

Kinesin motor protein for Aurora B and Golgi vesicle trafficking

RCM

29357359

2

p.Arg182Trp / p.Ser635Thrfs*15

ES

Supporting evidence: 90% of KIF20A morpholino-knockdown zebrafish developed cardiac oedema, pooling of red blood cells proximal to the atrium, tachycardia and increased fractional shortening by 6 days post fertilisation. Wild-type KIF20A cDNA partially rescued the phenotype, whereas mutant cDNA did not. Histology of the fish showed increased ventricular thickness in the mutants (PMID:29357359). KIF20A homozygous KO mice die by 3-4 weeks of age (PMID:27626380).

PHACTR2

Phosphatase and actin regulator

DCM/LVNC

36674904

1

p.Arg511His

ES

RHBDF1

Inactive intramembrane rhomboid protein that regulates EGFR signalling

DCM

32870709

3

p.Gly665Trp / p.Phe405Serfs*16

ES/HM

SLC6A6

Taurine transporter

DCM

31903486

2

p.Gly399Val

ES/HM

Supporting evidence: KO mice had cardiac dysfunction and fractional shortening at older age (PMID:20804595). Putative causal gene at a DCM GWAS locus (PMID:33677556).

SOD2

Manganese-superoxide dismutase

DCM

31494578

1

p.Gly181Val

ES

Supporting evidence: KO mice can develop DCM and demonstrate early death (PMID:7493016,8790408). Putative causal gene at a myocardial fibrosis (interventricular septum and LV free wall) GWAS locus (PMID:37081215).

TAF1A

Part of a transcription factor for ribosomal DNA

DCM

28472305

2

p.Leu84Ser / p.Gly341Arg

ES

Supporting evidence: ClinVar: compound het p.Gly341Arg and p.Thr261Pro in Jamaican African-descent female 0-9 years with RCM (SCV001775486.1). A zebrafish TAF1A KO model showed a heart failure like phenotype; early lethality (death by 11 days post fertilisation); pericardial oedema; reduction in ventricular fractional shortening (PMID:28472305).

ULK1

Autophagosome formation

DCM

32870709

1

p.Arg691Trp

ES/HM

Supporting evidence: Double ULK1/ULK2 KO perinatal mice develop cardiomyopathy (PMID:34724805,35018428,35104184).

  1. DCM, dilated cardiomyopathy; ECG, electrocardiogram; ES, exome sequencing; GWAS, genome-wide association study; HM, homozygosity mapping; Linkage, linkage analysis; KO, knockout; LVNC, left ventricular non-compaction; RCM, restrictive cardiomyopathy.