Background-Inherited gene defects are an important cause of dilated cardiom
yopathy. Although the chromosome locations of some defects and I disease ge
ne (actin) have been identified, the genetic etiologies of most cases of fa
milial dilated cardiomyopathy remain unknown.
Methods and Results-We clinically evaluated 3 generations of a kindred with
autosomal dominant transmission of dilated cardiomyopathy. Nine surviving
and affected individuals had early-onset disease (ventricular chamber dilat
ion during the teenage years and congestive heart failure during the third
decade of life). The disease was nonpenetrant in 2 obligate carriers, To id
entify the causal gene defect, linkage studies were performed, A new dilate
d cardiomyopathy locus was identified on chromosome 2 between loci GCG and
D2S72 (maximum logarithm of odds [LOD] score=4.86 at theta=0). Because the
massive gene encoding titin, a cytoskeletal muscle protein, resides in this
disease interval, sequences encoding 900 amino acid residues of the cardia
c-specific (N2-B) domain were analyzed. Five sequence variants were identif
ied, but none segregated with disease in this family.
Conclusions-A dilated cardiomyopathy locus (designated CMD1G) is located on
chromosome 2q31 and causes early-onset congestive heart failure. Although
titin remains an intriguing candidate gene for this disorder, a disease-cau
sing mutation is not present in its cardiac-specific N2-B domain.