The Role of Cardiac Troponin T Quantity and Function in Cardiac Development and Dilated Cardiomyopathy Determinants of DCM Severity
2008

The Role of Cardiac Troponin T in Heart Development and Disease

publication Evidence: high

Author Information

Author(s): Ahmad Ferhaan, Banerjee Sanjay K., Lage Michele L., Huang Xueyin N., Smith Stephen H., Saba Samir, Rager Jennifer, Conner David A., Janczewski Andrzej M., Tobita Kimimasa, Tinney Joseph P., Moskowitz Ivan P., Perez-Atayde Antonio R., Keller Bradley B., Mathier Michael A., Shroff Sanjeev G., Seidman Christine E., Seidman J. G.

Primary Institution: University of Pittsburgh

Hypothesis

Do TNNT2 mutations cause cardiomyopathies by altering cardiac troponin T function or quantity?

Conclusion

The severity of dilated cardiomyopathy is related to the ratio of mutant to wildtype cardiac troponin T transcript.

Supporting Evidence

  • Absence of one Tnnt2 allele leads to a mild deficit in transcript but not protein.
  • DCM results from abnormal function of a mutant protein, which is associated with myocyte Ca2+ desensitization.
  • The severity of DCM depends on the ratio of mutant to wildtype Tnnt2 transcript.
  • Normal embryonic heart looping occurs without contractile activity.

Takeaway

This study shows that having one normal copy of a gene related to heart function is usually enough for a healthy heart, but certain mutations can still cause heart problems.

Methodology

The study involved creating mouse models with different genetic modifications to assess the effects of cardiac troponin T mutations on heart function.

Limitations

The study could not differentially quantify mutant and wildtype cardiac troponin T proteins due to the nature of the mutation.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0002642

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