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Publication : I536T variant of RBM20 affects splicing of cardiac structural proteins that are causative for developing dilated cardiomyopathy.

First Author  Yamamoto T Year  2022
Journal  J Mol Med (Berl) Volume  100
Issue  12 Pages  1741-1754
PubMed ID  36198914 Mgi Jnum  J:335127
Mgi Id  MGI:7466472 Doi  10.1007/s00109-022-02262-8
Citation  Yamamoto T, et al. (2022) I536T variant of RBM20 affects splicing of cardiac structural proteins that are causative for developing dilated cardiomyopathy. J Mol Med (Berl) 100(12):1741-1754
abstractText  RBM20 is one of the genes predisposing to dilated cardiomyopathy (DCM). Variants in the RS domain have been reported in many DCM patients, but the pathogenicity of variants within the RNA-recognition motif remains unknown. Two human patients with the I536T-RBM20 variant without an apparent DCM phenotype were identified in sudden death cohorts. A splicing reporter assay was performed, and an I538T knock-in mouse model (Rbm20(I538T)) was generated to determine the significance of this variant. The reporter assay demonstrated that the human I536T variant affected the TTN splicing pattern compared to wild-type. In the mouse experiments, Rbm20(I538T) mice showed different splicing patterns in Ttn, Ldb3, Camk2d, and Ryr2. The expressions of Casq1, Mybpc2, and Myot were upregulated in Rbm20(I538T) mice, but Rbm20(I538T) mice showed neither DCM nor cardiac dysfunction on histopathological examination and ultrasound echocardiography. The I536T-RBM20 (I538T-Rbm20) variant changes gene splicing and affects gene expression, but the splicing and expression changes in Ttn and Ca handling genes such as Casq1, Camk2d, and Ryr2 do not cause DCM morphology in the mouse model. KEY MESSAGES: * Two human patients with the I536T-RBM20 variant without a DCM phenotype were identified. * A splicing reporter assay demonstrated that the variant affected the TTN splicing. * Rbm20(I538T) mice showed neither DCM nor cardiac dysfunction. * Rbm20(I538T) mice showed different splicing patterns and the gene expressions.
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