Mutations in the ANKRD1 gene encoding CARP are responsible for human dilated cardiomyopathy

Laëtitia Duboscq-Bidot, Philippe Charron, Volker Ruppert, Laurent Fauchier, Anette Richter, Luigi Tavazzi, Eloisa Arbustini, Thomas Wichter, Bernard Maisch, Michel Komajda, Richard Isnard, Eric Villard

Research output: Contribution to journalArticlepeer-review


Aims Dilated cardiomyopathy (DCM) is familial in ∼30 of cases, and mutations have been identified in several genes. However, in a majority of familial cases, the responsible genes are still to be discovered. The ANKRD1 gene is over-expressed in heart failure in human and animal models. The encoded protein CARP interacts with partners such as myopalladin or titin, previously shown to be involved in DCM. We hypothesized that mutations in ANKRD1 could be responsible for DCM.Methods and resultsWe sequenced the coding region of ANKRD1 from 231 independent DCM cases. We identified five missense mutations (three sporadic and two familial) absent from 400 controls and affecting highly conserved residues. Expression of the mutant CARP proteins after transfection in rat neonate cardiomyocytes indicated that most of them led to both significantly less repressor activity measured in a reporter gene assay and greater phenylephrin-induced hypertrophy, suggesting altered function of CARP mutant proteins.ConclusionOn the basis of genetic and functional analysis of CARP mutations, we have identified ANKRD1 as a new gene associated with DCM, accounting for ∼2 of cases.

Original languageEnglish
Pages (from-to)2128-2136
Number of pages9
JournalEuropean Heart Journal
Issue number17
Publication statusPublished - Sep 2009


  • ANKRD1
  • Cardiomyocyte
  • CARP
  • Dilated cardiomyopathy
  • Gene
  • Mutation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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