Abstract

The most common genetic cause of dilated cardiomyopathy (DCM) is mutations in titin gene, TTN, with truncating variants (TTNtv). TTN encodes the giant protein titin, a large (3-4 MDa) and abundant protein that forms the third myofilament type of striated muscle. Titin spans half the sarcomere, from the Z-disk to the M-line. The underlying mechanisms by which titin mutations induce DCM are poorly understood.

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