LDB3

At least three mutations in the LDB3 gene have been found to cause myofibrillar myopathy. These mutations change single protein building blocks (amino acids) in the LDB3 protein. Mutated LDB3 proteins cluster together with other muscle proteins in the sarcomere to form clumps (aggregates). The aggregates prevent these proteins from functioning normally. A dysfunctional desmin protein cannot properly interact with Z-discs, leading to abnormalities of sarcomere structure and problems with the formation of myofibrils. LDB3 gene mutations that cause myofibrillar myopathy impair the function of muscle fibers, causing weakness and the other features of this condition.

MedlinePlus Genetics provides information about Familial dilated cardiomyopathy

MedlinePlus Genetics provides information about Left ventricular noncompaction

Mutations in the LDB3 gene also cause a form of heart disease called dilated cardiomyopathy. This condition enlarges (dilates) and weakens the cardiac muscle, preventing it from pumping blood efficiently. Although cardiomyopathy is a sign of myofibrillar myopathy, some cases of dilated cardiomyopathy caused by LDB3 gene mutations are not associated with weakness of the skeletal muscles. Researchers have identified at least two mutations in the LDB3 gene that cause dilated cardiomyopathy without the other features of myofibrillar myopathy. These mutations, written as Asp117Asn and Lys136Met, change single amino acids in the LDB3 protein. Researchers are not certain why some mutations in the LDB3 gene cause dilated cardiomyopathy instead of myofibrillar myopathy.