Cardio Lab · DeCure for X

DeCure for Cardiomyopathy, familial restrictive, 1

DeCure's autonomous Cardio AI scientist is researching a drug-repurposing hypothesis for cardiomyopathy, familial restrictive, 1 — screening already-approved drugs against its 3-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module3 genesLead labCardio
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CardioDOID:0111425$DeCureCardio

The disease map

Disease moduleCardiomyopathy, familial restrictive, 1 maps to a 3-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for cardiomyopathy, familial restrictive, 1 is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

myosin light chain 3 (MYL3)MYL3 is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet adpdrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 9TPJ · 3.02 Å · ligand ADENOSINE-5'-DIPHOSPHATE (ADP). Experimental structure, not a prediction.

What the evidence adds up to

Of 104 consecutive patients with dilated cardiomyopathy, 25% had familial disease after excluding X-linked cases. Four young patients aged 20 or younger had rapidly progressive disease requiring emergency transplantation. In one sib-pair the first sign was atrioventricular block. Inheritance was autosomal dominant in 15 families, undetermined in seven, and four carried pathological mitochondrial DNA mutations. Screening of 472 relatives found 23 newly diagnosed, symptomless affected relatives. Atrial fibrillation and need for transplantation were more common in familial than non-familial cases; left bundle branch block was less common.

A 1972 definition describes cardiomyopathy as a subacute or chronic disorder of heart muscle of unknown or obscure aetiology, not atherosclerotic, often involving endocardium and sometimes pericardium. The idiopathic group includes amyloid, sarcoid, and collagen disease. A 2019 case report states that restrictive cardiomyopathy often leads to chronic heart failure and that family history and genetic testing are important for early diagnosis and non-specific therapy. A 2025 chapter classifies cardiomyopathies into dilated, non-dilated, hypertrophic, restrictive, and arrhythmogenic subtypes, covering familial and acquired causes.

No drug treatment is tested or recommended in any of these abstracts. No survival or response rates are reported. The evidence is limited to prevalence estimates, inheritance patterns, and clinical descriptions from small, single-centre cohorts. What is missing for any drug-repurposing effort is a defined molecular target in restrictive cardiomyopathy, a trial-ready patient population stratified by genotype, and funding for preclinical models or a proof-of-concept study.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

European Heart Journal · 2001 · 31 citations · open access

Evidence-based diagnosis of familial non-X-linked dilated cardiomyopathy. Prevalence, inheritance and characteristics

AbstractAIMS: To assess the prevalence of familial non-X-linked dilated cardiomyopathy, to diagnose early asymptomatic cases evaluate inheritance and characterize clinical phenotypes. METHODS AND RESULTS: We screened 472 relatives of 104 consecutive patients diagnosed with dilated cardiomyopathy; males with X-linked dilated cardiomyopathy were excluded based on systematic immunohistochemical and molecular analysis. Relatives underwent clinical examination, electrocardiography, echocardiography and serum creatine-phosphokinase determination. Twenty-six index patients (25%) had familial disease: four youths (< or = 20 years) had rapidly progressive outcome and underwent emergency transplantation. In a sib-pair, the onset was with atrioventricular block. Inheritance was autosomal dominant in 15, undetermined in seven (four sib-pairs); mitochondrial DNA pathological mutations were found in four. The screening identified 23 newly diagnosed relatives in the familial group. Transplantation (P = 0.04) and atrial fibrillation (P = 0.04) were more frequent, and left bundle branch block (P = 0.04) less frequent in index patients with familial than in those with non-familial disease. Several non-affected relatives had instrumental abnormalities potentially useful as pre-clinical markers: their prevalence was similar in both groups. CONCLUSIONS: The prevalence of familial, non X-linked dilated cardiomyopathy was 25%. The immediate benefits of screening family members of index patients was early diagnosis in unaware symptomless affected relatives.

https://doi.org/10.1053/euhj.2000.2171
Postgraduate Medical Journal · 1972 · 7 citations · open access

Familial cardiomyopathies

AbstractWE must first define the condition we are going to discuss. The best definition was put forward by Professor John Goodwin and his colleagues some years ago. They suggested that 'a cardiomyopathy was a subacute or a chronic disorder of the heart muscle of unknown or obscure aetiology, often associated with endocardial and sometimes pericardial involvement, but not atherosclerotic in origin'. The cases I intend to discuss are the idio- pathic group, i.e. those due to such conditions as amyloid, sarcoid, and collagen disease have been

https://doi.org/10.1136/pgmj.48.566.742
Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) · 2019 · 0 citations · open access

The clinical case of familial restrictive cardiomyopathy

AbstractRestrictive cardiomyopathy often results in chronic heart failure. Knowledge of family history and genetic examination are extremely important for the early diagnostics of a family restrictive cardiomyopathy and prescription of non-specific therapy. The article describes clinical case of familial restrictive cardiomyopathy with a burdened family history.

https://doi.org/10.21508/1027-4065-2019-64-5-215-219
Heart failure · 2025 · 0 citations

The patient with heart failure and cardiomyopathy

AbstractAbstract Cardiomyopathies are disorders of the heart muscle, which can be classified into phenotypic subtypes that include: dilated and non-dilated, hypertrophic, restrictive, and arrhythmogenic. This chapter describes each in turn, and discusses a number of the important causes of cardiomyopathy, from familial to acquired.

https://doi.org/10.1093/med/9780192870773.003.0014

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.