In our study, KEGG enrichment analysis showed that many signaling pathways were significantly associated with muscle growth, development, and energy metabolism, including TGF-beta signaling pathway, mTOR signaling pathway, Rap1 signaling pathway, carbon metabolism, calcium signaling pathway, insulin signaling pathway, and dilated cardiomyopathy (DCM) [42,43]. Here, INS is linked to familial dilated cardiomyopathy.