MYH7 variants in HCM cohorts

The table below lists the 431 rare (MAF<0.0001 in ExAC) protein-altering MYH7 variants identified in a cohort of 2912 HCM patients. When this rare variant frequency of 0.14801 is compared with a background population rate of 0.01398, there is a statistically significant case excess of 0.13403 (p<0.0001), which suggests that approximately 392 of these variants may be pathogenic.

Variant Type: All protein-altering variants - Truncating variants - Non-Truncating variants

Source: Combined (OMGL + LMM) - OMGL - LMM

No.	Variant (CDS)▼	Variant (Protein)	Variant Type▼	Cases (2912)▼	LMM class	ExAC frequency
1.	c.1750G>C	p.G584R	missense	22	Likely Pathogenic	0.000000
2.	c.1988G>A	p.R663H	missense	20	Pathogenic	0.000016
3.	c.2722C>G	p.L908V	missense	16	Pathogenic	0.000000
4.	c.1357C>T	p.R453C	missense	13	Pathogenic	0.000000
5.	c.2389G>A	p.A797T	missense	12	Pathogenic	0.000032
6.	c.1208G>A	p.R403Q	missense	11	Pathogenic	0.000000
7.	c.2156G>A	p.R719Q	missense	11	Pathogenic	0.000000
8.	c.2167C>T	p.R723C	missense	9	Pathogenic	0.000024
9.	c.1816G>A	p.V606M	missense	9	Pathogenic	0.000000
10.	c.5135G>A	p.R1712Q	missense	8	Likely Pathogenic	0.000008
11.	c.1987C>T	p.R663C	missense	8	Likely Pathogenic	0.000000
12.	c.2146G>A	p.G716R	missense	7	Pathogenic	0.000000
13.	c.4130C>T	p.T1377M	missense	7	VUS favour pathogenic	0.000000
14.	c.2155C>T	p.R719W	missense	5	Pathogenic	0.000000
15.	c.2221G>T	p.G741W	missense	5	Pathogenic	0.000000
16.	c.428G>A	p.R143Q	missense	5	Likely Pathogenic	0.000008
17.	c.2207T>C	p.I736T	missense	5	Likely Pathogenic	0.000000
18.	c.1491G>T	p.E497D	missense	5	Likely Pathogenic	0.000000
19.	c.2681A>G	p.E894G	missense	4	Likely Pathogenic	0.000000
20.	c.2770G>A	p.E924K	missense	4	Pathogenic	0.000000
21.	c.611G>T	p.R204L	missense	4	VUS	0.000000
22.	c.2539A>G	p.K847E	missense	4	Likely Pathogenic	0.000000
23.	c.715G>A	p.D239N	missense	4	Likely Pathogenic	0.000000
24.	c.1207C>T	p.R403W	missense	4	Pathogenic	0.000000
25.	c.2302G>A	p.G768R	missense	4	Likely Pathogenic	0.000000
26.	c.2717A>G	p.D906G	missense	4	Pathogenic	0.000000
27.	c.2287G>A	p.V763M	missense	3	Likely Pathogenic	0.000000
28.	c.4817G>A	p.R1606H	missense	3	VUS	0.000049
29.	c.2221G>A	p.G741R	missense	3	Pathogenic	0.000000
30.	c.1063G>A	p.A355T	missense	3	VUS favour pathogenic	0.000000
31.	c.2779G>A	p.E927K	missense	3	VUS favour pathogenic	0.000000
32.	c.3133C>T	p.R1045C	missense	3	VUS favour pathogenic	0.000016
33.	c.788T>C	p.I263T	missense	3	Likely Pathogenic	0.000000
34.	c.2539_2541delAAG		inframe	3	Likely Pathogenic	0.000000
35.	c.2609G>A	p.R870H	missense	3	Pathogenic	0.000000
36.	c.2788G>A	p.E930K	missense	3	Pathogenic	0.000000
37.	c.1370T>C	p.I457T	missense	3	Likely Pathogenic	0.000008
38.	c.2744T>C	p.L915P	missense	2	Pathogenic	0.000000
39.	c.4145G>A	p.R1382Q	missense	2	Likely Pathogenic	0.000000
40.	c.2719C>A	p.Q907K	missense	2	VUS	0.000000
41.	c.1012G>A	p.V338M	missense	2	Likely Pathogenic	0.000000
42.	c.3134G>T	p.R1045L	missense	2	Likely Pathogenic	0.000016
43.	c.596C>T	p.A199V	missense	2	Likely Pathogenic	0.000000
44.	c.1757T>C	p.V586A	missense	2	Likely Pathogenic	0.000000
45.	c.2198G>A	p.G733E	missense	2	Likely Pathogenic	0.000000
46.	c.2623_2625delGAG	p.Glu875del	inframe	2	Pathogenic	0.000000
47.	c.1318G>A	p.V440M	missense	2	Likely Pathogenic	0.000000
48.	c.2788G>C	p.E930Q	missense	2	Likely Pathogenic	0.000000
49.	c.1003G>T	p.A335S	missense	2	VUS favour pathogenic	0.000000
50.	c.3169G>A	p.G1057S	missense	2	VUS favour pathogenic	0.000008
51.	c.4135G>A	p.A1379T	missense	2	Pathogenic	0.000000
52.	c.1358G>A	p.R453H	missense	2	Likely Pathogenic	0.000000
53.	c.872C>T	p.S291F	missense	2	Likely Pathogenic	0.000000
54.	c.28G>C	p.G10R	missense	2	VUS favour pathogenic	0.000074
55.	c.4537A>T	p.T1513S	missense	2	VUS	0.000000
56.	c.1727A>G	p.H576R	missense	2	Likely Pathogenic	0.000008
57.	c.5287G>A	p.A1763T	missense	2	Likely Pathogenic	0.000041
58.	c.5342G>A	p.R1781H	missense	2	Likely Pathogenic	0.000008
59.	c.5380C>A	p.Q1794K	missense	2	Likely Pathogenic	0.000000
60.	c.1283C>T	p.A428V	missense	2	VUS favour pathogenic	0.000000
61.	c.5326A>G	p.S1776G	missense	2	VUS favour pathogenic	0.000032
62.	c.2608C>T	p.R870C	missense	2	VUS	0.000008
63.	c.3994G>A	p.A1332T	missense	2	VUS favour pathogenic	0.000016
64.	c.49C>T	p.R17C	missense	2	Likely Pathogenic	0.000000
65.	c.4864C>T	p.L1622F	missense	1	VUS favour pathogenic	0.000000
66.	c.2899G>A	p.E967K	missense	1	Likely Pathogenic	0.000000
67.	c.2080C>T	p.R694C	missense	1	Likely Pathogenic	0.000016
68.	c.5156A>G	p.Q1719R	missense	1	VUS favour pathogenic	0.000000
69.	c.746G>A	p.R249Q	missense	1	Pathogenic	0.000000
70.	c.2129C>T	p.P710L	missense	1	Likely Pathogenic	0.000000
71.	c.2644C>G	p.Q882E	missense	1	VUS favour pathogenic	0.000000
72.	c.4156C>T	p.L1386F	missense	1	VUS favour pathogenic	0.000000
73.	c.2791_2793delGAG		inframe	1	Pathogenic	0.000000
74.	c.2296A>C	p.K766Q	missense	1	Pathogenic	0.000000
75.	c.1514G>T	p.G505V	missense	1	VUS	0.000000
76.	c.2167C>G	p.R723G	missense	1	Pathogenic	0.000000
77.	c.2178C>A	p.N726K	missense	1	VUS favour pathogenic	0.000000
78.	c.5561C>T	p.T1854M	missense	1	VUS favour pathogenic	0.000033
79.	c.3346G>A	p.E1116K	missense	1	Likely Pathogenic	0.000000
80.	c.135G>T	p.E45D	missense	1	VUS	0.000000
81.	c.2782G>A	p.D928N	missense	1	Likely Pathogenic	0.000000
82.	c.1324C>T	p.R442C	missense	1	Pathogenic	0.000008
83.	c.1220G>T	p.G407V	missense	1	VUS	0.000000
84.	c.4816C>T	p.R1606C	missense	1	Likely Pathogenic	0.000000
85.	c.2572C>G	p.R858G	missense	1	VUS	0.000000
86.	c.3236G>A	p.R1079Q	missense	1	VUS	0.000008
87.	c.2846A>T	p.E949V	missense	1	VUS favour pathogenic	0.000008
88.	c.2746G>A	p.E916K	missense	1	VUS favour pathogenic	0.000000
89.	c.2206A>G	p.I736V	missense	1	VUS	0.000008
90.	c.2191C>G	p.P731A	missense	1	Likely Pathogenic	0.000000
91.	c.2692C>G	p.L898V	missense	1	Likely Pathogenic	0.000000
92.	c.2627_2629delAGA	p.Lys876del	inframe	1	VUS favour pathogenic	0.000000
93.	c.743T>C	p.I248T	missense	1	Likely Pathogenic	0.000000
94.	c.2716G>A	p.D906N	missense	1	VUS favour pathogenic	0.000000
95.	c.2069T>C	p.M690T	missense	1	Pathogenic	0.000000
96.	c.2606G>A	p.R869H	missense	1	VUS favour pathogenic	0.000032
97.	c.830T>C	p.L277P	missense	1	VUS favour pathogenic	0.000000
98.	c.293A>T	p.E98V	missense	1	VUS favour pathogenic	0.000000
99.	c.1759G>A	p.D587N	missense	1	VUS favour pathogenic	0.000000
100.	c.3967G>A	p.V1323I	missense	1	VUS favour benign	0.000000
101.	c.2555T>C	p.M852T	missense	1	VUS favour pathogenic	0.000000
102.	c.4259G>A	p.R1420Q	missense	1	VUS favour pathogenic	0.000000
103.	c.2462T>C	p.F821S	missense	1	VUS	0.000000
104.	c.1357C>A	p.R453S	missense	1	Likely Pathogenic	0.000000
105.	c.1132A>C	p.T378P	missense	1	VUS	0.000000
106.	c.739T>C	p.F247L	missense	1	Likely Pathogenic	0.000000
107.	c.2129C>A	p.P710H	missense	1	Likely Pathogenic	0.000000
108.	c.3158G>A	p.R1053Q	missense	1	Likely Pathogenic	0.000074
109.	c.343T>C	p.Y115H	missense	1	Pathogenic	0.000008
110.	c.727C>T	p.R243C	missense	1	VUS favour pathogenic	0.000000
111.	c.1315A>T	p.M439L	missense	1	VUS favour pathogenic	0.000016
112.	c.2725A>G	p.I909V	missense	1	VUS	0.000000
113.	c.2708A>G	p.E903G	missense	1	Likely Pathogenic	0.000000
114.	c.3830G>A	p.R1277Q	missense	1	VUS	0.000041
115.	c.115G>A	p.V39M	missense	1	VUS	0.000057
116.	c.4525A>C	p.I1509L	missense	1	VUS	0.000016
117.	c.1477_1478delAT		frameshift	1	VUS	0.000000
118.	c.5344A>G	p.M1782V	missense	1	Likely Pathogenic	0.000000
119.	c.4136C>A	p.A1379D	missense	1	VUS favour pathogenic	0.000000
120.	c.2432T>C	p.L811P	missense	1	Likely Pathogenic	0.000000
121.	c.976G>C	p.A326P	missense	1	VUS	0.000067
122.	c.1562T>C	p.I521T	missense	1	Likely Pathogenic	0.000000
123.	c.427C>T	p.R143W	missense	1	VUS favour pathogenic	0.000049
124.	c.5749G>T	p.V1917F	missense	1	VUS favour pathogenic	0.000000
125.	c.5704G>C	p.E1902Q	missense	1	VUS favour pathogenic	0.000074
126.	c.748A>G	p.I250V	missense	1	VUS favour pathogenic	0.000000
127.	c.4124A>G	p.Y1375C	missense	1	Likely Pathogenic	0.000000
128.	c.1541G>A	p.G514D	missense	1	VUS	0.000000
129.	c.2699A>G	p.D900G	missense	1	VUS favour pathogenic	0.000000
130.	c.619A>C	p.K207Q	missense	1	VUS favour pathogenic	0.000000
131.	c.3637G>A	p.V1213M	missense	1	VUS	0.000000
132.	c.2502C>G	p.F834L	missense	1	Pathogenic	0.000000
133.	c.1352A>C	p.Q451P	missense	1	VUS	0.000000
134.	c.438G>T	p.K146N	missense	1	Likely Pathogenic	0.000000
135.	c.4066G>A	p.E1356K	missense	1	Likely Pathogenic	0.000000
136.	c.1157A>G	p.Y386C	missense	1	Likely Pathogenic	0.000000
137.	c.5192A>T	p.D1731V	missense	1	VUS favour pathogenic	0.000000
138.	c.3626A>G	p.N1209S	missense	1	VUS	0.000000
139.	c.2217G>T	p.R739S	missense	1	Likely Pathogenic	0.000000
140.	c.5020G>A	p.V1674M	missense	1	VUS	0.000024
141.	c.1060G>A	p.G354S	missense	1	Likely Pathogenic	0.000000
142.	c.2425G>T	p.D809Y	missense	1	VUS	0.000049
143.	c.1871A>G	p.Y624C	missense	1	VUS favour pathogenic	0.000000
144.	c.2221G>C	p.G741R	missense	1	Pathogenic	0.000000
145.	c.2742G>T	p.Q914H	missense	1	Likely Pathogenic	0.000000
146.	c.4436C>T	p.T1479I	missense	1	VUS favour pathogenic	0.000000
147.	c.1969A>C	p.K657Q	missense	1	Likely Pathogenic	0.000000
148.	c.848A>G	p.Y283C	missense	1	Likely Pathogenic	0.000000
149.	c.1499A>C	p.E500A	missense	1	VUS favour pathogenic	0.000000
150.	c.3664A>G	p.S1222G	missense	1	VUS favour pathogenic	0.000000
151.	c.2471T>C	p.V824A	missense	1	Likely Pathogenic	0.000000
152.	c.2285A>G	p.K762R	missense	1	Pathogenic	0.000000
153.	c.137T>G	p.F46C	missense	1	VUS	0.000000
154.	c.2101G>A	p.G701S	missense	1	VUS favour pathogenic	0.000000
155.	c.1148A>G	p.K383R	missense	1	VUS	0.000000
156.	c.2498A>G	p.Y833C	missense	1	VUS	0.000000
157.	c.1436A>G	p.N479S	missense	1	Likely Pathogenic	0.000000
158.	c.2570C>T	p.T857I	missense	1	VUS	0.000000
159.	c.505A>G	p.R169G	missense	1	Likely Pathogenic	0.000000
160.	c.799C>G	p.L267V	missense	1	Likely Pathogenic	0.000000
161.	c.4283T>C	p.L1428S	missense	1	Likely Pathogenic	0.000032
162.	c.5341C>T	p.R1781C	missense	1	Pathogenic	0.000000
163.	c.1405G>A	p.D469N	missense	1	VUS favour pathogenic	0.000008
164.	c.632C>T	p.P211L	missense	1	VUS	0.000024
165.	c.507A>T	p.R169S	missense	1	Likely Pathogenic	0.000000
166.	c.2052G>A	p.M684I	missense	1	VUS favour benign	0.000008
167.	c.968T>C	p.I323T	missense	1	VUS	0.000075
168.	c.4540G>A	p.E1514K	missense	1	VUS	0.000000
169.	c.1608G>T	p.E536D	missense	1	Likely Pathogenic	0.000000
170.	c.2470G>C	p.V824L	missense	1	VUS favour pathogenic	0.000000
171.	c.2543A>G	p.E848G	missense	1	Likely Pathogenic	0.000000
172.	c.506G>A	p.R169K	missense	1	Likely Pathogenic	0.000000
173.	c.707T>C	p.V236A	missense	1	VUS favour pathogenic	0.000000
174.	c.4258C>T	p.R1420W	missense	1	VUS favour pathogenic	0.000008
175.	c.2105T>A	p.I702N	missense	1	Pathogenic	0.000000
176.	c.1166G>A	p.G389E	missense	1	VUS favour pathogenic	0.000000
177.	c.2011C>T	p.R671C	missense	1	Likely Pathogenic	0.000000
178.	c.920C>T	p.P307L	missense	1	VUS favour pathogenic	0.000000
179.	c.2845G>A	p.E949K	missense	1	Likely Pathogenic	0.000000
180.	c.5332C>T	p.H1778Y	missense	1	VUS	0.000000
181.	c.2525G>A	p.S842N	missense	1	Pathogenic	0.000000
182.	c.2401T>A	p.Y801N	missense	1	VUS	0.000000
183.	c.1549C>A	p.L517M	missense	1	VUS favour pathogenic	0.000000
184.	c.2783A>C	p.D928A	missense	1	VUS	0.000000
185.	c.2546T>C	p.M849T	missense	1	Likely Pathogenic	0.000000
186.	c.1426C>G	p.L476V	missense	1	VUS	0.000000
187.	c.2246T>A	p.L749Q	missense	1	Likely Pathogenic	0.000000
188.	c.2572C>T	p.R858C	missense	1	VUS favour pathogenic	0.000000
189.	c.968T>A	p.I323N	missense	1	Likely Pathogenic	0.000000
190.	c.2602G>C	p.A868P	missense	1	Likely Pathogenic	0.000000
191.	c.2123G>C	p.G708A	missense	1	Pathogenic	0.000000
192.	c.4078G>A	p.V1360I	missense	1	VUS	0.000057
193.	c.1013T>C	p.V338A	missense	1	VUS	0.000000
194.	c.161G>A	p.R54Q	missense	1	VUS	0.000016
195.	c.1496A>G	p.E499G	missense	1	VUS favour pathogenic	0.000000
196.	c.2342T>C	p.L781P	missense	1	Likely Pathogenic	0.000000
197.	c.5696T>C	p.V1899A	missense	1	VUS	0.000008
198.	c.1490A>G	p.E497G	missense	1	Likely Pathogenic	0.000000

References

1. Roddy Walsh, Kate L. Thomson, James S. Ware, Birgit H. Funke, Jessica Woodley, Karen J. McGuire, Francesco Mazzarotto, Edward Blair, Anneke Seller, Jenny C. Taylor, Eric V. Minikel, Exome Aggregation Consortium, Daniel G. MacArthur, Martin Farrall, Stuart A. Cook and Hugh Watkins. Reassessment of Mendelian gene pathogenicity using 7,855 cardiomyopathy cases and 60,706 reference samples. Genet Med. 2016 doi:10.1038/gim.2016.90.

2. Alfares AA, Kelly MA, McDermott G, Funke BH, Lebo MS, Baxter SB, Shen J, McLaughlin HM, Clark EH, Babb LJ, Cox SW, DePalma SR, Ho CY, Seidman JG, Seidman CE, Rehm HL. Results of clinical genetic testing of 2,912 probands with hypertrophic cardiomyopathy: expanded panels offer limited additional sensitivity. Genet Med. 2015 Nov;17(11):880-8.