MYH7 variants in HCM cohorts


The table below lists the 438 rare (MAF<0.0001 in ExAC) protein-altering MYH7 variants identified in a cohort of 3200 HCM patients. When this rare variant frequency of 0.13687 is compared with a background population rate of 0.01398, there is a statistically significant case excess of 0.12289 (p<0.0001), which suggests that approximately 394 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 (3200)OMGL class ExAC frequency
1. c.2389G>A p.A797Tmissense 24Pathogenic0.000032
2. c.1988G>A p.R663Hmissense 17Pathogenic0.000016
3. c.2609G>A p.R870Hmissense 13Pathogenic0.000000
4. c.1816G>A p.V606Mmissense 13Pathogenic0.000000
5. c.1357C>T p.R453Cmissense 10Pathogenic0.000000
6. c.2539A>G p.K847Emissense 10Likely Pathogenic0.000000
7. c.1063G>A p.A355Tmissense 10Likely Pathogenic0.000000
8. c.2348G>A p.R783Hmissense 8Likely Pathogenic0.000016
9. c.2221G>T p.G741Wmissense 8Pathogenic0.000000
10. c.5135G>A p.R1712Qmissense 8VUS0.000008
11. c.2717A>G p.D906Gmissense 7Likely Pathogenic0.000000
12. c.2681A>G p.E894Gmissense 7Likely Pathogenic0.000000
13. c.1207C>T p.R403Wmissense 6Pathogenic0.000000
14. c.3158G>A p.R1053Qmissense 6Likely Pathogenic0.000074
15. c.2207T>C p.I736Tmissense 6Pathogenic0.000000
16. c.4130C>T p.T1377Mmissense 5VUS0.000000
17. c.2722C>G p.L908Vmissense 5Pathogenic0.000000
18. c.2770G>A p.E924Kmissense 5Pathogenic0.000000
19. c.4135G>A p.A1379Tmissense 5Pathogenic0.000000
20. c.2155C>T p.R719Wmissense 5Pathogenic0.000000
21. c.4066G>A p.E1356Kmissense 5Likely Pathogenic0.000000
22. c.1142C>A p.A381Dmissense 5Likely Pathogenic0.000000
23. c.508G>A p.E170Kmissense 4Pathogenic0.000000
24. c.3475G>A p.V1159Mmissense 4VUS0.000000
25. c.343T>C p.Y115Hmissense 4Likely Pathogenic0.000008
26. c.2167C>T p.R723Cmissense 4Pathogenic0.000024
27. c.958G>A p.V320Mmissense 4VUS0.000008
28. c.1208G>A p.R403Qmissense 4Pathogenic0.000000
29. c.2779G>A p.E927Kmissense 3VUS0.000000
30. c.611G>A p.R204Hmissense 3VUS0.000000
31. c.1856C>T p.T619Imissense 3VUS0.000033
32. c.1279C>A p.L427Mmissense 3Likely Pathogenic0.000000
33. c.2631G>C p.M877Imissense 3VUS0.000000
34. c.1370T>C p.I457Tmissense 3Likely Pathogenic0.000008
35. c.715G>A p.D239Nmissense 3Likely Pathogenic0.000000
36. c.2302G>A p.G768Rmissense 3Likely Pathogenic0.000000
37. c.746G>A p.R249Qmissense 3Pathogenic0.000000
38. c.1063G>T p.A355Smissense 3VUS0.000000
39. c.1051A>G p.K351Emissense 2Likely Pathogenic0.000000
40. c.1447G>A p.E483Kmissense 2Pathogenic0.000008
41. c.1318G>A p.V440Mmissense 2VUS0.000000
42. c.767G>A p.G256Emissense 2Likely Pathogenic0.000000
43. c.976G>C p.A326Pmissense 2Likely Pathogenic0.000067
44. c.2220G>T p.K740Nmissense 2Likely Pathogenic0.000000
45. c.5329G>A p.A1777Tmissense 2VUS0.000041
46. c.345C>A p.Y115Xnonsense 2VUS0.000000
47. c.1045A>G p.M349Vmissense 2VUS0.000024
48. c.4124A>G p.Y1375Cmissense 2VUS0.000000
49. c.428G>A p.R143Qmissense 2Likely Pathogenic0.000008
50. c.5561C>T p.T1854Mmissense 2VUS0.000033
51. c.1231G>A p.V411Imissense 2Likely Pathogenic0.000008
52. c.578A>G p.Q193Rmissense 2Likely Pathogenic0.000000
53. c.1182C>A p.D394Emissense 2VUS0.000000
54. c.4259G>T p.R1420Lmissense 2VUS0.000000
55. c.2359C>T p.R787Cmissense 2Likely Pathogenic0.000057
56. c.1954A>G p.R652Gmissense 2Likely Pathogenic0.000008
57. c.1324C>T p.R442Cmissense 2Likely Pathogenic0.000008
58. c.1268C>T p.A423Vmissense 2VUS0.000000
59. c.641G>A p.G214Dmissense 2Likely Pathogenic0.000000
60. c.427C>T p.R143Wmissense 2Likely Pathogenic0.000049
61. c.2572C>T p.R858Cmissense 2VUS0.000000
62. c.2011C>T p.R671Cmissense 2Likely Pathogenic0.000000
63. c.2536G>C p.E846Qmissense 2VUS0.000000
64. c.1405G>A p.D469Nmissense 2VUS0.000008
65. c.1433T>A p.I478Nmissense 2Likely Pathogenic0.000000
66. c.3046A>G p.K1016Emissense 1VUS0.000008
67. c.2602G>C p.A868Pmissense 1VUS0.000000
68. c.3134G>T p.R1045Lmissense 1VUS0.000016
69. c.728G>A p.R243Hmissense 1Likely Pathogenic0.000008
70. c.2711G>A p.R904Hmissense 1VUS0.000000
71. c.925G>A p.D309Nmissense 1Likely Pathogenic0.000024
72. c.4664A>G p.E1555Gmissense 1VUS0.000000
73. c.5587C>T p.R1863Wmissense 1VUS0.000008
74. c.5773C>T p.R1925Cmissense 1VUS0.000000
75. c.2081G>A p.R694Hmissense 1Likely Pathogenic0.000000
76. c.2546T>C p.M849Tmissense 1Likely Pathogenic0.000000
77. c.4132G>C p.D1378Hmissense 1VUS0.000000
78. c.2183C>T p.A728Vmissense 1VUS0.000000
79. c.2707G>C p.E903Qmissense 1VUS0.000000
80. c.3289G>A p.E1097Kmissense 1VUS0.000000
81. c.2353A>G p.I785Vmissense 1VUS0.000000
82. c.3548T>A p.L1183Qmissense 1VUS0.000000
83. c.2129C>A p.P710Hmissense 1Likely Pathogenic0.000000
84. c.904C>A p.L302Mmissense 1VUS0.000000
85. c.2606G>T p.R869Lmissense 1VUS0.000000
86. c.1228T>G p.Y410Dmissense 1Likely Pathogenic0.000000
87. c.595G>A p.A199Tmissense 1VUS0.000000
88. c.1479G>A p.M493Imissense 1Likely Pathogenic0.000000
89. c.694A>C p.N232Hmissense 1Likely Pathogenic0.000000
90. c.5088G>C p.E1696Dmissense 1VUS0.000024
91. c.4004C>T p.S1335Lmissense 1VUS0.000033
92. c.4144C>T p.R1382Wmissense 1VUS0.000000
93. c.3493A>G p.K1165Emissense 1VUS0.000012
94. c.4817G>A p.R1606Hmissense 1VUS0.000049
95. c.3622G>A p.D1208Nmissense 1VUS0.000000
96. c.2788G>A p.E930Kmissense 1Likely Pathogenic0.000000
97. c.2555T>C p.M852Tmissense 1Likely Pathogenic0.000000
98. c.4343A>G p.N1448Smissense 1VUS0.000000
99. c.632C>T p.P211Lmissense 1Likely Pathogenic0.000024
100. c.2680G>A p.E894Kmissense 1VUS0.000000
101. c.5110C>T p.Q1704Xnonsense 1VUS0.000000
102. c.789A>G p.I263Mmissense 1Likely Pathogenic0.000000
103. c.5704G>C p.E1902Qmissense 1VUS0.000074
104. c.3341G>A p.R1114Hmissense 1VUS0.000000
105. c.3803G>C p.R1268Pmissense 1VUS0.000000
106. c.2156G>A p.R719Qmissense 1Pathogenic0.000000
107. c.2894A>G p.E965Gmissense 1VUS0.000000
108. c.4532A>C p.D1511Amissense 1VUS0.000000
109. c.1544T>C p.M515Tmissense 1Pathogenic0.000000
110. c.3064A>G p.K1022Emissense 1VUS0.000000
111. c.1757T>C p.V586Amissense 1Likely Pathogenic0.000000
112. c.1753A>T p.I585Fmissense 1VUS0.000000
113. c.1208G>T p.R403Lmissense 1Pathogenic0.000000
114. c.964T>A p.S322Tmissense 1VUS0.000000
115. c.1121A>T p.E374Vmissense 1Likely Pathogenic0.000000
116. c.731T>G p.F244Cmissense 1Likely Pathogenic0.000000
117. c.4259G>A p.R1420Qmissense 1VUS0.000000
118. c.4985G>A p.R1662Hmissense 1VUS0.000057
119. c.4048G>A p.E1350Kmissense 1VUS0.000000
120. c.3208G>A p.E1070Kmissense 1VUS0.000008
121. c.3974C>T p.A1325Vmissense 1VUS0.000026
122. c.5291T>A p.M1764Kmissense 1VUS0.000000
123. c.809A>G p.K270Rmissense 1VUS0.000000
124. c.2471T>C p.V824Amissense 1VUS0.000000
125. c.2776C>G p.L926Vmissense 1VUS0.000016
126. c.5740G>A p.E1914Kmissense 1VUS0.000000
127. c.2573G>A p.R858Hmissense 1Likely Pathogenic0.000008
128. c.3133C>T p.R1045Cmissense 1Likely Pathogenic0.000016
129. c.2701G>C p.A901Pmissense 1Likely Pathogenic0.000000
130. c.4660G>A p.E1554Kmissense 1VUS0.000000
131. c.3428T>G p.L1143Rmissense 1VUS0.000000
132. c.5690G>A p.R1897Hmissense 1VUS0.000000
133. c.2069T>C p.M690Tmissense 1Likely Pathogenic0.000000
134. c.4108C>A p.Q1370Kmissense 1VUS0.000000
135. c.3484G>A p.E1162Kmissense 1VUS0.000000
136. c.2104A>G p.I702Vmissense 1VUS0.000000
137. c.2700T>A p.D900Emissense 1VUS0.000000
138. c.1436A>G p.N479Smissense 1Likely Pathogenic0.000000
139. c.1346C>T p.T449Imissense 1VUS0.000000
140. c.3229_3240del p.Asp1077_Leu1080delinframe 1VUS0.000000
141. c.2273T>G p.F758Cmissense 1Likely Pathogenic0.000000
142. c.1477A>T p.M493Lmissense 1Likely Pathogenic0.000000
143. c.793A>T p.T265Smissense 1VUS0.000000
144. c.1207C>G p.R403Gmissense 1Pathogenic0.000000
145. c.677C>T p.A226Vmissense 1VUS0.000000
146. c.5029C>T p.R1677Cmissense 1VUS0.000016
147. c.3346G>A p.E1116Kmissense 1VUS0.000000
148. c.4787C>T p.S1596Lmissense 1VUS0.000041
149. c.4000C>T p.Q1334Xnonsense 1VUS0.000000
150. c.2606G>A p.R869Hmissense 1Likely Pathogenic0.000032
151. c.3138G>A p.M1046Imissense 1VUS0.000024
152. c.3578G>A p.R1193Hmissense 1VUS0.000000
153. c.2785G>A p.E929Kmissense 1Likely Pathogenic0.000000
154. c.610C>T p.R204Cmissense 1Likely Pathogenic0.000024
155. c.5647G>A p.E1883Kmissense 1VUS0.000000
156. c.298G>A p.A100Tmissense 1VUS0.000016
157. c.2549C>A p.A850Dmissense 1Likely Pathogenic0.000000
158. c.619A>C p.K207Qmissense 1Likely Pathogenic0.000000
159. c.2623_2625delGAG p.Glu875delinframe 1Likely Pathogenic0.000000
160. c.4919A>G p.Q1640Rmissense 1VUS0.000000
161. c.2221G>A p.G741Rmissense 1Pathogenic0.000000
162. c.5326A>G p.S1776Gmissense 1Likely Pathogenic0.000032
163. c.3325A>G p.K1109Emissense 1VUS0.000000
164. c.2501T>A p.F834Ymissense 1VUS0.000000
165. c.3593A>G p.D1198Gmissense 1VUS0.000000
166. c.2881C>G p.L961Vmissense 1VUS0.000000
167. c.4418A>G p.E1473Gmissense 1VUS0.000000
168. c.1477A>G p.M493Vmissense 1Likely Pathogenic0.000000
169. c.2631G>A p.M877Imissense 1VUS0.000000
170. c.1358G>A p.R453Hmissense 1Likely Pathogenic0.000000
171. c.1579C>A p.P527Tmissense 1VUS0.000000
172. c.920C>A p.P307Hmissense 1Pathogenic0.000000
173. c.710G>A p.R237Qmissense 1VUS0.000000
174. c.80A>G p.Q27Rmissense 1VUS0.000000
175. c.4258C>T p.R1420Wmissense 1VUS0.000008
176. c.4954G>T p.D1652Ymissense 1VUS0.000024
177. c.4030C>T p.R1344Wmissense 1VUS0.000016
178. c.3637G>A p.V1213Mmissense 1VUS0.000000
179. c.983A>G p.E328Gmissense 1Likely Pathogenic0.000000
180. c.2791_2793delGAG inframe 1Likely Pathogenic0.000000
181. c.3170G>A p.G1057Dmissense 1VUS0.000000
182. c.788T>C p.I263Tmissense 1Pathogenic0.000000
183. c.2738T>C p.I913Tmissense 1VUS0.000000
184. c.5172C>G p.I1724Mmissense 1VUS0.000000
185. c.799C>G p.L267Vmissense 1Likely Pathogenic0.000000
186. c.2389G>C p.A797Pmissense 1Likely Pathogenic0.000000
187. c.2770G>C p.E924Qmissense 1VUS0.000000
188. c.5725C>T p.R1909Wmissense 1VUS0.000032
189. c.3899A>T p.Q1300Lmissense 1VUS0.000000
190. c.2167C>G p.R723Gmissense 1Pathogenic0.000000
191. c.2906A>C p.H969Pmissense 1VUS0.000000
192. c.4636G>C p.E1546Qmissense 1VUS0.000000
193. c.1625A>G p.K542Rmissense 1VUS0.000000
194. c.2296A>C p.K766Qmissense 1Likely Pathogenic0.000000
195. c.5380C>A p.Q1794Kmissense 1VUS0.000000
196. c.3373G>C p.E1125Qmissense 1VUS0.000000
197. c.5471A>G p.N1824Smissense 1VUS0.000000
198. c.1759G>A p.D587Nmissense 1Likely Pathogenic0.000000
199. c.1804A>T p.N602Ymissense 1VUS0.000000
200. c.1216G>A p.V406Mmissense 1Likely Pathogenic0.000000
201. c.2683C>A p.Q895Kmissense 1VUS0.000000
202. c.1345A>T p.T449Smissense 1Likely Pathogenic0.000000
203. c.3231T>G p.D1077Emissense 1VUS0.000000
204. c.500C>T p.T167Imissense 1VUS0.000000
205. c.737A>T p.K246Imissense 1Likely Pathogenic0.000000
206. c.5002A>G p.K1668Emissense 1VUS0.000000
207. c.4276G>A p.E1426Kmissense 1VUS0.000000

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.