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

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.