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