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