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

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.