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