MYH7 non-truncating variants in HCM cohorts


The table below lists the 434 rare (MAF<0.0001 in ExAC) non-truncating MYH7 variants identified in a cohort of 3200 HCM patients. When this rare variant frequency of 0.13562 is compared with a background population rate of 0.01350, there is a statistically significant case excess of 0.12212 (p<0.0001), which suggests that approximately 391 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.4135G>A p.A1379Tmissense 5Pathogenic0.000000
17. c.1142C>A p.A381Dmissense 5Likely Pathogenic0.000000
18. c.2722C>G p.L908Vmissense 5Pathogenic0.000000
19. c.4066G>A p.E1356Kmissense 5Likely Pathogenic0.000000
20. c.2770G>A p.E924Kmissense 5Pathogenic0.000000
21. c.4130C>T p.T1377Mmissense 5VUS0.000000
22. c.2155C>T p.R719Wmissense 5Pathogenic0.000000
23. c.3475G>A p.V1159Mmissense 4VUS0.000000
24. c.958G>A p.V320Mmissense 4VUS0.000008
25. c.2167C>T p.R723Cmissense 4Pathogenic0.000024
26. c.508G>A p.E170Kmissense 4Pathogenic0.000000
27. c.1208G>A p.R403Qmissense 4Pathogenic0.000000
28. c.343T>C p.Y115Hmissense 4Likely Pathogenic0.000008
29. c.1063G>T p.A355Smissense 3VUS0.000000
30. c.715G>A p.D239Nmissense 3Likely Pathogenic0.000000
31. c.2779G>A p.E927Kmissense 3VUS0.000000
32. c.1856C>T p.T619Imissense 3VUS0.000033
33. c.746G>A p.R249Qmissense 3Pathogenic0.000000
34. c.1370T>C p.I457Tmissense 3Likely Pathogenic0.000008
35. c.2631G>C p.M877Imissense 3VUS0.000000
36. c.1279C>A p.L427Mmissense 3Likely Pathogenic0.000000
37. c.2302G>A p.G768Rmissense 3Likely Pathogenic0.000000
38. c.611G>A p.R204Hmissense 3VUS0.000000
39. c.4124A>G p.Y1375Cmissense 2VUS0.000000
40. c.1268C>T p.A423Vmissense 2VUS0.000000
41. c.2572C>T p.R858Cmissense 2VUS0.000000
42. c.2011C>T p.R671Cmissense 2Likely Pathogenic0.000000
43. c.2536G>C p.E846Qmissense 2VUS0.000000
44. c.1405G>A p.D469Nmissense 2VUS0.000008
45. c.1045A>G p.M349Vmissense 2VUS0.000024
46. c.428G>A p.R143Qmissense 2Likely Pathogenic0.000008
47. c.1433T>A p.I478Nmissense 2Likely Pathogenic0.000000
48. c.1447G>A p.E483Kmissense 2Pathogenic0.000008
49. c.2220G>T p.K740Nmissense 2Likely Pathogenic0.000000
50. c.1318G>A p.V440Mmissense 2VUS0.000000
51. c.5329G>A p.A1777Tmissense 2VUS0.000041
52. c.427C>T p.R143Wmissense 2Likely Pathogenic0.000049
53. c.1051A>G p.K351Emissense 2Likely Pathogenic0.000000
54. c.641G>A p.G214Dmissense 2Likely Pathogenic0.000000
55. c.5561C>T p.T1854Mmissense 2VUS0.000033
56. c.578A>G p.Q193Rmissense 2Likely Pathogenic0.000000
57. c.1231G>A p.V411Imissense 2Likely Pathogenic0.000008
58. c.1182C>A p.D394Emissense 2VUS0.000000
59. c.1324C>T p.R442Cmissense 2Likely Pathogenic0.000008
60. c.4259G>T p.R1420Lmissense 2VUS0.000000
61. c.2359C>T p.R787Cmissense 2Likely Pathogenic0.000057
62. c.1954A>G p.R652Gmissense 2Likely Pathogenic0.000008
63. c.976G>C p.A326Pmissense 2Likely Pathogenic0.000067
64. c.767G>A p.G256Emissense 2Likely Pathogenic0.000000
65. c.4259G>A p.R1420Qmissense 1VUS0.000000
66. c.3593A>G p.D1198Gmissense 1VUS0.000000
67. c.2881C>G p.L961Vmissense 1VUS0.000000
68. c.4985G>A p.R1662Hmissense 1VUS0.000057
69. c.4418A>G p.E1473Gmissense 1VUS0.000000
70. c.4048G>A p.E1350Kmissense 1VUS0.000000
71. c.3325A>G p.K1109Emissense 1VUS0.000000
72. c.5380C>A p.Q1794Kmissense 1VUS0.000000
73. c.5291T>A p.M1764Kmissense 1VUS0.000000
74. c.2791_2793delGAG inframe 1Likely Pathogenic0.000000
75. c.1579C>A p.P527Tmissense 1VUS0.000000
76. c.3170G>A p.G1057Dmissense 1VUS0.000000
77. c.2631G>A p.M877Imissense 1VUS0.000000
78. c.3637G>A p.V1213Mmissense 1VUS0.000000
79. c.2906A>C p.H969Pmissense 1VUS0.000000
80. c.2389G>C p.A797Pmissense 1Likely Pathogenic0.000000
81. c.2770G>C p.E924Qmissense 1VUS0.000000
82. c.1345A>T p.T449Smissense 1Likely Pathogenic0.000000
83. c.710G>A p.R237Qmissense 1VUS0.000000
84. c.3046A>G p.K1016Emissense 1VUS0.000008
85. c.2167C>G p.R723Gmissense 1Pathogenic0.000000
86. c.2296A>C p.K766Qmissense 1Likely Pathogenic0.000000
87. c.1216G>A p.V406Mmissense 1Likely Pathogenic0.000000
88. c.2081G>A p.R694Hmissense 1Likely Pathogenic0.000000
89. c.1759G>A p.D587Nmissense 1Likely Pathogenic0.000000
90. c.809A>G p.K270Rmissense 1VUS0.000000
91. c.5029C>T p.R1677Cmissense 1VUS0.000016
92. c.4636G>C p.E1546Qmissense 1VUS0.000000
93. c.3373G>C p.E1125Qmissense 1VUS0.000000
94. c.5587C>T p.R1863Wmissense 1VUS0.000008
95. c.5690G>A p.R1897Hmissense 1VUS0.000000
96. c.3899A>T p.Q1300Lmissense 1VUS0.000000
97. c.610C>T p.R204Cmissense 1Likely Pathogenic0.000024
98. c.2683C>A p.Q895Kmissense 1VUS0.000000
99. c.4787C>T p.S1596Lmissense 1VUS0.000041
100. c.3231T>G p.D1077Emissense 1VUS0.000000
101. c.1804A>T p.N602Ymissense 1VUS0.000000
102. c.2602G>C p.A868Pmissense 1VUS0.000000
103. c.737A>T p.K246Imissense 1Likely Pathogenic0.000000
104. c.3134G>T p.R1045Lmissense 1VUS0.000016
105. c.2353A>G p.I785Vmissense 1VUS0.000000
106. c.2711G>A p.R904Hmissense 1VUS0.000000
107. c.3493A>G p.K1165Emissense 1VUS0.000012
108. c.500C>T p.T167Imissense 1VUS0.000000
109. c.2546T>C p.M849Tmissense 1Likely Pathogenic0.000000
110. c.595G>A p.A199Tmissense 1VUS0.000000
111. c.2183C>T p.A728Vmissense 1VUS0.000000
112. c.2129C>A p.P710Hmissense 1Likely Pathogenic0.000000
113. c.4132G>C p.D1378Hmissense 1VUS0.000000
114. c.619A>C p.K207Qmissense 1Likely Pathogenic0.000000
115. c.4664A>G p.E1555Gmissense 1VUS0.000000
116. c.788T>C p.I263Tmissense 1Pathogenic0.000000
117. c.5704G>C p.E1902Qmissense 1VUS0.000074
118. c.298G>A p.A100Tmissense 1VUS0.000016
119. c.4030C>T p.R1344Wmissense 1VUS0.000016
120. c.3289G>A p.E1097Kmissense 1VUS0.000000
121. c.4258C>T p.R1420Wmissense 1VUS0.000008
122. c.3548T>A p.L1183Qmissense 1VUS0.000000
123. c.2707G>C p.E903Qmissense 1VUS0.000000
124. c.4954G>T p.D1652Ymissense 1VUS0.000024
125. c.4343A>G p.N1448Smissense 1VUS0.000000
126. c.1228T>G p.Y410Dmissense 1Likely Pathogenic0.000000
127. c.3622G>A p.D1208Nmissense 1VUS0.000000
128. c.2894A>G p.E965Gmissense 1VUS0.000000
129. c.2788G>A p.E930Kmissense 1Likely Pathogenic0.000000
130. c.1479G>A p.M493Imissense 1Likely Pathogenic0.000000
131. c.904C>A p.L302Mmissense 1VUS0.000000
132. c.2606G>T p.R869Lmissense 1VUS0.000000
133. c.2680G>A p.E894Kmissense 1VUS0.000000
134. c.964T>A p.S322Tmissense 1VUS0.000000
135. c.2555T>C p.M852Tmissense 1Likely Pathogenic0.000000
136. c.694A>C p.N232Hmissense 1Likely Pathogenic0.000000
137. c.2471T>C p.V824Amissense 1VUS0.000000
138. c.2156G>A p.R719Qmissense 1Pathogenic0.000000
139. c.1544T>C p.M515Tmissense 1Pathogenic0.000000
140. c.983A>G p.E328Gmissense 1Likely Pathogenic0.000000
141. c.1757T>C p.V586Amissense 1Likely Pathogenic0.000000
142. c.1208G>T p.R403Lmissense 1Pathogenic0.000000
143. c.5172C>G p.I1724Mmissense 1VUS0.000000
144. c.799C>G p.L267Vmissense 1Likely Pathogenic0.000000
145. c.5740G>A p.E1914Kmissense 1VUS0.000000
146. c.5002A>G p.K1668Emissense 1VUS0.000000
147. c.4532A>C p.D1511Amissense 1VUS0.000000
148. c.3341G>A p.R1114Hmissense 1VUS0.000000
149. c.5471A>G p.N1824Smissense 1VUS0.000000
150. c.4276G>A p.E1426Kmissense 1VUS0.000000
151. c.3803G>C p.R1268Pmissense 1VUS0.000000
152. c.1753A>T p.I585Fmissense 1VUS0.000000
153. c.3428T>G p.L1143Rmissense 1VUS0.000000
154. c.3208G>A p.E1070Kmissense 1VUS0.000008
155. c.3974C>T p.A1325Vmissense 1VUS0.000026
156. c.3064A>G p.K1022Emissense 1VUS0.000000
157. c.80A>G p.Q27Rmissense 1VUS0.000000
158. c.2776C>G p.L926Vmissense 1VUS0.000016
159. c.1346C>T p.T449Imissense 1VUS0.000000
160. c.2573G>A p.R858Hmissense 1Likely Pathogenic0.000008
161. c.731T>G p.F244Cmissense 1Likely Pathogenic0.000000
162. c.3133C>T p.R1045Cmissense 1Likely Pathogenic0.000016
163. c.2701G>C p.A901Pmissense 1Likely Pathogenic0.000000
164. c.1121A>T p.E374Vmissense 1Likely Pathogenic0.000000
165. c.2069T>C p.M690Tmissense 1Likely Pathogenic0.000000
166. c.2606G>A p.R869Hmissense 1Likely Pathogenic0.000032
167. c.2104A>G p.I702Vmissense 1VUS0.000000
168. c.1436A>G p.N479Smissense 1Likely Pathogenic0.000000
169. c.728G>A p.R243Hmissense 1Likely Pathogenic0.000008
170. c.925G>A p.D309Nmissense 1Likely Pathogenic0.000024
171. c.5647G>A p.E1883Kmissense 1VUS0.000000
172. c.5773C>T p.R1925Cmissense 1VUS0.000000
173. c.4108C>A p.Q1370Kmissense 1VUS0.000000
174. c.5088G>C p.E1696Dmissense 1VUS0.000024
175. c.4660G>A p.E1554Kmissense 1VUS0.000000
176. c.4004C>T p.S1335Lmissense 1VUS0.000033
177. c.3229_3240del p.Asp1077_Leu1080delinframe 1VUS0.000000
178. c.5326A>G p.S1776Gmissense 1Likely Pathogenic0.000032
179. c.2273T>G p.F758Cmissense 1Likely Pathogenic0.000000
180. c.4144C>T p.R1382Wmissense 1VUS0.000000
181. c.3484G>A p.E1162Kmissense 1VUS0.000000
182. c.3346G>A p.E1116Kmissense 1VUS0.000000
183. c.2700T>A p.D900Emissense 1VUS0.000000
184. c.4817G>A p.R1606Hmissense 1VUS0.000049
185. c.793A>T p.T265Smissense 1VUS0.000000
186. c.3138G>A p.M1046Imissense 1VUS0.000024
187. c.2501T>A p.F834Ymissense 1VUS0.000000
188. c.1207C>G p.R403Gmissense 1Pathogenic0.000000
189. c.3578G>A p.R1193Hmissense 1VUS0.000000
190. c.2785G>A p.E929Kmissense 1Likely Pathogenic0.000000
191. c.1477A>T p.M493Lmissense 1Likely Pathogenic0.000000
192. c.2549C>A p.A850Dmissense 1Likely Pathogenic0.000000
193. c.677C>T p.A226Vmissense 1VUS0.000000
194. c.2623_2625delGAG p.Glu875delinframe 1Likely Pathogenic0.000000
195. c.920C>A p.P307Hmissense 1Pathogenic0.000000
196. c.2738T>C p.I913Tmissense 1VUS0.000000
197. c.1477A>G p.M493Vmissense 1Likely Pathogenic0.000000
198. c.2221G>A p.G741Rmissense 1Pathogenic0.000000
199. c.1358G>A p.R453Hmissense 1Likely Pathogenic0.000000
200. c.1625A>G p.K542Rmissense 1VUS0.000000
201. c.632C>T p.P211Lmissense 1Likely Pathogenic0.000024
202. c.4919A>G p.Q1640Rmissense 1VUS0.000000
203. c.789A>G p.I263Mmissense 1Likely Pathogenic0.000000
204. c.5725C>T p.R1909Wmissense 1VUS0.000032

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.