TMEM43 in Dilated Cardiomyopathy (DCM)

The role of rare variants in TMEM43 as causative mutations in Dilated Cardiomyopathy is described below. By comparing the frequency of TMEM43 variants in large DCM clinical cohorts to the background population rate in the ExAC database, the proportion of DCM patients with pathogenic mutations in TMEM43 can be estimated, as well as the likelihood that a rare (population allele frequency <0.0001) TMEM43 variant identified in a DCM patient is disease-causing. Summary data for different variant classes (all protein-altering variants, loss of function truncating variants and non-truncating variants) is highlighted - see the table below for full details of this analysis.

Excess of TMEM43 variants in DCM: -0.03% (p=1.0000)

Based on an analysis of all rare protein-altering variants (MAF<0.0001 in ExAC) in TMEM43 found in 427 DCM samples sequenced by OMGL and LMM and in reference samples of the ExAC population database. As there is no excess burden of variation in the disease cohort, this analysis suggests that TMEM43 variants do not contribute to DCM.

Metrics by Variant Class:
All VarsTruncatingNon-Truncating
Excess in DCM -0.03%
Etiological fraction - - 0.02
0.00 - 0.67
Odds Ratio 0.96
0.20 - 2.85
0.00 - 22.59
0.21 - 3.02

The Etiological Fraction (EF) is the proportion of affected carriers where the variant caused DCM. The Odds Ratio (OR) describes the odds of having a rare variant in the patient cohort to the odds in the ExAC cohort. Fisher's exact test p-values are displayed for case excess, 95% confidence intervals for EFs and ORs.

in DCM
in ExAC
Case Excess
in DCM
(OMGL1 + LMM2)
427All3 0.007030.00730-0.00027
Non-Truncating3 0.007030.006900.00013
OMGL1304All1 0.003290.00730-0.00401
Non-Truncating1 0.003290.00690-0.00361
LMM2123All2 0.016260.007300.00896
Non-Truncating2 0.016260.006900.00936


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