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Updated: Jun 22, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Novel mitochondrial DNA mutations associated with Chinese familial hypertrophic cardiomyopathy
Yan-Ling Wei1, Chang-An Yu, Peng Yang
1Institute of Material Medica and Department of Pharmaceutics, School of Pharmacy, Third Military Medical University, Chongqing, China.
Insights
Mitochondrial DNA mutations, including G7697A, T12477C, and G13135A, are linked to hypertrophic cardiomyopathy (HCM) susceptibility in Chinese families. These findings may aid in early HCM diagnosis and genetic screening.
Area of Science:
- Genetics
- Mitochondrial Biology
- Cardiovascular Disease
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart condition with severe outcomes.
- Mitochondrial DNA (mtDNA) mutations are increasingly implicated in HCM development.
- Regional variations in mtDNA mutations contributing to HCM exist.
Purpose of the Study:
- To investigate familial hypertrophic cardiomyopathy (HCM) in Chinese populations.
- To identify specific mitochondrial DNA (mtDNA) mutations associated with HCM susceptibility.
- To explore the impact of these mutations on mitochondrial function.
Main Methods:
- Direct sequencing of the entire mitochondrial DNA (mtDNA) genome in affected and unaffected family members.
- Statistical analysis to determine the frequency of mtDNA mutations and haplogroups.
- Assay of mitochondrial Complex I activity.
Main Results:
- A significantly higher frequency of haplogroup M10 was observed in HCM patients.
- Three specific mtDNA mutations (G7697A, T12477C, G13135A) were significantly more prevalent in individuals with HCM.
- Mitochondrial Complex I activity was markedly reduced in the HCM group, suggesting impaired mitochondrial respiratory function.
Conclusions:
- mtDNA mutations G7697A, T12477C, and G13135A are associated with hypertrophic cardiomyopathy (HCM) susceptibility.
- These mutations likely impact mitochondrial respiratory function.
- The identified mutations serve as potential genetic markers for large-scale screening and early diagnosis of HCM.
Abstract:
1. Hypertrophic cardiomyopathy (HCM) is a genetic disorder that has a complex set of symptoms and potentially devastating consequences. Increasing evidence indicates that mitochondrial DNA (mtDNA) mutations are responsible for the development of HCM, but the mtDNA mutations appear to differ considerably among different populations and regions. 2. In the present study, three families with HCM were found and investigated: one in Shandong province and two in the Chongqing region of China. The entire mtDNA genome from the 18 affected and 66 unaffected family members was sequenced directly and the mtDNA mutations were determined. 3. The frequency of haplogroup M10 was significantly higher in family members with HCM (HCM group) than in unaffected family members (normal group). Three mtDNA mutations were found with a significantly higher frequency in affected individuals than in unaffected family individuals, namely G7697A in the cytochrome c oxidase subunit II gene (P < 0.0001; odds ratio (OR) 227.5; 95% confidence interval (CI) 23.6–2194.8) and T12477C (P = 0.0037; OR 5.6; 95% CI 1.8–17.6) and G13135A in the NADH dehydrogenase 5 gene (P < 0.0001; OR 26.0; 95% CI 6.9–98.3), suggesting that these mutations are probably associated with susceptibility to HCM. In addition, mitochondrial Complex I activity was markedly decreased in the HCM group, suggesting that these mutations most likely affect mitochondrial respiratory function. 4. In conclusion, the results of the present study imply that mtDNA mutations G7697A, T12477C and G13135A are genetic factors that indicate a susceptibility to HCM and that could be used for the large-scale screening of genetic markers as well as the early diagnosis of HCM.
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