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Rare Copy Number Variants Identified Suggest the Regulating Pathways in Hypertension-Related Left Ventricular
Hoh Boon-Peng1,2, Julia Ashazila Mat Jusoh1, Christian R Marshall3,4
1Institute of Medical Molecular Biotechnology, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Jalan Hospital, 47000 Sungai Buloh, Selangor, Malaysia.
Insights
Rare copy number variants (CNVs) may contribute to left ventricular hypertrophy (LVH) in hypertensive patients. These genetic variations, though individually uncommon, appear linked to the development of this serious cardiovascular condition.
Area of Science:
- Cardiovascular Genetics
- Genomics
- Hypertension Research
Background:
- Left ventricular hypertrophy (LVH) is a significant risk factor for cardiovascular morbidity and mortality.
- LVH in hypertensive patients has a complex, multifactorial, and polygenic basis.
- The role of rare genetic variations in LVH pathogenesis remains incompletely understood.
Purpose of the Study:
- To investigate the potential contribution of rare copy number variants (CNVs) to the pathogenesis of LVH in hypertensive patients.
- To identify specific CNVs associated with hypertension-related LVH.
- To explore the functional implications of identified CNVs in cardiac development and disease.
Main Methods:
- Genotyping of 258 hypertensive patients, including 95 with LVH, using a high-resolution SNP array.
- Identification and stringent filtering of rare and private CNVs.
- Gene Ontology, pathway, and network enrichment analyses to assess functional relevance.
Main Results:
- 208 rare or private CNVs were identified exclusively in hypertensive patients with LVH.
- Functional analyses confirmed the involvement of genes related to cardiac development and phenotypes.
- Network analyses indicated involvement in transcription factors regulating the "foetal cardiac gene programme" and hypertrophic cascade.
Conclusions:
- Multiple, individually rare CNVs altering specific genes may contribute to the pathogenesis of hypertension-related LVH.
- These findings provide supporting evidence for the impact of rare CNVs on susceptibility to common complex diseases like hypertension-related LVH.
- Rare CNVs represent a potential factor in the lower heritability observed in this condition.
Abstract:
Left ventricular hypertrophy (LVH) is an independent risk factor for cardiovascular morbidity and mortality, and a powerful predictor of adverse cardiovascular outcomes in the hypertensive patients. It has complex multifactorial and polygenic basis for its pathogenesis. We hypothesized that rare copy number variants (CNVs) contribute to the LVH pathogenesis in hypertensive patients. Copy number variants (CNV) were identified in 258 hypertensive patients, 95 of whom had LVH, after genotyping with a high resolution SNP array. Following stringent filtering criteria, we identified 208 rare, or private CNVs that were only present in our patients with hypertension related LVH. Preliminary findings from Gene Ontology and pathway analysis of this study confirmed the involvement of the genes known to be functionally involved in cardiac development and phenotypes, in line with previously reported transcriptomic studies. Network enrichment analyses suggested that the gene-set was, directly or indirectly, involved in the transcription factors regulating the "foetal cardiac gene programme" which triggered the hypertrophic cascade, confirming previous reports. These findings suggest that multiple, individually rare copy number variants altering genes may contribute to the pathogenesis of hypertension-related LVH. In summary, we have provided further supporting evidence that rare CNV could potentially impact this common and complex disease susceptibility with lower heritability.
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