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Published on: August 8, 2022
Familial hypertrophic cardiomyopathy: A case with a new mutation in the MYBPC3 gene
Olgu Hallıoğlu Kılınç, Dilek Giray1, Atıl Bişgin
1Department of Pediatric Cardiology, Mersin University Faculty of Medicine, Mersin, Turkey. ddilekkarabulut@hotmail.com.
Insights
Familial hypertrophic cardiomyopathy, a genetic heart condition, was linked to a novel MYBPC3 gene mutation in a pediatric patient and their family. This discovery aids in diagnosing hereditary cardiomyopathy and understanding its genetic basis.
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- Familial hypertrophic cardiomyopathy (HCM) is an autosomal dominant genetic disorder.
- Variable clinical presentation and penetrance are characteristic of HCM.
- Advances in cardiomyopathy genetics improve diagnostic approaches.
Observation:
- A novel heterozygous mutation, c.3691-3692insTTCA, was identified in the MYBPC3 gene.
- This mutation was found in a pediatric patient diagnosed with HCM.
- Echocardiography revealed hypertrophy in the patient's sister and father, who carried the same mutation.
Findings:
- The identified MYBPC3 mutation (c.3691-3692insTTCA) is a newly discovered cause of familial hypertrophic cardiomyopathy.
- The mutation segregated with the disease in the affected family members.
- This finding expands the known genetic landscape of HCM.
Implications:
- This discovery offers a new diagnostic marker for familial hypertrophic cardiomyopathy.
- Understanding this mutation's role can elucidate HCM pathogenesis.
- Genetic screening can be enhanced for families with a history of HCM.
Abstract:
Familial hypertrophic cardiomyopathy is a genetically heterogeneous disease with variable clinical features that is inherited as autosomal dominant with variable penetrance. Recent developments in genetics of hereditary cardiomyopathy have not only enlightened many points about pathogenesis, but have also provided great benefit to diagnostic approaches of clinicians. Heterozygous mutation of c3691-3692insTTCA in MYBPC3 gene was identified in a pediatric patient with diagnosis of hypertrophic cardiomyopathy at clinic. Hypertrophy was observed in sister and father of the patient in echocardiography screening, and it was subsequently determined that they also had same mutation. This mutation has not previously been defined and reported previously in the literature as cause of hypertrophic cardiomyopathy.
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