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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Potential digenic inheritance of familial hypertrophic cardiomyopathy identified by whole-exome sequencing
Ming-Bao Ren1, Xiao-Rui Chai2, Lin Li3
1Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, China.
Insights
Genetic testing revealed a TNNI3 gene deletion and an MYH7 variant in familial hypertrophic cardiomyopathy (HCM) patients. Whole-exome sequencing identified these structural variations, offering new insights into HCM causes.
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- Hypertrophic cardiomyopathy (HCM) is often caused by point mutations.
- Whole-gene deletions are rarely reported as a cause of HCM.
- Structural variations in HCM genetics remain understudied due to methodological limitations.
Observation:
- Whole-exome sequencing (WES) was employed to investigate genetic underpinnings in familial HCM.
- Structural variations, including whole-gene deletions, are understudied due to methodological limitations.
- This study utilized WES and Sanger sequencing for comprehensive genetic variant identification.
Findings:
- A whole-gene deletion of the troponin I3 (TNNI3) gene on Chromosome 19 was identified.
- A pathogenic variant (p.Ile736Thr) in the myosin heavy chain 7 (MYH7) gene was detected.
- Both TNNI3 deletion and MYH7 variant were found in patients with familial HCM.
Implications:
- The TNNI3 deletion and MYH7 variant may play a role in HCM pathogenesis.
- WES is confirmed as an effective method for uncovering genetic causes of HCM.
- This research expands the understanding of genetic variations contributing to familial HCM.
Background:
The aim of this study was to identify the genetic causes of patients with hypertrophic cardiomyopathy (HCM) within a family. Most of the previous studies found point mutations as the genetic causes for HCM, whole-gene deletion was rarely reported.
Methods:
Although, clinical genetic testing has been widely used for identifying variants in HCM patients, structural variations are understudied, partly owing to the inadequacy of the available methodology. In the present study, whole-exome sequencing (WES) and Sanger sequencing validation was used to identify the genetic causes in patients with familial HCM.
Results:
A genomic deletion in Chromosome 19 containing the whole of troponin I3 gene (TNNI3), and the p.Ile736Thr variant in the myosin heavy chain 7 gene (MYH7) were identified in two patients with familial HCM by WES. The p.Ile736Thr variant is further validated by Sanger sequencing and is predicted as a pathogenic variant by in silico analysis.
Conclusion:
We added the notion that not only p.Ile736Thr variant of MYH7, but also TNNI3 deletion might potentially contribute to HCM pathogenesis. Our study also suggested WES was a powerful tool to identify the genetic variants causing HCM.
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