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Updated: Dec 25, 2025

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
MYH7B variants cause hypertrophic cardiomyopathy by activating the CaMK-signaling pathway
Peng Chen1,2, Zongzhe Li1,2, Jiali Nie1,2
1Division of Cardiology, Departments of Internal Medicine and Genetic Diagnosis Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Insights
Genetic variants in MYH7B are identified as a cause of hypertrophic cardiomyopathy (HCM), a common heart disease. This discovery reveals a new genetic contributor to HCM, impacting 1.46% of patients studied.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Diseases
Background:
- Hypertrophic cardiomyopathy (HCM) is a prevalent genetic heart condition.
- Mutations in cardiac sarcomere genes are the primary known cause of HCM.
- The role of MYH7B in causing HCM remained previously unknown.
Purpose of the Study:
- To investigate the potential role of MYH7B variants in the pathogenesis of hypertrophic cardiomyopathy.
- To identify novel genetic causes of HCM beyond known sarcomere gene mutations.
Main Methods:
- Screening of 549 unrelated HCM patients and 500 healthy controls using targeted and whole exome sequencing.
- Generation and functional analysis of Myh7b knockout rat models.
- Cardiac function assessment via Millar pressure-volume catheterization and echocardiography.
- Transcriptome sequencing and signaling pathway analysis (CaMK-signaling).
Main Results:
- Seven MYH7B variants were identified in 8/549 HCM patients (1.46% of cases).
- Three likely pathogenic MYH7B variants co-segregated with HCM in three pedigrees.
- Myh7b knockout rats exhibited spontaneous HCM phenotypes, cellular disarray, and cardiac fibrosis.
- Calcium and the CaMK-signaling pathway were identified as key mediators in Myh7b-deficient cardiac hypertrophy.
Conclusions:
- This study provides the first evidence that MYH7B variants can cause hypertrophic cardiomyopathy.
- MYH7B mutations represent a significant, previously unrecognized genetic cause of HCM.
- The CaMK-signaling pathway is implicated in the pathophysiology of MYH7B-associated HCM.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a common genetic disease, predominantly caused by mutations in cardiac sarcomere genes; however, whether MYH7B causes HCM is not known. In this study, 549 unrelated patients with HCM and 500 healthy-controls were screened using targeted sequencing and whole exome sequencing together. We observed seven variants in MYH7B causing HCM in 8/549 patients, which accounted for 1.46% of HCM cases. Of these seven variants, three likely pathogenic variants in MYH7B co-segregating with 5 HCM patients were identified in three HCM pedigrees without other HCM-associated variants. Myh7b knockout rats were generated and cardiac functions were detected by Millar pressure-volume catheterization and echocardiography. Spontaneous HCM phenotypes, cellular disarray and cardiac fibrosis were observed in both Myh7b+/-/Myh7b-/- rats. Transcriptome sequencing showed that calcium is the key mediator of cardiac hypertrophy in Myh7b knockout. Subsequent analysis confirmed over-activation of CaMK-signaling pathway in cardiomyocytes of Myh7b-/- rats. Furthermore, MYH7B expression in human and rat hearts was identified and microRNA-208a and microRNA-499 levels are unchanged in HCM patients and Myh7b+/-/Myh7b-/- rats. This study is the first to identifyMYH7B variants as cause of HCM, which account for 1.46% of pathogenesisin HCM patients. Activation of CaMK-signaling pathway may be involved in its pathophysiology.
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