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.

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