A double heterozygous variant in MYH6 and MYH7 associated with hypertrophic cardiomyopathy in a Japanese Family

Takanori Suzuki1,2, Kazuyoshi Saito1,2, Tetsushi Yoshikawa2

  • 1Department of Pediatric Cardiology, Aichi Children's Health and Medical Center, Aichi, Japan.

Insights

Genetic variants in MYH7 and MYH6 genes are linked to severe hypertrophic cardiomyopathy (HCM) phenotypes in a Japanese family. These double variants may explain severe cardiovascular events in affected individuals.

Area of Science:

  • Cardiovascular Genetics
  • Molecular Cardiology
  • Genetic Heterogeneity of HCM

Background:

  • Hypertrophic cardiomyopathy (HCM) is a complex cardiac condition with diverse genetic underpinnings.
  • Numerous variants in genes encoding cardiac sarcomeric proteins have been implicated in HCM pathogenesis.

Observation:

  • A Japanese family presented with severe clinical manifestations of HCM.
  • Affected members carried a double variant: a heterozygous missense variant (c.2191 C>A p. Pro 731 Thr) in the MYH7 gene and a heterozygous frameshift variant (c.1091-1092 insTGAA p.Lys364fs*) in the MYH6 gene.

Findings:

  • The identified double variants in MYH7 and MYH6 genes were well-segregated within the family.
  • These combined genetic variants correlated with severe phenotypes, including sudden cardiac death and heart failure.

Implications:

  • The study suggests that combined MYH7 and MYH6 variants may contribute to specific, severe phenotypes in hypertrophic cardiomyopathy.
  • Further research is warranted to elucidate the precise functional consequences of these double variants in HCM development and progression.

Related Concept Videos

Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
40
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
19
Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
47
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
23
Genetic Lingo01:11

Genetic Lingo

Overview
104.2K
Animal Mitochondrial Genetics02:59

Animal Mitochondrial Genetics

Among all the organelles in an animal cell, only mitochondria have their own independent genomes. Animal mitochondrial DNA is a double-stranded, closed-circular molecule with around 20,000 base pairs. Mitochondrial DNA is unique in that one of its two strands, the heavy, or H, -strand is guanine rich, whereas the complementary strand is cytosine rich and called the light, or L, -strand. Compared to nuclear DNA, mitochondrial DNA has a very low percentage of non-coding regions and is marked by...
8.0K