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Updated: Sep 2, 2025

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
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.
Abstract:
Hypertrophic cardiomyopathy (HCM) is genetically heterogeneous. Different variants associated with HCM have been identified in several cardiac sarcomeric protein genes. We identified the heterozygous missense variant c.2191 C>A p. Pro 731 Thr in the MYH7 gene and the heterozygous frameshift variant c.1091-1092 insTGAA p.Lys364fs*in the MYH6 gene in a Japanese family. Family members with the double variants demonstrated severe phenotypes, such as sudden cardiac-related death and heart failure. These double variants were well segregated and might be responsible for the severity of cardiovascular events in affected family members. These double variants are potentially associated with specific phenotypes in HCM. Further studies are needed to analyze specific gene functions. <Learning objective: Hypertrophic cardiomyopathy (HCM) is genetically heterogeneous and is associated with different variants in sarcomeric protein genes. We identified a heterozygous missense variant in the MYH7 gene and a heterozygous frameshift variant in the MYH6 gene in a Japanese family. These double variants are potentially associated with specific phenotypes in HCM.>.
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