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Updated: Aug 10, 2025

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Large scale genome-wide association analyses identify novel genetic loci and mechanisms in hypertrophic
Rafik Tadros1,2,3, Sean L Zheng4,5,6, Christopher Grace7,8
1Cardiovascular Genetics Centre, Montreal Heart Institute, Montreal, QC, Canada.
Insights
This study identified 70 genetic loci linked to hypertrophic cardiomyopathy (HCM), a heart condition. A novel gene, SVIL, was found to cause HCM, offering new insights into disease mechanisms and potential treatments.
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- Hypertrophic cardiomyopathy (HCM) is a significant cause of heart disease morbidity and mortality.
- Both monogenic and polygenic factors contribute to HCM development.
- Understanding the genetic architecture of HCM is crucial for improving diagnosis and treatment.
Approach:
- Conducted the largest genome-wide association study (GWAS) for HCM, including 5,900 cases and 68,359 controls.
- Utilized multi-trait analysis (MTAG) and cardiac magnetic resonance (CMR) imaging data from 36,083 UK Biobank participants.
- Integrated genetic data with phenotypic information to identify novel disease-associated loci and genes.
Key Points:
- Identified 70 loci associated with HCM (50 novel) and 62 loci for left ventricular (LV) traits (32 novel).
- Discovered a novel HCM gene, SVIL, demonstrating that rare truncating variants in SVIL cause HCM.
- Mendelian randomization supported a causal role for increased LV contractility in HCM pathogenesis.
Conclusions:
- The study significantly expands the understanding of the genetic basis of hypertrophic cardiomyopathy.
- Identification of SVIL as an HCM gene provides a new molecular target for research.
- Findings suggest shared mechanisms and potential for unified therapeutic strategies across HCM subtypes.
Abstract:
Hypertrophic cardiomyopathy (HCM) is an important cause of morbidity and mortality with both monogenic and polygenic components. We here report results from the largest HCM genome-wide association study (GWAS) and multi-trait analysis (MTAG) including 5,900 HCM cases, 68,359 controls, and 36,083 UK Biobank (UKB) participants with cardiac magnetic resonance (CMR) imaging. We identified a total of 70 loci (50 novel) associated with HCM, and 62 loci (32 novel) associated with relevant left ventricular (LV) structural or functional traits. Amongst the common variant HCM loci, we identify a novel HCM disease gene, SVIL, which encodes the actin-binding protein supervillin, showing that rare truncating SVIL variants cause HCM. Mendelian randomization analyses support a causal role of increased LV contractility in both obstructive and non-obstructive forms of HCM, suggesting common disease mechanisms and anticipating shared response to therapy. Taken together, the findings significantly increase our understanding of the genetic basis and molecular mechanisms of HCM, with potential implications for disease management.
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