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A Novel TPM1 Mutation Causes Familial Hypertrophic Cardiomyopathy in an Indian Family: Genetic and Clinical
Prabodh Kumar1, Ganesh Paramasivam2, Tom Devasia2
1Department of Cell and Molecular Biology, Manipal School of Life Sciences, Manipal Academy of Higher Education (MAHE), Planetarium Complex, Madhav Nagar, Manipal, 576104 Karnataka India.
Insights
Hypertrophic cardiomyopathy (HCM) is an inherited heart condition. A novel TPM1 gene mutation was identified in an Indian family, expanding the known genetic causes of HCM.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
Background:
- Hypertrophic cardiomyopathy (HCM) is a prevalent inherited cardiac disorder affecting 1 in 250 individuals.
- HCM results from mutations in genes encoding sarcomeric proteins, crucial for heart muscle contraction.
- Mutations in the α-tropomyosin (TPM1) gene are implicated in various cardiomyopathies, including HCM.
Observation:
- A novel heterozygous TPM1 mutation (NM_001018005.2:c.203A>G, p.Gln68Arg) was identified.
- This mutation co-segregated within an Indian family diagnosed with hypertrophic cardiomyopathy.
- TPM1 mutations account for less than 1% of HCM cases, but can include high-risk variants.
Findings:
- The study identified a new TPM1 mutation linked to hypertrophic cardiomyopathy.
- The identified mutation (p.Gln68Arg) was observed to segregate with the HCM phenotype in the affected family.
- This expands the known spectrum of TPM1 mutations associated with HCM.
Implications:
- This finding broadens the understanding of the genetic basis of hypertrophic cardiomyopathy.
- It highlights the importance of TPM1 gene analysis in diagnosing HCM, particularly in familial cases.
- Further research into TPM1 mutations may reveal new therapeutic targets for HCM.
Abstract:
Hypertrophic cardiomyopathy (HCM) is a common inherited cardiac disorder characterised by unexplained left ventricular hypertrophy in the absence of abnormal loading conditions. The global prevalence of HCM is estimated to be 1 in 250 in the general population. It is caused due to mutations in genes coding for sarcomeric proteins. α-tropomyosin (TPM1) is an important protein in the sarcomeric thin filament which regulates sarcomere contraction. Mutations in TPM1 are known to cause hypertrophic cardiomyopathy, dilated cardiomyopathy and left ventricular non-compaction. Mutations in TPM1 causing hypertrophic cardiomyopathy are < 1%. However, some high-risk mutations causing sudden cardiac death are also known in this gene. We present a case of a novel heterozygous TPM1 mutation, NM_001018005.2:c.203A>G, p.Gln68Arg; co-segregating in an Indian family with hypertrophic cardiomyopathy. Our report expands the mutational spectrum of HCM due to TPM1 and provides the correlated cardiac phenotype.
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Myocarditis I: Introduction
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
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