Related Experiment Video
Updated: May 27, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
A case of MYH7 and MYH9 genes variants with cardiomyopathy and macrothrombocytopenia
Yasuhiro Ikawa1, Taichi Nakamura1, Noboru Fujino2
1Department of Pediatrics, Graduate School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences Kanazawa University Kanazawa Japan.
Insights
A 15-year-old girl with inherited cardiomyopathy and macrothrombocytopenia was diagnosed with pathogenic variants in both MYH7 and MYH9 genes. This case highlights the critical role of genetic testing in diagnosing and managing rare inherited disorders.
Area of Science:
- Genetics
- Cardiology
- Hematology
Background:
- Myosin heavy chain proteins, encoded by MYH7 and MYH9 genes, are crucial for muscle function.
- Inherited cardiomyopathies and macrothrombocytopenia are distinct genetic disorders.
Observation:
- A 15-year-old female presented with symptoms of inherited cardiomyopathy and macrothrombocytopenia.
- Genetic analysis revealed pathogenic variants in both the MYH7 and MYH9 genes.
Findings:
- The co-occurrence of pathogenic variants in MYH7 and MYH9 genes in a single patient is rare.
- This genetic combination led to the manifestation of both cardiomyopathy and macrothrombocytopenia.
Implications:
- This case underscores the importance of comprehensive genetic testing for complex inherited disorders.
- Personalized medicine approaches are essential for accurate diagnosis and effective management of patients with combined genetic variants.
- Repeated genetic testing may be necessary for diagnosing and managing inherited conditions with overlapping phenotypes.
Key Clinical Message:
A 15-year-old girl developed inherited cardiomyopathy and macrothrombocytopenia revealing pathogenic variants of both MYH7 and MYH9 genes. This underlies the importance of repeated genetic testing in diagnosing and managing inherited disorders.
Abstract:
The MYH7 and MYH9 genes encode for distinct myosin heavy chain proteins. Our case features a 15-year-old girl, presenting with inherited cardiomyopathy and macrothrombocytopenia, revealing distinct pathogenic variants of both MYH7 and MYH9 genes. This underlines the relevance of genetic testing and personalized medicine in diagnosing and managing inherited disorders.
Related Concept Videos
Myocarditis I: Introduction
Cardiomyopathy I: Introduction and Classification
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy
Cardiomyopathy V: Interprofessional Care

