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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Genetic and Clinical Characterization of a South-Brazilian Hypertrophic Cardiomyopathy Cohort
Thais Beuren1,2, Fernando Scolari1,3, Fernanda Sperb-Ludwig1,3
1Universidade Federal do Rio Grande do Sul, Porto Alegre, RS - Brasil.
Insights
This study provides the first genetic and clinical insights into hypertrophic cardiomyopathy (HCM) in Brazil. Genetic testing is crucial for diagnosing and managing this common inherited heart disease.
Area of Science:
- Cardiology
- Genetics
- Precision Medicine
Background:
- Hypertrophic cardiomyopathy (HCM) is a prevalent monogenic heart disease with known genetic and phenotypic variability.
- Existing research on HCM predominantly focuses on North American and European populations, leaving a data gap for Brazilian cohorts.
Purpose of the Study:
- To conduct a comprehensive genetic and clinical characterization of hypertrophic cardiomyopathy (HCM) patients and their relatives in Southern Brazil.
- To leverage massive parallel sequencing for identifying genetic variants associated with HCM in this underrepresented population.
Main Methods:
- An observational study involving HCM patients and first-degree relatives from Southern Brazilian cardiology clinics.
- Clinical and imaging data collection, coupled with next-generation sequencing using a 100-gene panel.
- Variant pathogenicity assessment following American College of Medical Genetics and Genomics guidelines.
Main Results:
- Eighty individuals (40 index cases, 40 relatives) were analyzed, with pathogenic or likely pathogenic variants found in 68% of participants.
- MYH7 and MYBPC3 were the most frequently implicated genes, identified in 33% and 16% of participants, respectively.
- Exploratory findings suggested potential genotype-phenotype correlations, with MYH7 carriers showing more left ventricular outflow tract obstruction and MYBPC3 carriers experiencing more arrhythmias.
Conclusions:
- This research presents the inaugural detailed genetic and clinical profile of a hypertrophic cardiomyopathy (HCM) cohort in Brazil, utilizing massive parallel sequencing.
- The findings highlight the critical role of genetic testing in the accurate diagnosis, risk stratification, and effective management of HCM patients.
Background:
Hypertrophic cardiomyopathy (HCM) is the most common monogenic heart disease, characterized by genetic and phenotypic heterogeneity. Although extensively studied in North American and European populations, data from Brazil remain limited.
Objectives:
To characterize the genetic and clinical profiles of a Southern Brazilian cohort of HCM patients and their relatives using massive parallel sequencing.
Methods:
In this observational study, HCM patients and first-degree relatives were recruited from outpatient cardiology clinics. Clinical and imaging data were collected, and genetic analysis used a 100-gene panel. Variant pathogenicity was assessed according to American College of Medical Genetics and Genomics criteria, and statistical analyses were performed using R software.
Results:
Eighty individuals were included in the final analysis (mean age: 49.2 ±18.5); 60% male; 40 index cases and 40 affected relatives). MYH7 and MYBPC3 were the most frequently related genes, with pathogenic / likely pathogenic variants (P/LP) identified in 33% and 16% of participants, respectively. No pathogenic TNNT2 variants were detected. Ninety percent of participants carried an identified variant (including variants of uncertain significance), with 68% harboring P/LP variants. MYH7 carriers exhibited a higher proportion of left ventricular outflow tract obstruction, whereas MYBPC3 carriers had a higher proportion of arrhythmic events and earlier diagnosis; however, these differences did not reach statistical significance and should be interpreted as exploratory. Clinical comparisons revealed regional differences, suggesting the potential impact of genetic diversity on the presentation of HCM in this part of Brazil.
Conclusions:
This study offers the first detailed genetic and clinical characterization of a Brazilian HCM cohort using massive parallel sequencing. Our findings underscore the importance of genetic testing for diagnosis, risk stratification, and management.
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