A case report of a Chinese patient with obstructive hypertrophic cardiomyopathy harboring rare variants in both the MYBPC3 and DSP genes. Front. Cardiovasc. Med. 12:1630263. doi: 10.3389/fcvm.2025.1630263
PMID: 41561115
Gene: MYBPC3
HGNC ID: 7551
A case report of a Chinese patient with obstructive hypertrophic cardiomyopathy harboring rare variants in both the MYBPC3 and DSP genes. Front. Cardiovasc. Med. 12:1630263. doi: 10.3389/fcvm.2025.1630263
PMID: 41561115
Gene: MYBPC3
HGNC ID: 7551
The proband was a 40-year-old male
Case1: 40-year-old Chinese male
DiseaseAssertion: exertional dyspnea for one year and substernal chest pain for one week.
FamilyInfo: Father experienced sudden cardiac death (SCD) at the age of 41. Targeted region capture and second-generation high throughput sequencing were performed on the proband’s cousin, cousin sister, and sister. Results demonstrated that all family members carried the MYBPC3 c.1827dupC variant. Pedigree in Fig. 3
ParentalTesting: NR
CasePresentingHPOs: HP:0025169, HP:0025168, HP:0031675, HP:0001714,
CaseHPOFreeText: harsh systolic ejection murmur at the left sternal border (3rd–4th intercostal spaces), accentuated by Valsalva maneuver. Echocardiography revealed the following key findings: severe asymmetric septal hypertrophy, characterized by an interventricular septal thickness (IVsd) at end-diastole of 25–30 mm and a left ventricular posterior wall dimensions (LVPWd) of 21 mm, with a preserved left ventricular ejection fraction (LVEF) of 59%
CaseNotHPOs: NR
CaseNotHPOFreeText: NR
CasePreviousTesting: target-region capture sequencing and second-generation high throughput sequencing were performed to analyze all exons and their Flanking regions. Rare and known variants were validated using Sanger sequencing and cascade screening was carried out for all available relatives
Genotyping Method: target-region capture sequencing and second-generation high throughput sequencing, Sanger sequencing and cascade screening.
FunctionalAnalysis:NR
Variant: NM_000256.3:c.1827dupC, NM_004415.4:c.1324T>C
ClinVar:NR
CAID:UnregisteredVariant
gnomAD:NR
A 39-year-old man
Case3: 39-year-old man
DiseaseAssertion: seronegative rheumatoid arthritis
FamilyInfo: Father was diagnosed with hypertrophic cardiomyopathy
ParentalTesting: Genetic testing revealed a pathogenic MYBPC3 variant in the patient and his father (c.655G>C [p.Val219Leu])
CasePresentingHPOs: HP:5210340, HP:0006682, HP:0031971
CaseHPOFreeText: Rccentric septal hypertrophy with a maximal wall thickness of 1.7 cm, no evidence of outflow tract obstruction, and an LV EF of 65% to 70%. Rare premature ventricular complexes. Mild mediastinal lymphadenopathy, pulmonary sarcoidosis
CaseNotHPOs: NR
CaseNotHPOFreeText: NR
CasePreviousTesting: NR
Genotyping Method: NR
FunctionalAnalysis: NR
Variant: NM_006252.4(PRKAA2):c.148_151del (p.Gln50fs)
ClinVar:4891957
CAID:NR
gnomAD:NR
AdditionalInfo:NR
Can Systemic Sarcoidosis and Genetic Cardiomyopathy Coexist?
PMID:42233912
Gene:MYBPC3, FLNC, PKP2
HGNC ID:7551, 9024, 3756
74-year-old male was admitted to the Department of Cardiology, Daejeon St. Mary’s Hospital (Daejeon, Korea), for the evaluation of exertional dyspnea (New York Heart Association (NYHA) functional class III), palpitations, and bilateral leg pitting edema for several months.
Case#: Pedigree I-1; 74-year-old Korean male; admitted for dyspnea (NYHA III), palpitations, and bilateral pitting leg edema over several months
DiseaseAssertion: Idiopathic restrictive cardiomyopathy (RCM) with biatrial enlargement, in a family with MYBPC3-related cardiomyopathy
FamilyInfo: Family history of heart disease with two affected daughters (II-2 and II-4), both heterozygous for the same variant and both diagnosed with HCM. Unaffected granddaughter (III-3) tested negative. Both daughters showed asymmetric septal hypertrophy on TTE (18 mm and 17 mm) with mildly dilated LA; daughter II-2 had grade I diastolic dysfunction and mild exertional chest discomfort. CMR confirmed reverse septal curvature hypertrophy consistent with HCM in both daughters, with no LGE in either.
ParentalTesting: Not performed; the proband is the index case in generation I; his parents were not evaluated. Phase established only through the daughters and granddaughter.
CasePresentingHPOs:HP:0002094; HP:0001962; HP:0001677; HP:0001635; HP:0001639; HP:0001698
CaseHPOFreeText: Exertional dyspnea NYHA class III, palpitations, and bilateral leg pitting edema for several months; dyspnea refractory to heart failure medication, with pulmonary venous congestion. ECG and Holter: atrial fibrillation with rare premature ventricular complexes. TTE: RCM with biatrial enlargement and small pericardial effusion. CMR: normal LV chamber size, borderline diffuse LV hypertrophy, very large atria, extensive transmural LGE in the apical wall and mid-myocardial patchy LGE in the ventricular septum. Coronary angiogram normal; no secondary cause of RCM found.
CaseNotHPOs: HP:0000822; HP:0000819; HP:0001658; HP:0001678
CaseNotHPOFreeText: Coronary angiogram normal, so no obstructive coronary disease. No secondary cause of RCM identified; no inflammatory, infiltrative, or systemic disease found. No AV block; the rhythm disturbance was atrial fibrillation.
CasePreviousTesting: Whole exome sequencing (Agilent SureSelect XT Human All Exon v5, Illumina HiSeq2500, GATK. Sanger sequencing of family members showed only the MYBPC3 variant tracked with disease; the other four (KALRN c.1702C>T, KCNH2 c.442C>T, SKI c.30T>G, TTN c.54293T>C) did not correlate with phenotype.
Genotyping Method: WES in the proband, with annotation via dbNSFP and Ensembl VEP; Sanger sequencing confirmed the MYBPC3 frameshift in the proband (I-1), daughters II-2 and II-4, and its absence in granddaughter III-3 (Fig. 3B).
FunctionalAnalysis: None performed. CMR showed extensive LGE in the apical LV, and the authors propose that advanced myocardial fibrosis in end-stage HCM can provoke myocardial atrophy, explaining the relatively normal LV chamber size with a predominantly restrictive phenotype hypothesis.
Variant: MYBPC3 NM_000256.3:c.3313_3314insGG (p.Ala1105Glyfs*85); heterozygous frameshift insertion; absent from gnomAD and the Korean Reference Genome Database.
ClinVar: 1473634
CAID: Not reported.
Gene:MYBPC3
HGNC: HGNC: 7551
PMID: 33803538
gnomAD: Absent per the authors' check of gnomAD as of 8 November 2020, and absent from KRGDB.
AdditionalInfo: Authors conclude the MYBPC3 frameshift is the pathogenic variant, with the same allele producing RCM in the proband and HCM in both daughters; an example of pleiotropy and variable expressivity within one family. The frameshift has previously been reported in Korean HCM. Poor-prognosis features in RCM cited by the authors: male sex, age over 70, high NYHA class, and LA dimension >60 mm.
Right coronary artery originated from left coronary sinus associated with children hypertrophic cardiomyopathy: report of two cases and literature review
PMID: 41726140
Gene: MYBPC3
HGNC ID: 7551
The proband, a 64-year-old male non-smoker, was first admitted to the clinic in June 2014 with complaints of breathlessness during low physical activity, leg edema, infrequent palpitations, occasional pulling pains in the cardiac area and a tendency to hypotension (blood pressure (BP) 100/60 mm Hg).
Case#: 64-year-old male, non-smoker, first admitted June 2014; Russian family; died 2019 at age 69
DiseaseAssertion: MYBPC3-related cardiomyopathy with a predominantly restrictive phenotype in combination with left ventricular noncompaction (LVNC) and cardiac sarcoidosis
FamilyInfo: Son (39) and daughter (35) both heterozygous for the same variant and both have non-obstructive asymmetric HCM, with no LVNC on cardiac CT; both essentially asymptomatic on beta-blocker monotherapy. Five-year SCD risk 4.82% (son) and 2.07% (daughter); ICD implanted in the son, no shocks in three years. Authors mention another family of theirs with a father who died suddenly young and children with HCM and LVNC.
ParentalTesting: Not performed; the proband is the index case; his parents were not evaluated. Transmission to both children confirmed by Sanger.
CasePresentingHPOs:HP:0001639
CaseNotHPOs: N/A
CasePreviousTesting: N/A
Genotyping Method: Next-generation sequencing panel; variants confirmed by Sanger.
FunctionalAnalysis: N/A
Variant 1: MYBPC3 NM_000256.3:c.278delA; heterozygous frameshift
Variant 2: KCNJ5 c.464G>A; heterozygous missense
ClinVar: N/A
CAID:N/A
gnomAD: N/A
Gene:MYBPC3
PMID:36011256
A full term girl
Case1: gestational age 40 weeks female
DiseaseAssertion: Poor feeding, cyanosis, and difficulty with breathing.
FamilyInfo: Healthy non‐consanguineous parents. Echocardiographic in the mother and sister were normal. Father had mild dilatation of the left atrium with an abnormal flow pattern in the mitral valve, otherwise healthy.
ParentalTesting: c.2373_2374insG mutation found in the mother
CasePresentingHPOs:HP:0025169,
CaseHPOFreeText: hypertrophic non‐obstructive cardiomyopathy with poor left and right ventricular systolic function. The left ventricular end diastolic diameter measured 17.3 mm (99% of normal), end systolic diameter 12.9 mm (116% of normal), and left ventricular posterior wall 3.6 mm (111% of normal). The intraventricular septum measured 11.8 mm (288% of normal). The shortening fraction of the left ventricle was decreased to 25%. Multiple abnormal small communications with a minimal flow between a coronary artery and the right ventricle were observed in the apical portion of the interventricular septum. There were no structural congenital heart defects.
CaseNotHPOs: NR
CaseNotHPOFreeText: NR
CasePreviousTesting: NR
Genotyping Method:
FunctionalAnalysis: NR
Variant: NM_006073.4(TRDN):c.1624+1G>A
ClinVar:2152664
CAID: CA147231745
gnomAD:NR
AdditionalInfo:NR
Two cases of severe neonatal hypertrophic cardiomyopathy caused by compound heterozygous mutations in the MYBPC3 gene
PMID: 16679492
Gene: MYBPC3
HGNC ID:7551
38-year-old man
Case1: 48 year old male
DiseaseAssertion: . Two missense variants in MYBPC3 (NM_000256.3): c.2533C>G in exon 26 (C6 domain) were identified and, classified as a variant of uncertain significance (VUS, score 2), and c.1696T>A in exon 18 (C4 domain), a VUS with a score of 5.
FamilyInfo: There was no family history of cardiomyopathy or SCD.
ParentalTesting: NR
CasePresentingHPOs: HP:0004751, HP:0006682, HP:0001712
CaseHPOFreeText: 38 year old man, suffering from contractions, and one short run of non-sustained ventricular tachycardia lasting four beats. Asymmetric septal hypertrophy with a maximum thickness of 19 mm. In addition, marked biatrial enlargement was evident, with a left atrial volume index of 79 mL/m² and right atrial area of 25 cm². Importantly, extensive diffuse late gadolinium enhancement (LGE) was detected in the basal and mid-septal and anterior segments, involving 17% of the myocardial mass
CaseNotHPOs: NR
CasePreviousTesting: genetic testing was performed using the Health in Code HCM panel, which includes the following 18 genes: ACTC1, DES, FHL1, FHOD3, GLA, LAMP2, MYBPC3, MYH7, MYL2, MYL3, PRKAG2, PTPN11, TNNC1, TNNI3, TNNT2, TPM1, TRIM63, and TTR.
Genotyping Method: Health in Code HCM panel
FunctionalAnalysis:
Variant: NM_000256.3:c.2533C>G, NM_000256.3:c.1696T>A
ClinVarID:180973, 915724
CAID:CA380324353, CA012504
gnomAD:
AdditionalInfo:NR
Family M29
Case6: 48 year old male
DiseaseAssertion: Carried the MYBPC3 E619K mutation
FamilyInfo:Three unaffected children were examined (IV:1, IV:2 and IV:3), all with normal echocardiography without signs of hypertrophy or dilatation. Both affected individuals as well as a 26-year-old unaffected daughter (M29, IV:3) carried the MYBPC3 E619K mutation
ParentalTesting:NR
CasePresentingHPOs: HP:0034307, HP:0012666, HP:0011713, HP:0001635
CaseHPOFreeText: Onset of symptoms in their third decade; the index case required heart transplantation 3 years after the onset of symptoms. Has onset at the age of 37. Has left ventricular end diastolic diameter (in mm and indexed by body surface area (cm/m2)) with the value of 79 mm and 3.2 cm/m2. They have a 20% of left ventricular ejection fraction. ECG as left bundle branch block. Clinical status as DCM/ congestive heart failure. CAG as normal.
CaseNotHPOs:NR
CaseNotHPOFreeText:NR
CasePreviousTesting:NR
Genotyping Method:Genetically screened, also using GenBank with PCR by amplifying the coding region
FunctionalAnalysis:NR
Variant: NM_000256.3:c.1855G>A
ClinVar:161303
CAID:CA011336
gnomAD: gnomAD v2: 11:47362731 C / T gnomAD v3: 11:47341180 C / T gnomAD v4: chr11-47341180-C-T
AdditionalInfo:NR
Family M21
Case4: 47 year old male
DiseaseAssertion: Carried the MYBPC3 R326Q mutation
FamilyInfo:His father had onset of symptoms at 77 years of age and is stable on medication. Two asymptomatic young children (M21, III:1 and :2) had no signs of hypertrophy or dilatation on echocardiography and normal ECG.
ParentalTesting: NR
CasePresentingHPOs: HP:0011713, HP:0034307, HP:0012665, HP:0001635
CaseHPOFreeText: Had onset of symptoms at 42 years, LBBB on ECG and required cardiac resynchronization therapy. Has left ventricular end diastolic diameter (in mm and indexed by body surface area (cm/m2) of 81 mm and 3.6 cm/m2. A left ventricular ejection fraction as 20%. ECG as left bundle branch block. Clinical status as DCM/ congestive heart failure. CAG as normal. As well with cardiac resynchronization therapy.
CaseNotHPOs: HP:0011675
CaseNotHPOFreeText: No arrhythmia
CasePreviousTesting:NR
Genotyping Method:Genetically screened, also using GenBank with PCR by amplifying the coding region
FunctionalAnalysis: It results in the replacement of a conserved charged arginine with neutral glutamine at residue 326 in the phosphorylatable MyBPC motif of cMyBPC. This charge change is likely to cause functional impairment.
Variant:NM_000256.3:c.977G>A
ClinVar:42813
CAID:CA016212
gnomAD: gnomAD v2: 11:47367871 C / T gnomAD v3: 11:47346320 C / T gnomAD v4: chr11-47346320-C-T
AdditionalInfo:NR
Whole genome sequencing in paediatric channelopathy and cardiomyopathy
Whole genome sequencing in paediatric channelopathy and cardiomyopathy
PMID: 38586174 Gene: MYBPC3 HGNC ID: 7551
3.1.2 Patient 2—heart transplanted DCM and intronic MYBPC3 variant
Case2: 12-year-old boy (Patient 2) DiseaseAssertion: DCM FamilyInfo: Family history unremarkable. ParentalTesting: The MYBPC3 variant was inherited from his father. The father’s cardiac phenotype is not reported. CasePresentingHPOs: HP:0001644, HP:0003546 CaseHPOFreeText: Severely depressed biventricular function; heart transplantation for decompensated heart failure. CaseNotHPOs: CaseNotHPOFreeText: CasePreviousTesting: Previous WES was negative; the variant’s intronic region was not adequately covered. Genotyping Method: Whole-genome sequencing (WGS; Illumina NovaSeq 6000; aligned to hg19/GRCh37). FunctionalAnalysis: SpliceAI predicted a potential splicing effect; no functional assay in this patient is reported. Variant: NM_000256.3:c.1224-80G>A (heterozygous intronic variant) ClinVar: 693982 CAID: CA221697326 gnomAD: 0.0000637 AdditionalInfo: The authors classified the variant as a VUS in this DCM case because evidence for a MYBPC3–DCM relationship is limited. ClinVar currently reports a pathogenic/likely pathogenic aggregate classification, primarily in relation to HCM. Reanalysis found no second MYBPC3 variant.
Cardiac Alpha-Myosin (MYH6) Is the Predominant Sarcomeric Disease Gene for Familial Atrial Septal Defects
PMID: 22194935
Gene: MYBPC3
HGNC ID: HGNC:7551
TTL Overexpression Rescues Hypertrophy in Cardiomyocytes Derived From an HCM hiPSC Line
Case1: HCM patient-derived cell line UKEi070-A (demographics not reported in this paper) DiseaseAssertion: HCM
ParentalTesting: CasePresentingHPOs: HP:0001639 CaseHPOFreeText: CaseNotHPOs: CaseNotHPOFreeText: CasePreviousTesting: Genotyping Method: Not reported in this paper; it references a previously established patient-derived cell line. FunctionalAnalysis: The variant is reported to cause MYBPC3 protein haploinsufficiency in cardiomyocytes. In this study, TTL overexpression normalized cell hypertrophy in the HCM cell model. Variant: NM_000256.3:c.2308G>A (heterozygous; the paper reports the splice consequence as p.Asp770Serfs98X) ClinVar: 36604 CAID: gnomAD: NR AdditionalInfo: The paper uses patient-derived induced pluripotent stem cell cardiomyocytes; it does not provide the patient’s age, sex, or pedigree.
Chronic Activation of Tubulin Tyrosination Improves Heart Function
Chronic Activation of Tubulin Tyrosination Improves Heart Function
PMID: 39279670 Gene: MYBPC3 HGNC ID: 7551
Novel Intragenic PAX6 Deletion in a Pedigree with Aniridia, Morbid Obesity, and Diabetes
Novel Intragenic PAX6 Deletion in a Pedigree with Aniridia, Morbid Obesity, and Diabetes
PMID: 31361967
Gene: MYBPC3
HGNC ID: 7551
A 50-year-old male with a prior clinical diagnosis of hypertrophic cardiomyopathy presented with monomorphic ventricular tachycardia.
Case1: 50 year old male DiseaseAssertion: HCM; hydroxychloroquine cardiotoxicity FamilyInfo: Six children undergoing predictive testing for the familial MYBPC3 variant; family history not reported ParentalTesting: CasePresentingHPOs: HP:0001639 CaseHPOFreeText: Monomorphic ventricular tachycardia, dyspnea, nausea, vomiting, biventricular hypertrophy, systolic dysfunction, cardiogenic shock CaseNotHPOs: CaseNotHPOFreeText: CasePreviousTesting: Prior CMR showed nonobstructive HCM; cardiomyopathy gene panel identified the variant Genotyping Method: Cardiomyopathy gene panel FunctionalAnalysis: Altered splicing with exon 30 skipping; authors describe a nonfunctional protein or premature stop codon Variant: c.3330+5G>C ClinVar: 42706 CAID: gnomAD: 0.03% (as reported in the article) AdditionalInfo: Long-term hydroxychloroquine exposure for malaria prophylaxis; biopsy findings were consistent with both HCM and hydroxychloroquine cardiotoxicity
Hydroxychloroquine Cardiotoxicity and Sarcomeric Hypertrophic Cardiomyopathy
Hydroxychloroquine Cardiotoxicity and Sarcomeric Hypertrophic Cardiomyopathy.”
PMID: 40514126 Gene: MYBPC3 HGNC ID: 7551
Molecular autopsy and family screening in a young case of sudden cardiac death reveals an unusually severe case of FHL1 related hypertrophic cardiomyopathy
PMID: 31293105
Gene: MYBPC3
HGNC ID: HGNC:7551
5.5-months-old child
Case#: Deceased child, female; age 5.5 months
DiseaseAssertion: Hypertrophic cardiomyopathy with endomyocardial fibroelastosis
FamilyInfo: The mother carried c.2373dup, and the father carried c.592G>T.
ParentalTesting: The mother carried c.2373dup, and the father carried c.592G>T.
CasePresentingHPOs: HP:0001706 HP:0200128 HP:0012664 HP:0002094 HP:0000961
CaseHPOFreeText: Acute heart failure; massive biventricular cardiac enlargement; biventricular dysfunction; progressive dyspnea; blue lips; pale appearance; endocardial fibrosis; cardiopulmonary arrest.
CaseNotHPOFreeText: No congenital heart disease or valve abnormalities were found at autopsy
Genotyping Method: Postmortem molecular testing
Variant: MYBPC3 c.592G>T (p.Asp198Tyr); missense
MYBPC3 c.2373dup, p.Trp792Valfs*41); frameshift duplication
ClinVar: c.592G>T: NR; c.2373dup: 42619
CAID: c.592G>T: NR; c.2373dup: CA012139
gnomAD: c.592G>T was not observed in more than 123,000 individuals; c.2373dup: 0.0017% overall
AdditionalInfo: The child died from severe early-onset cardiac disease at 5.5 months. Autopsy showed endomyocardial fibroelastosis and severe biventricular involvement.
The proband was a 63-year-old woman who presented to the outpatient department in July 2025 with a 7-day history of palpitations. She had been admitted to a local hospital seven days earlier due to sudden-onset palpitations.
Case#: Single proband ; 63-year-old female; palpitations at presentation July 2025; HCM diagnosis established at age 63
DiseaseAssertion: Hypertrophic cardiomyopathy (HCM) complicated by apical left ventricular aneurysm and mid-ventricular obstruction
FamilyInfo: No family history of cardiac disease or sudden cardiac death at a young age reported. Both parents deceased (one of cancer, one of natural causes at age 92), neither with reported cardiovascular disease; proband has no siblings. Only first-degree relative is her son, who carries the KCNJ5 c.464G>A variant but not the MYBPC3 c.278delA variant, and has a normal echocardiogram with no myocardial hypertrophy. No pedigree beyond the son (Fig. 3B).
ParentalTesting: Not performed; both parents deceased, no DNA available; authors state a valid familial segregation analysis could not be performed. Only one family member (son) was available for cascade Sanger screening.
CasePresentingHPOs: HP:0001639 (Hypertrophic cardiomyopathy); HP:0001649 (Tachycardia), palpitations; HP:0001712 (Left ventricular hypertrophy).
CaseNotHPOFreeText: No history of hypertension, diabetes, or hyperlipidemia. Phenocopies excluded: no extra-cardiac manifestations of Fabry disease and GLA testing negative; cardiac amyloidosis excluded (no apical sparing, normal serum free light chains, negative serum protein electrophoresis and immunofixation); no significant coronary stenosis on coronary CT angiography. No QT prolongation or features of Andersen–Tawil syndrome on ECG.
CasePreviousTesting: Whole exome sequencing identified both variants; all rare and known variants validated by Sanger sequencing, with cascade Sanger screening in available one family member. No prior genetic testing reported before this episode.
Genotyping Method: Targeted region capture with next-generation high-throughput sequencing (whole exome, exonic plus flanking regions); variants confirmed by bidirectional Sanger sequencing. Cascade screening by Sanger in the son. MYBPC3 variant absent from 1000 Genomes, ESP6500, ExAC, and the Besuper local database. KCNJ5 variant absent from 1000 Genomes and ESP6500, ExAC frequency, absent from local Basenhall controls.
FunctionalAnalysis: None performed; authors list absence of functional studies and lack of mRNA-level validation as limitations. MYBPC3 frameshift predicted to trigger nonsense-mediated decay.
Variant: MYBPC3 NM_000256.3:c.278delA (p.Lys93ArgfsTer3); heterozygous; exon 2; novel, not in ClinVar or HGMD; classified Likely Pathogenic by ACMG (PVS1, PM2). Second variant: KCNJ5 NM_000256.3:c.464G>A (p.Arg155Gln); heterozygous; exon 2; novel, not in ClinVar or HGMD; classified VUS (PM2, PP3). Note the paper's KCNJ5 accession is written as NM_000256.3, which is the MYBPC3 transcript, most likely a typo in the article Pepper please conform for me the correct KCNJ5 accession
ClinVar: No ClinVar record for either variant; nearby KCNJ5 missense variants c.451G>A, c.452G>A, c.470T>G, and c.473C>G are documented as pathogenic/likely pathogenic for long QT syndrome or aldosteronism, and downstream frameshift/nonsense variants at the MYBPC3 locus are classified pathogenic or likely pathogenic.
CAID:Not found.
gnomAD: No allele frequency available, so no MAF to report.
PMID: 42428486
Gene: MYBPC3
HGNC: HGNC:7551
AdditionalInfo:Single-case report, no case numbering system used. Treated with dapagliflozin, metoprolol, rivaroxaban, and recombinant human BNP for 13 days, discharged on the first three; mexiletine added at 1-week follow-up for persistent palpitations. ICD recommended but declined due to financial constraints; 3-month follow-up showed good adherence with occasional palpitations and no serious arrhythmic events. Authors conclude MYBPC3 c.278delA is likely pathogenic for HCM, while the KCNJ5 variant shows no clinical phenotype in the proband or her son and may be incidental or a modifier.
Founder mutation in myosin-binding protein C with an early onset and a high penetrance in males
PMID: 34588271
Gene: MYBPC3
HGNC ID: HGNC:7551
Effectiveness of whole exome sequencing in unsolved patients with a clinical suspicion of a mitochondrial disorder in Estonia
PMID: 30009132
Gene: MYBPC3, multiple genes, cohort study
HGNC ID: HGNC:7551
Next-generation sequencing (NGS) as a molecular diagnostic tool for hypertrophic cardiomyopathy in a Chinese boy due to novel compound heterozygous mutations in the MYBPC3 gene
PMID: 30896616
Gene: MYBPC3
HGNC ID: HGNC:7551
Mixed Hypertrophic and Dilated Phenotype of Cardiomyopathy in a Patient With Homozygous In-Frame Deletion in the MyBPC3 Gene Treated as Myocarditis for a Long Time
33101033
MyBPC3
HGNCID:7551
SLO proband 1 G/G C/C delC/delC C/C A/A CTT/delTT C/C
Table 1 identifies individual Slovenian probands carrying MYBPC3:c.913_914del and compares genetic markers used for haplotype analysis
Echocardiographic characteristics of Slovenian probands with MYBPC3:c.913_914del (18) and those with other LP/P MYBPC3 variants (21)
Table 3 compares heart measurements between probands with MYBPC3:c.913_914del and those with other MYBPC3 variants. These measurements help evaluate how the variants relate to heart structure and function
Clinical characteristics of Slovenian probands with MYBPC3:c.913_914del (18) and those with other LP/P MYBPC3 variants (21)
Table 2 compares clinical symptoms and characteristics between 18 probands with MYBPC3:c.913_914del and 21 probands with other likely pathogenic or pathogenic MYBPC3 variants. The differences shown were not statistically significant.
Family M9
Case2: A 49 year old woman
DiseaseAssertion: Carried a novel MYBPC3 T494I mutation
FamilyInfo: Both parents were older than 80 years, had no cardiovascular symptoms and declined participation in the study
ParentalTesting:NR
CasePresentingHPOs: HP:0034307, HP:0012666, HP:6000091
CaseHPOFreeText: Had onset of symptoms a few days after giving birth to her first child. She had a short, aggressive disease period, which resulted in HTX within 3 months of onset. Age 35 at onset. Has left ventricular end-diastolic diameter (in mm and indexed by body surface area (cm/m2)) 62 mm and 3.2 cm/m2. A left ventricular ejection fraction of 20%. An ECG at normal. New York Heart Association (NYHA) as 4, Clinical status as heart transplantation (HTX), CAG as normal. HTX, 36 years, postpartum.
CaseNotHPOs:HP:0011675
CaseNotHPOFreeText:No Arrhythmia.
CasePreviousTesting:NR
Genotyping Method:genetically screened, also using GenBank with PCR by amplifying the coding region.
FunctionalAnalysis:NR
Variant:NM_000256.3:c.1481C>T
ClinVar:NR
CAID:CA380325267
gnomAD:NR
AdditionalInfo:This index case carried a novel MYBPC3 T494I mutation, which replaces a conserved hydrophilic side chain with a branched neutral side chain in domain C3 of cardiac myosin-binding protein C (cMyBPC); such an alteration may interfere with the secondary structure of the C3 domain. The missense mutations G490R, R495Q and R502W, all located in the proximity of the 494 residue, have all been described as associated with HCM.
A rare cause of sudden unexpected death syndrome (SUDS) in the first year of life: endomyocardial fibroelastosis (EFE) due to two compound heterozygous MYBPC3 mutations
PMID: 33849460
Gene: MYBPC3
HGNC ID: HGNC:7551
Next-generation sequencing identifies pathogenic and modifier mutations in a consanguineous Chinese family with hypertrophic cardiomyopathy
PMID: 28614222
Gene: MYBPC3
HGNC ID: HGNC:7551
A case report in hypertrophic cardiomyopathy in a recreational athlete: multimodality risk assessment, genetic insights, and shared decision-making
PMID: 41550885 Gene: MYBPC3 HGNC: 7551
Left-Dominant Arrhythmogenic Cardiomyopathy in a Young Athlete
PMID: 42460955
Gene: MYBPC3
HGNC ID: 7551
Functional Characterization of TNNC1 Rare Variants Identified in Dilated Cardiomyopathy
PMID: 21832052
Gene: MYBPC3
HGNC: 7551
A pathogenic nonsense mutation (c.1522C>T) of the MYBPC3 gene is implicated with hypertrophic cardiomyopathy
PMID: 37271167
Gene: MYBPC3
HGNC ID: 7551