Table 1. Hypertrophic cardiomyopathy-causing genes and associated phenotypes.
Gene | Protein | Frequencies in patients with HCM | Associated phenotype |
---|---|---|---|
MYH7 | β-Myosin heavy chain | 25%-35% | Mild or severe HCM |
MYBPC3 | Myosin-binding protein C (cardiac type) | 20%-30% | Expression similar to MYH7, late onset |
TNNT2 | Troponin T (cardiac muscle) | 3%-5% | Mild hypertrophy, sudden death |
TNNI3 | Troponin I (cardiac muscle) | <5% | Extreme intrafamilial heterogeneity, no sudden death without severe disease |
TPM1 | Tropomyosin 1α | <5% | Variable prognosis, sudden death |
MYL2 | Regulatory myosin light chain 2 (ventricular/cardiac-muscle isoform) | <5% | Skeletal myopathy |
MYL3 | Essential myosin light chain 3 | Rare | Skeletal myopathy |
ACTC | α-Cardiac actin 1 | Rare | Skeletal myopathy |
TTN | Titin | Rare | Typical HCM |
TNNC1 | Troponin C, slow skeletal and cardiac muscles | Rare | Typical HCM |
MYH6 | α-Myosin heavy chain | Rare | Late onset |
CSRP6 | Muscle LIM protein | Rare | Late onset, variable penetrance |
MYLK2 | Myosin light chain kinase 2 | Rare | Early onset |
LDB3 | LIM-binding domain 3 | Rare | Mainly sigmoidal HCM |
TCAP | Telethonin | Rare | Typical HCM, variable penetrance |
VCL | Vinculin/metavinculin | Rare | Obstructive midventricular hypertrophy |
ACTN2 | α-Actinin 2 | Rare | Mainly sigmoidal HCM |
PLN | Phospholamban | Rare | Typical HCM, variable penetrance |
MYOZ2 | Myozenin 2 | Rare | Typical HCM |
JPH2 | Junctophilin 2 | Rare | Typical HCM |
HCM, hypertrophic cardiomyopathy. Reprinted with permission from Nature Publishing Group [5].