Description
The p.V440A variant (also known as c.1319T>C), located in coding exon 12 of the MYH7 gene, results from a T to C substitution at nucleotide position 1319. The valine at codon 440 is replaced by alanine, an amino acid with similar properties. This alteration is located in the head domain of the MYH7 protein, which has limited benign variation, and has been detected in hypertrophic cardiomyopathy (HCM) cohorts; however, details were limited (Bos JM et al. Mayo Clin. Proc., 2014 Jun;89:727-37; van Lint FHM et al. Neth Heart J, 2019 Jun;27:304-309). This allele was reported in only one heterozygous individual in population-based cohorts in the Genome Aggregation Database (gnomAD). A different variant affecting this codon (p.V440M, c.1318G>A) has also been detected in HCM cohorts, with several clinical labs reporting segregation with disease (Van Driest SL et al. J. Am. Coll. Cardiol., 2004 Aug;44:602-10; Bos JM et al. Mayo Clin. Proc., 2014 Jun;89:727-37; Walsh R et al. Genet. Med., 2017 02;19:192-203; LMM pers comm; OMGL pers comm). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the majority of available evidence to date, this variant is likely to be pathogenic.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | unknown | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |