MYOZ2
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Also known as CS-1FATZ-2
Summary
MYOZ2 (myozenin 2, HGNC:1330) is a protein-coding gene on chromosome 4q26, encoding Myozenin-2 (Q9NPC6). Myozenins may serve as intracellular binding proteins involved in linking Z line proteins such as alpha-actinin, gamma-filamin, TCAP/telethonin, LDB3/ZASP and localizing calcineurin signaling to the sarcomere.
The protein encoded by this gene belongs to a family of sarcomeric proteins that bind to calcineurin, a phosphatase involved in calcium-dependent signal transduction in diverse cell types. These family members tether calcineurin to alpha-actinin at the z-line of the sarcomere of cardiac and skeletal muscle cells, and thus they are important for calcineurin signaling. Mutations in this gene cause cardiomyopathy familial hypertrophic type 16, a hereditary heart disorder.
Source: NCBI Gene 51778 — RefSeq curated summary.
At a glance
- Gene–disease (curated): hypertrophic cardiomyopathy 16 (Limited, GenCC) — +1 more curated relationship
- GWAS associations: 4
- Clinical variants (ClinVar): 319 total — 1 likely-pathogenic
- Phenotypes (HPO): 14
- MANE Select transcript:
NM_016599
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:1330 |
| Approved symbol | MYOZ2 |
| Name | myozenin 2 |
| Location | 4q26 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | CS-1, FATZ-2 |
| Ensembl gene | ENSG00000172399 |
| Ensembl biotype | protein_coding |
| OMIM | 605602 |
| Entrez | 51778 |
Gene structure
Transcript identifiers
Ensembl transcripts: 8 — 8 protein_coding
ENST00000307128, ENST00000890353, ENST00000890354, ENST00000890355, ENST00000890356, ENST00000958709, ENST00000958710, ENST00000958711
RefSeq mRNA: 1 — MANE Select: NM_016599
NM_016599
CCDS: CCDS3711
Canonical transcript exons
ENST00000307128 — 6 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001161353 | 119164211 | 119164394 |
| ENSE00001161357 | 119158022 | 119158151 |
| ENSE00001161361 | 119150872 | 119151041 |
| ENSE00001177140 | 119185966 | 119187789 |
| ENSE00001205678 | 119136512 | 119136601 |
| ENSE00001312493 | 119135832 | 119135982 |
Expression profiles
Bgee: expression breadth ubiquitous, 179 present calls, max score 99.93.
FANTOM5 (CAGE): breadth broad, TPM avg 9.9291 / max 2133.0743, expressed in 331 samples.
FANTOM5 promoters (4 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 49474 | 5.9105 | 281 |
| 49475 | 3.1878 | 116 |
| 49472 | 0.6361 | 90 |
| 49473 | 0.1946 | 43 |
Top tissues by expression
290 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| heart right ventricle | UBERON:0002080 | 99.93 | gold quality |
| left ventricle myocardium | UBERON:0006566 | 99.80 | gold quality |
| myocardium | UBERON:0002349 | 99.78 | gold quality |
| cardiac muscle of right atrium | UBERON:0003379 | 99.66 | gold quality |
| diaphragm | UBERON:0001103 | 99.59 | gold quality |
| gluteal muscle | UBERON:0002000 | 99.48 | gold quality |
| vena cava | UBERON:0004087 | 99.45 | gold quality |
| biceps brachii | UBERON:0001507 | 99.43 | gold quality |
| skeletal muscle tissue of biceps brachii | UBERON:0004502 | 99.42 | gold quality |
| cardiac atrium | UBERON:0002081 | 99.35 | gold quality |
| skeletal muscle tissue of rectus abdominis | UBERON:0004511 | 99.35 | gold quality |
| cardiac ventricle | UBERON:0002082 | 99.31 | gold quality |
| right atrium auricular region | UBERON:0006631 | 99.31 | gold quality |
| tibialis anterior | UBERON:0001385 | 99.30 | gold quality |
| heart left ventricle | UBERON:0002084 | 99.29 | gold quality |
| deltoid | UBERON:0001476 | 99.23 | gold quality |
| apex of heart | UBERON:0002098 | 99.19 | gold quality |
| vastus lateralis | UBERON:0001379 | 99.00 | gold quality |
| quadriceps femoris | UBERON:0001377 | 98.99 | gold quality |
| triceps brachii | UBERON:0001509 | 98.89 | gold quality |
| body of tongue | UBERON:0011876 | 98.83 | gold quality |
| skeletal muscle tissue | UBERON:0001134 | 98.52 | gold quality |
| hindlimb stylopod muscle | UBERON:0004252 | 98.10 | gold quality |
| muscle organ | UBERON:0001630 | 97.19 | gold quality |
| skeletal muscle organ | UBERON:0014892 | 97.19 | gold quality |
| gastrocnemius | UBERON:0001388 | 97.09 | gold quality |
| heart | UBERON:0000948 | 96.82 | gold quality |
| muscle of leg | UBERON:0001383 | 96.55 | gold quality |
| muscle tissue | UBERON:0002385 | 95.51 | gold quality |
| tongue | UBERON:0001723 | 90.07 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-11268 | no | 1206.22 |
| E-ANND-3 | no | 0.00 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): MEF2C, NFATC4, NFKB1
miRNA regulators (miRDB)
118 targeting MYOZ2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-1277-5P | 100.00 | 73.95 | 5056 |
| HSA-MIR-5011-5P | 100.00 | 83.46 | 5820 |
| HSA-MIR-5692B | 100.00 | 71.32 | 2622 |
| HSA-MIR-5692C | 100.00 | 71.32 | 2622 |
| HSA-MIR-3646 | 100.00 | 73.56 | 5283 |
| HSA-MIR-190A-3P | 100.00 | 80.35 | 5520 |
| HSA-MIR-3163 | 100.00 | 77.23 | 8605 |
| HSA-MIR-656-3P | 100.00 | 72.15 | 2788 |
| HSA-MIR-30A-5P | 100.00 | 76.31 | 3233 |
| HSA-MIR-30B-5P | 100.00 | 76.29 | 3248 |
| HSA-MIR-30C-5P | 100.00 | 76.29 | 3248 |
| HSA-MIR-30D-5P | 100.00 | 76.32 | 3233 |
| HSA-MIR-30E-5P | 100.00 | 76.32 | 3242 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-4282 | 99.99 | 75.36 | 6408 |
| HSA-MIR-4531 | 99.99 | 69.70 | 3181 |
| HSA-MIR-4482-3P | 99.98 | 72.50 | 3147 |
| HSA-MIR-570-3P | 99.96 | 72.41 | 4910 |
| HSA-MIR-559 | 99.95 | 72.28 | 3609 |
| HSA-MIR-548AB | 99.95 | 71.31 | 3488 |
| HSA-MIR-548A-5P | 99.94 | 71.27 | 3482 |
| HSA-MIR-548AD-5P | 99.94 | 71.23 | 3502 |
| HSA-MIR-548AE-5P | 99.94 | 71.23 | 3502 |
| HSA-MIR-548AK | 99.94 | 71.24 | 3488 |
| HSA-MIR-548AM-5P | 99.94 | 71.24 | 3488 |
| HSA-MIR-548AP-5P | 99.94 | 71.14 | 3489 |
| HSA-MIR-548AQ-5P | 99.94 | 71.34 | 3426 |
| HSA-MIR-548AR-5P | 99.94 | 71.28 | 3515 |
| HSA-MIR-548AS-5P | 99.94 | 71.22 | 3482 |
| HSA-MIR-548AU-5P | 99.94 | 71.24 | 3488 |
Literature-anchored findings (GeneRIF, showing 5)
- Two missense mutations, S48P substitution and I246M affecting highly conserved amino acids were linked to hereditary Hypertrophic cardiomyopathy characterized by early onset of symptoms, pronounced cardiac hypertrophy, and cardiac arrhythmias. (PMID:17347475)
- Mutations in MYOZ1 and MYOZ2 are at least very rare events as an underlying disease mechanism for idiopathic or familial DCM (PMID:17434779)
- The cardiac phenotype in hypertrophic cardiomyopathy caused by MYOZ2 mutations might be independent of calcineurin activity in the heart. (PMID:22987565)
- may play a modifying role in hypertrophic cardiomyopathy by affecting the penetrance or degree of performance of the MYH7 gene (PMID:28296734)
- Study found that MYOZ2 can be used as prognostic factor for gastric cancer. MYOZ2 is highly expressed in gastric cancer (GC) tissues, and its expression is associated with lymph node metastasis, TNM staging and poor patients survival. These results suggest that MYOZ2 gene may play an important role in the occurrence and development of gastric cancer. (PMID:30280773)
Cross-species orthologs
5 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | myoz2a | ENSDARG00000012311 |
| danio_rerio | myoz2b | ENSDARG00000037266 |
| danio_rerio | ENSDARG00000099032 | |
| mus_musculus | Myoz2 | ENSMUSG00000028116 |
| rattus_norvegicus | Myoz2 | ENSRNOG00000014815 |
Paralogs (2): MYOZ3 (ENSG00000164591), MYOZ1 (ENSG00000177791)
Protein
Protein identifiers
Myozenin-2 — Q9NPC6 (reviewed: Q9NPC6)
Alternative names: Calsarcin-1, FATZ-related protein 2
All UniProt accessions (1): Q9NPC6
UniProt curated annotations — full annotation on UniProt →
Function. Myozenins may serve as intracellular binding proteins involved in linking Z line proteins such as alpha-actinin, gamma-filamin, TCAP/telethonin, LDB3/ZASP and localizing calcineurin signaling to the sarcomere. Plays an important role in the modulation of calcineurin signaling. May play a role in myofibrillogenesis.
Subunit / interactions. Interacts via its C-terminus with spectrin repeats 3 and 4 of ACTN2. Interacts with ACTN1, LDB3, MYOT and PPP3CA.
Subcellular location. Cytoplasm. Myofibril. Sarcomere. Z line.
Tissue specificity. Expressed specifically in heart and skeletal muscle.
Disease relevance. Cardiomyopathy, familial hypertrophic, 16 (CMH16) [MIM:613838] A hereditary heart disorder characterized by ventricular hypertrophy, which is usually asymmetric and often involves the interventricular septum. The symptoms include dyspnea, syncope, collapse, palpitations, and chest pain. They can be readily provoked by exercise. The disorder has inter- and intrafamilial variability ranging from benign to malignant forms with high risk of cardiac failure and sudden cardiac death. The disease is caused by variants affecting the gene represented in this entry.
Similarity. Belongs to the myozenin family.
RefSeq proteins (1): NP_057683* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR008438 | MYOZ | Family |
Pfam: PF05556
UniProt features (12 total): modified residue 5, sequence conflict 2, sequence variant 2, chain 1, region of interest 1, compositionally biased region 1
Structure
Experimental structures (PDB)
0 structures.
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q9NPC6-F1 | 65.51 | 0.07 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Post-translational modifications (5): 53, 101, 107, 111, 116
Function
Pathways and Gene Ontology
Reactome pathways
0 pathways
MSigDB gene sets: 168 (showing top):
AP1_01, GOBP_MUSCLE_TISSUE_DEVELOPMENT, GOBP_REGULATION_OF_CALCIUM_MEDIATED_SIGNALING, GOBP_SKELETAL_MUSCLE_ADAPTATION, GOBP_STRIATED_MUSCLE_CELL_DIFFERENTIATION, MEF2_02, GOBP_SARCOMERE_ORGANIZATION, CAGCTG_AP4_Q5, GNF2_MYL3, GOBP_NEGATIVE_REGULATION_OF_INTRACELLULAR_SIGNAL_TRANSDUCTION, CATRRAGC_UNKNOWN, AP1_Q4_01, GOBP_CELLULAR_COMPONENT_ASSEMBLY_INVOLVED_IN_MORPHOGENESIS, GOBP_MUSCLE_STRUCTURE_DEVELOPMENT, GOBP_MUSCLE_ADAPTATION
GO Biological Process (5): negative regulation of transcription by RNA polymerase II (GO:0000122), skeletal muscle tissue development (GO:0007519), skeletal muscle fiber adaptation (GO:0043503), sarcomere organization (GO:0045214), negative regulation of calcineurin-NFAT signaling cascade (GO:0070885)
GO Molecular Function (5): actin binding (GO:0003779), protein phosphatase 2B binding (GO:0030346), telethonin binding (GO:0031433), FATZ binding (GO:0051373), protein binding (GO:0005515)
GO Cellular Component (4): actin cytoskeleton (GO:0015629), sarcomere (GO:0030017), Z disc (GO:0030018), cytoplasm (GO:0005737)
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cytoskeletal protein binding | 3 |
| cellular anatomical structure | 3 |
| regulation of transcription by RNA polymerase II | 1 |
| transcription by RNA polymerase II | 1 |
| negative regulation of DNA-templated transcription | 1 |
| striated muscle tissue development | 1 |
| skeletal muscle organ development | 1 |
| skeletal muscle adaptation | 1 |
| cellular response to stimulus | 1 |
| myofibril assembly | 1 |
| actomyosin structure organization | 1 |
| calcineurin-NFAT signaling cascade | 1 |
| regulation of calcineurin-NFAT signaling cascade | 1 |
| negative regulation of calcineurin-mediated signaling | 1 |
| protein phosphatase binding | 1 |
| binding | 1 |
| cytoskeleton | 1 |
| myofibril | 1 |
| I band | 1 |
| intracellular anatomical structure | 1 |
Protein interactions and networks
STRING
1152 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| MYOZ2 | TCAP | O15273 | 975 |
| MYOZ2 | ACTN2 | P35609 | 962 |
| MYOZ2 | LDB3 | O75112 | 893 |
| MYOZ2 | MYOT | Q9UBF9 | 877 |
| MYOZ2 | FLNC | Q14315 | 835 |
| MYOZ2 | CSRP3 | P50461 | 731 |
| MYOZ2 | MYL2 | P10916 | 696 |
| MYOZ2 | MYL3 | P08590 | 665 |
| MYOZ2 | MYBPC3 | Q14896 | 665 |
| MYOZ2 | MYH7 | P12883 | 661 |
| MYOZ2 | ACTN1 | P12814 | 642 |
| MYOZ2 | MYPN | Q86TC9 | 629 |
| MYOZ2 | ANKRD2 | Q9GZV1 | 617 |
| MYOZ2 | ACTC1 | P04270 | 606 |
| MYOZ2 | RCAN1 | P53805 | 604 |
IntAct
209 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| ACTN4 | MYOZ2 | psi-mi:“MI:0915”(physical association) | 0.930 |
| MYOZ2 | ACTN4 | psi-mi:“MI:0915”(physical association) | 0.930 |
| ACTN1 | MYOZ2 | psi-mi:“MI:0915”(physical association) | 0.810 |
| MYOZ2 | ACTN1 | psi-mi:“MI:0915”(physical association) | 0.810 |
| ACTN2 | MYOZ2 | psi-mi:“MI:0915”(physical association) | 0.780 |
| MYOZ2 | ACTN2 | psi-mi:“MI:0915”(physical association) | 0.780 |
BioGRID (27): MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), MYOZ2 (Two-hybrid), ACTN1 (Two-hybrid), ACTN2 (Two-hybrid), ACTN4 (Two-hybrid), MYOZ2 (Two-hybrid)
ESM2 similar proteins: A0MZ66, A0MZ67, A2APB8, A4IH24, A4UGR9, A6H6Z7, A9JRM0, D4A702, E7F7X0, O35867, O60566, P13505, P14317, P49710, Q14247, Q1LVV0, Q28IH8, Q2MJV9, Q3B820, Q3MHH7, Q4KM62, Q4R6Q9, Q4U4S6, Q5E9V3, Q5NVK0, Q5PZ43, Q5R6I2, Q5RAF2, Q60598, Q66HL2, Q66KE9, Q6AYN9, Q6DDV8, Q6DFB7, Q6NUF4, Q6P0R8, Q6ZUJ8, Q71LX6, Q7T0S7, Q80ZU5
Diamond homologs: Q4PS85, Q5E9V3, Q5R6I2, Q8R4E4, Q8SQ24, Q8TDC0, Q9JJW5, Q9JK37, Q9NP98, Q9NPC6
SIGNOR signaling
0 interactions.
Enriched among interaction partners
Reactome pathways and GO biological processes over-represented among this gene’s 94 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.
Reactome pathways:
| Pathway | Partners | Fold | FDR |
|---|---|---|---|
| Unblocking of NMDA receptors, glutamate binding and activation | 7 | 62.4× | 6e-10 |
| Negative regulation of NMDA receptor-mediated neuronal transmission | 7 | 62.4× | 6e-10 |
| Ras activation upon Ca2+ influx through NMDA receptor | 6 | 56.2× | 3e-08 |
| Long-term potentiation | 7 | 54.6× | 1e-09 |
| Assembly and cell surface presentation of NMDA receptors | 12 | 49.9× | 1e-15 |
| Dopamine Neurotransmitter Release Cycle | 5 | 40.7× | 4e-06 |
| Nephrin family interactions | 5 | 39.0× | 4e-06 |
| Neurexins and neuroligins | 12 | 38.7× | 2e-14 |
GO biological processes:
| GO term | Partners | Fold | FDR |
|---|---|---|---|
| establishment or maintenance of epithelial cell apical/basal polarity | 10 | 66.8× | 9e-14 |
| protein localization to synapse | 6 | 52.8× | 2e-07 |
| receptor clustering | 7 | 50.2× | 2e-08 |
| regulation of postsynaptic membrane neurotransmitter receptor levels | 5 | 28.5× | 6e-05 |
| protein-containing complex assembly | 10 | 13.1× | 6e-07 |
| cell-cell adhesion | 10 | 11.7× | 1e-06 |
| actin cytoskeleton organization | 9 | 8.2× | 9e-05 |
| protein localization to plasma membrane | 6 | 7.5× | 3e-03 |
Disease & clinical
Clinical variants and AI predictions
ClinVar
319 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 0 |
| Likely pathogenic | 1 |
| Uncertain significance | 196 |
| Likely benign | 73 |
| Benign | 25 |
Top pathogenic / likely-pathogenic (1)
| Variant ID | HGVS | Classification |
|---|---|---|
| 30508 | NM_016599.5(MYOZ2):c.142T>C (p.Ser48Pro) | Likely pathogenic |
SpliceAI
1087 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 4:119135978:GCAAG:G | donor_gain | 1.0000 |
| 4:119135980:AAGG:A | donor_loss | 1.0000 |
| 4:119135981:AGGT:A | donor_loss | 1.0000 |
| 4:119136586:G:GT | donor_gain | 1.0000 |
| 4:119150866:TTACA:T | acceptor_loss | 1.0000 |
| 4:119150867:TACAG:T | acceptor_loss | 1.0000 |
| 4:119150868:ACAGA:A | acceptor_loss | 1.0000 |
| 4:119150869:CAGAT:C | acceptor_loss | 1.0000 |
| 4:119150870:A:AC | acceptor_loss | 1.0000 |
| 4:119150870:A:AG | acceptor_gain | 1.0000 |
| 4:119150871:G:A | acceptor_loss | 1.0000 |
| 4:119150871:G:GT | acceptor_gain | 1.0000 |
| 4:119150871:GAT:G | acceptor_gain | 1.0000 |
| 4:119151042:G:GG | donor_gain | 1.0000 |
| 4:119164207:AAAG:A | acceptor_gain | 1.0000 |
| 4:119185964:AG:A | acceptor_gain | 1.0000 |
| 4:119185965:GG:G | acceptor_gain | 1.0000 |
| 4:119135979:CAAG:C | donor_gain | 0.9900 |
| 4:119135981:AG:A | donor_gain | 0.9900 |
| 4:119135982:GG:G | donor_gain | 0.9900 |
| 4:119135983:G:GG | donor_gain | 0.9900 |
| 4:119150870:AGAT:A | acceptor_gain | 0.9900 |
| 4:119150871:GA:G | acceptor_gain | 0.9900 |
| 4:119150871:GATG:G | acceptor_gain | 0.9900 |
| 4:119150871:GATGT:G | acceptor_gain | 0.9900 |
| 4:119151039:AAT:A | donor_gain | 0.9900 |
| 4:119151040:AT:A | donor_gain | 0.9900 |
| 4:119164207:A:AG | acceptor_gain | 0.9900 |
| 4:119164208:A:G | acceptor_gain | 0.9900 |
| 4:119164210:GGAT:G | acceptor_gain | 0.9900 |
AlphaMissense
1753 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 4:119150976:C:A | R61S | 0.998 |
| 4:119164288:T:A | W152R | 0.998 |
| 4:119164288:T:C | W152R | 0.998 |
| 4:119150977:G:C | R61P | 0.997 |
| 4:119150987:A:C | R64S | 0.997 |
| 4:119150987:A:T | R64S | 0.997 |
| 4:119164387:T:C | F185L | 0.997 |
| 4:119164389:T:A | F185L | 0.997 |
| 4:119164389:T:G | F185L | 0.997 |
| 4:119185971:C:A | A189D | 0.997 |
| 4:119186120:T:A | W239R | 0.997 |
| 4:119186120:T:C | W239R | 0.997 |
| 4:119150980:A:C | Q62P | 0.996 |
| 4:119164290:G:C | W152C | 0.996 |
| 4:119164290:G:T | W152C | 0.996 |
| 4:119164392:C:A | N186K | 0.995 |
| 4:119164392:C:G | N186K | 0.995 |
| 4:119185979:T:C | F192L | 0.995 |
| 4:119185981:T:A | F192L | 0.995 |
| 4:119185981:T:G | F192L | 0.995 |
| 4:119150935:T:C | L47S | 0.994 |
| 4:119150967:T:C | F58L | 0.994 |
| 4:119150969:T:A | F58L | 0.994 |
| 4:119150969:T:G | F58L | 0.994 |
| 4:119150986:G:C | R64T | 0.994 |
| 4:119150988:T:C | S65P | 0.994 |
| 4:119150976:C:G | R61G | 0.993 |
| 4:119164388:T:C | F185S | 0.993 |
| 4:119150968:T:C | F58S | 0.992 |
| 4:119164249:T:C | F139L | 0.992 |
dbSNP variants (sampled 300 via entrez): RS1000028917 (4:119165460 G>C), RS1000069217 (4:119147091 TATC>T), RS10002355 (4:119179702 C>T), RS1000246297 (4:119153546 A>G), RS1000345740 (4:119160576 C>A), RS10003519 (4:119137684 A>G), RS10004093 (4:119154871 G>A,C,T), RS1000419182 (4:119160228 A>C), RS1000755442 (4:119147396 C>T), RS1000790024 (4:119166483 T>C), RS1000834136 (4:119160312 T>C), RS1000858113 (4:119153348 T>C), RS1000889443 (4:119153676 T>C), RS1000893370 (4:119171742 A>G), RS1000944844 (4:119183161 A>G)
Disease associations
OMIM: gene MIM:605602 | disease phenotypes: MIM:613838, MIM:192600
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| hypertrophic cardiomyopathy 16 | Limited | Autosomal dominant |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| hypertrophic cardiomyopathy | Disputed | AD |
Mondo (5): hypertrophic cardiomyopathy (MONDO:0005045), hypertrophic cardiomyopathy 16 (MONDO:0013455), cardiomyopathy (MONDO:0004994), familial hypertrophic cardiomyopathy (MONDO:0024573), restrictive cardiomyopathy (MONDO:0005201)
Orphanet (5): Rare hypertrophic cardiomyopathy (Orphanet:217569), Rare cardiomyopathy (Orphanet:167848), Rare familial disorder with hypertrophic cardiomyopathy (Orphanet:99739), Restrictive cardiomyopathy (Orphanet:217632), NON RARE IN EUROPE: Familial isolated hypertrophic cardiomyopathy (Orphanet:155)
HPO phenotypes
14 total (14 of 14 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000006 | Autosomal dominant inheritance |
| HP:0001279 | Syncope |
| HP:0001639 | Hypertrophic cardiomyopathy |
| HP:0001645 | Sudden cardiac death |
| HP:0001670 | Asymmetric septal hypertrophy |
| HP:0001712 | Left ventricular hypertrophy |
| HP:0001962 | Palpitations |
| HP:0002094 | Dyspnea |
| HP:0003621 | Juvenile onset |
| HP:0004756 | Ventricular tachycardia |
| HP:0005110 | Atrial fibrillation |
| HP:0011713 | Left bundle branch block |
| HP:0012664 | Reduced left ventricular ejection fraction |
| HP:0012764 | Orthopnea |
GWAS associations
4 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST010002_14 | Refractive error | 5.000000e-18 |
| GCST010242_120 | HDL cholesterol levels | 2.000000e-08 |
| GCST010320_41 | PR interval | 2.000000e-08 |
| GCST90002387_96 | Immature fraction of reticulocytes | 2.000000e-10 |
EFO canonical traits (2, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0004612 | high density lipoprotein cholesterol measurement |
| EFO:0004462 | PR interval |
MeSH disease descriptors (4)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D009202 | Cardiomyopathies | C14.280.238 |
| D002312 | Cardiomyopathy, Hypertrophic | C14.280.238.100; C14.280.484.048.750.070.160 |
| D024741 | Cardiomyopathy, Hypertrophic, Familial | C14.280.238.100.500; C14.280.484.048.750.070.160.500; C16.320.160 |
| D002313 | Cardiomyopathy, Restrictive | C14.280.238.160 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
18 total (human), top 18 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| bisphenol F | decreases methylation | 1 |
| methyleugenol | decreases expression | 1 |
| bisphenol A | increases expression | 1 |
| trichostatin A | increases expression | 1 |
| trimellitic anhydride | decreases expression | 1 |
| CGP 52608 | affects binding, increases reaction | 1 |
| perfluoro-n-nonanoic acid | increases expression | 1 |
| perfluorohexanesulfonic acid | increases expression | 1 |
| abrine | increases expression | 1 |
| bisphenol S | increases methylation | 1 |
| incobotulinumtoxinA | decreases expression | 1 |
| Doxorubicin | decreases expression | 1 |
| Rotenone | decreases expression | 1 |
| Tretinoin | increases expression | 1 |
| Triclosan | decreases expression | 1 |
| Valproic Acid | decreases methylation | 1 |
| 7,8-Dihydro-7,8-dihydroxybenzo(a)pyrene 9,10-oxide | increases expression | 1 |
| Okadaic Acid | increases expression | 1 |
Clinical trials (associated diseases)
227 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00879060 | PHASE4 | COMPLETED | Clinical and Therapeutic Implications of Fibrosis in Hypertrophic Cardiomyopathy |
| NCT01721967 | PHASE4 | COMPLETED | Ranolazine for the Treatment of Chest Pain in HCM Patients |
| NCT02948998 | PHASE4 | UNKNOWN | Evaluating the Effect of Spironolactone on Hypertrophic Cardiomyopathy |
| NCT03249272 | PHASE4 | TERMINATED | Microvascular Dysfunction in Nonischemic Cardiomyopathy: Insights From CMR Assessment of Coronary Flow Reserve |
| NCT04133532 | PHASE4 | COMPLETED | Effect of Metoprolol in Post Alcohol Septal Ablation Patients With Hypertrophic Cardiomyopathy |
| NCT06401343 | PHASE4 | RECRUITING | Use of SGLT2i in noHCM With HFpEF |
| NCT07103655 | PHASE4 | NOT_YET_RECRUITING | The Therapeutic Value of Mavacamten in Hypertrophic Cardiomyopathy With Mid-to-Apical Left Ventricular Obstruction |
| NCT07600177 | PHASE4 | RECRUITING | Mavacamten to Aficamten Transition in Patients With Obstructive Hypertrophic Cardiomyopathy |
| NCT00317967 | PHASE3 | COMPLETED | Study to Determine if Atorvastatin Reduces Size and Stiffness of Muscle in the Left Ventricle of the Heart |
| NCT00698074 | PHASE3 | UNKNOWN | Diastolic Ventricular Interaction and the Effects of Biventricular Pacing in Hypertrophic Cardiomyopathy |
| NCT00821353 | PHASE3 | COMPLETED | Antiarrhythmic Therapy Versus Catheter Ablation for Atrial Fibrillation in Hypertrophic Cardiomyopathy |
| NCT02431221 | PHASE3 | WITHDRAWN | Efficacy, Safety, and Tolerability of Perhexiline in Subjects With Hypertrophic Cardiomyopathy and Heart Failure |
| NCT03470545 | PHASE3 | COMPLETED | Clinical Study to Evaluate Mavacamten (MYK-461) in Adults With Symptomatic Obstructive Hypertrophic Cardiomyopathy |
| NCT05174416 | PHASE3 | COMPLETED | A Study to Evaluate the Efficacy and Safety of Mavacamten in Chinese Adults With Symptomatic Obstructive HCM |
| NCT05182658 | PHASE3 | ACTIVE_NOT_RECRUITING | Empagliflozin in Hypertrophic Cardiomyopathy |
| NCT05186818 | PHASE3 | COMPLETED | Phase 3 Trial to Evaluate the Efficacy and Safety of Aficamten Compared to Placebo in Adults With Symptomatic oHCM |
| NCT05767346 | PHASE3 | COMPLETED | Phase 3 Trial to Evaluate the Efficacy and Safety of Aficamten Compared to Metoprolol Succinate in Adults With Symptomatic oHCM |
| NCT06116968 | PHASE3 | COMPLETED | An Open-Label Study of Aficamten for Chinese Patients With Symptomatic oHCM |
| NCT06873828 | PHASE3 | NOT_YET_RECRUITING | Evaluation of the Efficacy and Safety of Wearable ECG (AT-Patch) in Patients With Hypertrophic Cardiomyopathy Requiring 48-Hour Holter MonitoringEvaluation of the Efficacy and Safety of Wearable ECG (AT-Patch) in Patients With Hypertrophic Cardiomyopathy Requiring 48-Hour Holter Monitoring |
| NCT07021976 | PHASE3 | RECRUITING | A Phase III Trial of HRS-1893 in Patients With Obstructive Hypertrophic Cardiomyopathy |
| NCT07023341 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study to Learn More About How Well Aficamten Works in Japanese Participants With Symptomatic Obstructive Hypertrophic Cardiomyopathy |
| NCT07202897 | PHASE3 | NOT_YET_RECRUITING | LA-HCM Study : Rivaroxaban for Antithrombotic Prevention in Hypertrophic Cardiomyopathy Patients With Abnormal Left Atrial Strain. |
| NCT00001631 | PHASE2 | COMPLETED | Study of Blood Flow in Heart Muscle |
| NCT00001894 | PHASE2 | COMPLETED | A Comparison of Two Treatments: Pacemaker and Percutaneous Transluminal Septal Ablation for Hypertrophic Cardiomyopathy |
| NCT00001960 | PHASE2 | COMPLETED | Studying the Effectiveness of Pacemaker Therapy in Children Who Have Thickened Heart Muscle |
| NCT00011076 | PHASE2 | COMPLETED | Pirfenidone to Treat Hypertrophic Cardiomyopathy |
| NCT00035386 | PHASE2 | COMPLETED | Alcohol Septal Ablation in Obstructive Hypertrophic Cardiomyopathy: A Pilot Study |
| NCT00430833 | PHASE2 | UNKNOWN | CHANCE - Candesartan in Hypertrophic Cardiomyopathy |
| NCT00500552 | PHASE2 | COMPLETED | Perhexiline Therapy in Patients With Hypertrophic Cardiomyopathy |
| NCT01150461 | PHASE2 | COMPLETED | Effect of Losartan in Patients With Nonobstructive Hypertrophic Cardiomyopathy |
| NCT01230918 | PHASE2 | TERMINATED | Study to Develop a Non-invasive Marker for Monitoring Myocardial Fibrosis |
| NCT01447654 | PHASE2 | COMPLETED | Inhibition of the Renin Angiotensin System With Losartan in Patients With Hypertrophic Cardiomyopathy |
| NCT01696370 | PHASE2 | UNKNOWN | Trimetazidine Therapy in Hypertrophic Cardiomyopathy |
| NCT01912534 | PHASE2 | COMPLETED | Valsartan for Attenuating Disease Evolution In Early Sarcomeric HCM |
| NCT02590809 | PHASE2 | COMPLETED | Hypertrophic Cardiomyopathy Symptom Release by BX1514M |
| NCT03496168 | PHASE2 | COMPLETED | Extension Study of Mavacamten (MYK-461) in Adults With Symptomatic Obstructive Hypertrophic Cardiomyopathy Previously Enrolled in PIONEER |
| NCT03532802 | PHASE2 | COMPLETED | The Effect of Metoprolol in Patients With Hypertrophic Obstructive Cardiomyopathy. |
| NCT03832660 | PHASE2 | COMPLETED | Sacubitril/Valsartan vs Lifestyle in Hypertrophic Cardiomyopathy |
| NCT04219826 | PHASE2 | COMPLETED | Dose-finding Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CK-3773274 in Adults With Hypertrophic Cardiomyopathy |
| NCT04426578 | PHASE2 | UNKNOWN | Role of Perhexiline in Hypertrophic Cardiomyopathy |
Related Atlas pages
- Associated diseases: hypertrophic cardiomyopathy 16, hypertrophic cardiomyopathy
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): cardiomyopathy, familial hypertrophic cardiomyopathy, hypertrophic cardiomyopathy, hypertrophic cardiomyopathy 16, restrictive cardiomyopathy