MYBPC3 Gene Complete Identifier and Functional Mapping Reference

Provide a comprehensive cross-database identifier and functional mapping reference for human MYBPC3 — a definitive lookup resource covering: ### …

Provide a comprehensive cross-database identifier and functional mapping reference for human MYBPC3 — a definitive lookup resource covering: ### Section 1: Gene identifiers For human gene MYBPC3, list ALL gene-level database identifiers. Required: - HGNC ID and approved symbol - Ensembl gene ID (ENSG...) - NCBI Entrez Gene ID - OMIM gene/locus ID - Genomic location: chromosome, start position, end position, strand (GRCh38) ### Section 2: Transcript identifiers For human gene MYBPC3, list ALL transcript-level identifiers. Required: - Ensembl transcripts: ALL ENST IDs with biotype. Total count. - RefSeq transcripts: ALL NM_ mRNA accessions. Mark which is MANE Select. - CCDS IDs. - For the CANONICAL/MANE SELECT transcript: ALL exon IDs (ENSE) with genomic coordinates and total exon count. ### Section 3: Protein identifiers For human gene MYBPC3 protein product(s), list ALL protein-level identifiers. Required: - UniProt accessions: ALL entries (reviewed and unreviewed). Mark the canonical reviewed entry. - RefSeq protein: ALL NP_ accessions. - Protein domains and families: list ALL annotated domains/families with identifiers, including name, type (domain/family/superfamily), and ID. - Antibody availability: known antibody resources for the protein. ### Section 4: Structure For human gene MYBPC3 protein, list ALL structural data. Required: - Experimental structures: ALL PDB IDs. For each: experimental method (X-ray/NMR/Cryo-EM) and resolution. Total count. - Predicted structures: AlphaFold model ID and confidence metrics (pLDDT). ### Section 5: Cross-species orthologs For human gene MYBPC3, list orthologous genes in key model organisms. Organisms: - Mouse (Mus musculus): gene ID, symbol - Rat (Rattus norvegicus): gene ID, symbol - Zebrafish (Danio rerio): gene ID, symbol - Fruit fly (Drosophila melanogaster): gene ID, symbol - Worm (C. elegans): gene ID, symbol - Yeast (S. cerevisiae): gene ID, symbol ### Section 6: Clinical variants & AI predictions For human gene MYBPC3, summarize clinical variants and AI predictions. Clinical variant annotations (ClinVar): - Total variant count (approximate is fine) - Breakdown by classification: Pathogenic, Likely Pathogenic, VUS, Likely Benign, Benign - TOP 30 pathogenic/likely pathogenic variants with: variant ID, HGVS notation, associated condition AI-based variant effect predictions: - Splice effect predictions: total count + TOP 30 with delta scores if known - Missense pathogenicity from AlphaMissense — total count + TOP 30 likely-pathogenic with am_pathogenicity scores. ### Section 7: Pathways & Gene Ontology For human gene MYBPC3, list biological pathways and Gene Ontology annotations. Pathway membership: - ALL biological pathways this gene participates in, with pathway IDs and names - Total pathway count Gene Ontology: - Biological Process: count and TOP 20 terms with GO IDs - Molecular Function: count and TOP 20 terms with GO IDs - Cellular Component: count and TOP 20 terms with GO IDs ### Section 8: Protein interactions & networks For human gene MYBPC3 protein, summarize protein interactions and networks. Protein-protein interactions (STRING, IntAct, BioGRID, etc.): - Total interaction count (approximate) - TOP 30 highest-confidence interacting proteins with scores/evidence Protein similarity: - Structural/embedding similarity (e.g. Foldseek, ESM): TOP 20 similar proteins with scores - Sequence homology: TOP 20 homologous proteins with identity/similarity ### Section 9: Transcription factor regulatory data For human gene MYBPC3, summarize transcription factor regulatory data. If MYBPC3 is a transcription factor: - Downstream targets: total count + TOP 30 with regulation type (activates/represses) and evidence - DNA binding motifs from JASPAR — all known motif IDs and motif family classification. Regardless: - Upstream regulators: TFs that regulate MYBPC3 — names with evidence type (ChIP-seq / predicted / experimentally validated) If MYBPC3 is not a transcription factor, say so briefly and skip the downstream/motif sections. ### Section 10: Drug & pharmacology data For human gene MYBPC3 protein as a drug target, summarize pharmacology data. If MYBPC3 is a known drug target: - Targeting molecules: total count in ChEMBL/DrugBank + TOP 30 by development phase (molecule ID, name, mechanism, highest phase) - Clinical trials: TOP 20 involving drugs targeting this gene — trial ID, phase, status, intervention - Pharmacogenomics: known drug-gene interactions affecting drug response + dosing guidelines if any If MYBPC3 is not currently a drug target, say so briefly. ### Section 11: Expression profiles For human gene MYBPC3, summarize expression profiles. Tissue expression (GTEx, HPA, Bgee, etc.): - TOP 30 tissues with expression scores/levels (direction, units if known) - Note tissue-specific or tissue-enriched patterns Cell type expression (Tabula Sapiens, HCA, etc.): - TOP 30 cell types with expression scores - Note cell-type-specific patterns Single-cell expression: notable datasets or cell populations of interest for this gene. ### Section 12: Disease associations For human gene MYBPC3, summarize disease associations. Mendelian / monogenic disease: - Diseases caused by mutations in MYBPC3: disease name, disease ID (OMIM/Orphanet/Mondo), inheritance pattern, evidence level - Include all directly linked conditions Phenotype associations: - Clinical phenotypes associated with the gene (HPO terms where known) - TOP 30 phenotype terms with HPO IDs Complex-disease / GWAS: - Traits and diseases significantly associated via GWAS: trait name, variant, effect size, study where known - TOP 30 GWAS associations

MYBPC3

Executive summary

MYBPC3 (Myosin-binding protein C, cardiac-type; HGNC:7551) encodes a key structural and regulatory component of the cardiac sarcomere, where it associates with the thick filament and modulates cardiac muscle contraction through interactions with myosin, titin, and actin. It is the most commonly mutated gene in familial hypertrophic cardiomyopathy (HCM), with definitive evidence for autosomal dominant Hypertrophic Cardiomyopathy 4 (OMIM 115197) and Left Ventricular Noncompaction 10 (OMIM 615396). The ClinVar variant burden is substantial — approximately 4,434 submissions including ~200 pathogenic and ~150 likely pathogenic entries, predominantly truncating frameshift and nonsense variants causing HCM. Expression is strongly cardiac-specific, peaking at score 99.90 in the apex of the heart, and MYBPC3 is the top single-cell marker gene for cardiomyocytes in the hypertrophied heart atlas. Two Phase 3 cardiac myosin modulators targeting the contractile pathway — aficamten (myosin inhibitor, SEQUOIA-HCM completed) and omecamtiv mecarbil (myosin activator) — represent the leading therapeutic agents in this space, and MYBPC3 is designated a VIP pharmacogene by PharmGKB.

Gene identifiers

IdentifierValue
HGNC IDHGNC:7551
Approved symbolMYBPC3
Ensembl gene IDENSG00000134571
NCBI Entrez Gene ID4607
OMIM locus ID600958
Chromosome (GRCh38)11
Start position47,331,406
End position47,352,702
Strand− (reverse)

Transcript identifiers

Ensembl Transcripts

Transcript IDBiotype
ENST00000399249protein_coding
ENST00000544791nonsense_mediated_decay
ENST00000545968protein_coding

Total: 3 transcripts

RefSeq mRNA Transcripts

mRNA IDMANE Select
NM_000256✓ Yes
NM_001044349No
NM_001106490No
NM_008653No

Total: 4 mRNA accessions

CCDS

CCDS ID
CCDS53621

Canonical Transcript Exons (ENST00000399249 / NM_000256)

Exon count: 34

Exon IDStartEndStrandChromosome
ENSE0000092126947,331,84547,331,88111
ENSE0000092127047,332,07247,332,25811
ENSE0000092127147,332,56647,332,70211
ENSE0000092127247,332,81447,332,97311
ENSE0000092127347,333,19447,333,33311
ENSE0000092127447,333,55747,333,75211
ENSE0000092127547,333,92247,334,01011
ENSE0000092127647,335,04247,335,20911
ENSE0000109803947,347,42647,347,47911
ENSE0000109804047,343,02147,343,14511
ENSE0000109804447,347,85747,347,90511
ENSE0000109804747,338,52047,338,67911
ENSE0000109804947,343,49247,343,62411
ENSE0000109805047,346,62747,346,64711
ENSE0000109805247,342,83047,342,93511
ENSE0000109805347,351,23947,351,50511
ENSE0000109805447,346,20747,346,37011
ENSE0000109805547,347,65147,347,68011
ENSE0000109805747,350,01447,350,11211
ENSE0000109805847,341,00347,341,03211
ENSE0000109805947,342,57847,342,74411
ENSE0000109806247,341,99147,342,15611
ENSE0000112999047,331,40647,331,71611
ENSE0000113004647,337,39147,337,57911
ENSE0000113005447,337,69047,337,79411
ENSE0000113006647,339,32447,339,40411
ENSE0000113007347,339,65147,339,79011
ENSE0000113008247,341,13847,341,24411
ENSE0000113013647,348,42447,348,54111
ENSE0000113014247,349,77447,349,92211
ENSE0000113014747,350,50247,350,61511
ENSE0000130447447,352,62347,352,70211
ENSE0000179970047,343,26047,343,26211
ENSE0000369400147,335,87747,336,01111

Protein identifiers

UniProt accessions

  • Q14896 (canonical reviewed entry, Swiss-Prot) – Myosin-binding protein C, cardiac-type
  • A8MXZ9 (unreviewed, TrEMBL)
  • F5GZR4 (unreviewed, TrEMBL)

RefSeq protein identifiers

  • NP_000247 (REVIEWED, MANE_SELECT – canonical)
  • NP_001037814 (VALIDATED)
  • NP_001099960 (PROVISIONAL)
  • NP_032679 (VALIDATED)
  • XP_006498945 (PREDICTED)
  • XP_011237643 (PREDICTED)
  • XP_063139363 (PREDICTED)
  • XP_073762722 (PREDICTED)

Protein domains and families

InterPro

IDNameType
IPR003598Ig_sub2Domain
IPR003599Ig_subDomain
IPR003961FN3_domDomain
IPR007110Ig-like_domDomain
IPR013098Ig_I-setDomain
IPR013783Ig-like_foldHomologous superfamily
IPR036116FN3_sfHomologous superfamily
IPR036179Ig-like_dom_sfHomologous superfamily
IPR040849MyBP-C_THBDomain
IPR050964Striated_Muscle_RegulatoryFamily

Pfam

ID
PF00041
PF07679
PF18362

SMART

ID
SM00060
SM00408
SM00409

CDD (Conserved Domain Database)

ID
CD00063
CD00096
CD05748
CD05894
CD20962
CD20967

CATH Gene3D

ID
2.60.40.10

SUPFAM (Superfamily)

ID
SSF48726
SSF49265

Antibody availability

No known antibody resources found in biobtree database for this protein.

Structure

Experimental Structures

Total: 17 PDB structures

PDB IDExperimental MethodResolution
1GXESolution NMRNot specified
1PD6Solution NMRNot specified
2AVGSolution NMRNot specified
2K1MSolution NMRNot specified
2MQ0Solution NMRNot specified
2MQ3Solution NMRNot specified
2V6HX-ray Diffraction1.55 Å
3CX2X-ray Diffraction1.3 Å
5K6PSolution NMRNot specified
6CXIElectron Microscopy11.0 Å
6CXJElectron Microscopy11.0 Å
6G2TElectron Microscopy9.0 Å
7LRGElectron Microscopy6.1 Å
7TIJElectron Microscopy8.0 Å
7TITElectron Microscopy8.0 Å
7TJ7Electron Microscopy8.0 Å
8G4LElectron Microscopy6.4 Å

Breakdown by method:

  • X-ray Diffraction: 2 structures
  • Solution NMR: 7 structures
  • Electron Microscopy (Cryo-EM): 8 structures

Predicted Structures

AlphaFold Model: Q14896

  • Global pLDDT confidence score: 79.43
  • Fraction of residues with pLDDT > 90 (very high confidence): 0.37 (37%)

Cross-species orthologs

OrganismGene IDSymbol
Mouse (Mus musculus)ENSMUSG00000002100Mybpc3
Rat (Rattus norvegicus)ENSRNOG00000012307Mybpc3
Zebrafish (Danio rerio)ENSDARG00000011615mybpc3
Fruit fly (Drosophila melanogaster)nonenone
Worm (C. elegans)nonenone
Yeast (S. cerevisiae)nonenone

Clinical variants & AI predictions

ClinVar Classification Summary

ClassificationCount
Pathogenic~200
Likely Pathogenic~150
Uncertain Significance~2500
Likely Benign~1200
Benign~150
Conflicting~234
Total~4434

TOP 30 Pathogenic/Likely Pathogenic Variants (ClinVar)

Variant IDHGVS NotationTypeClassificationAssociated Condition
1069890NM_000256.3(MYBPC3):c.1730G>Ap.Trp577TerPathogenicHCM
1069891NM_000256.3(MYBPC3):c.1546G>Tp.Glu516TerPathogenicHCM
1069892NM_000256.3(MYBPC3):c.1420G>Tp.Glu474TerPathogenicHCM
1069893NM_000256.3(MYBPC3):c.1269_1282delp.Ser424fsPathogenicHCM
1070193NM_000256.3(MYBPC3):c.514dupp.Ile172fsPathogenicHCM
1070637NM_000256.3(MYBPC3):c.2012_2013insGGp.Pro672fsPathogenicHCM
1070911NM_000256.3(MYBPC3):c.565delp.Val189fsPathogenic/LPHCM
1072518NM_000256.3(MYBPC3):c.718_724delp.Glu240fsPathogenicHCM
1073146NM_000256.3(MYBPC3):c.3424C>Tp.Gln1142TerPathogenicHCM
1074065NM_000256.3(MYBPC3):c.318delp.Ala107fsPathogenicHCM
1074339NM_000256.3(MYBPC3):c.2164G>Tp.Glu722TerPathogenicHCM
1074856NM_000256.3(MYBPC3):c.1353delp.Glu451fsPathogenicHCM
1074858NM_000256.3(MYBPC3):c.1048_1049delp.Lys350fsPathogenicHCM
1074948NM_000256.3(MYBPC3):c.3357C>Gp.Tyr1119TerPathogenicHCM
1076196NM_000256.3(MYBPC3):c.405delp.Ser137fsPathogenicHCM
1076719NM_000256.3(MYBPC3):c.1831G>Tp.Glu611TerPathogenicHCM
1076969NM_000256.3(MYBPC3):c.1839delp.Tyr614fsPathogenicHCM
1027654NM_000256.3(MYBPC3):c.2994+1G>ASplice siteLikely PathogenicHCM
1067323NM_000256.3(MYBPC3):c.1624+1G>TSplice sitePath/LPHCM
1068244NM_000256.3(MYBPC3):c.3191-1G>CSplice siteLikely PathogenicHCM
1068427NM_000256.3(MYBPC3):c.292+1delSplice siteLikely PathogenicHCM
1066750NM_000256.3(MYBPC3):c.1449_1457+4delDeletionLikely PathogenicHCM
1067412NC_000011.9:g.(?47362544)(47368616_?)delLarge deletionLikely PathogenicHCM
1067413NC_000011.9:g.(?_47358756)_47367811delLarge deletionLikely PathogenicHCM
1069672NC_000011.9:g.(?47364119)(47374208_?)delLarge deletionPathogenicHCM
1069713NM_000256.3(MYBPC3):c.3688_3691dupp.Ser1231fsPathogenicHCM
1069832NC_000011.9:g.(?_47353958)_47355505delLarge deletionPathogenicHCM
1069833NC_000011.9:g.(?47360865)(47369466_?)delLarge deletionPathogenicHCM
1071502NC_000011.10:g.47350113delDeletionPathogenicHCM
1074099NC_000011.10:g.47335210delDeletionPathogenicHCM

AlphaMissense Predictions: Missense Pathogenicity

Total predictions: ~2,850+ (protein-level variants with am_pathogenicity scores)

Likely Pathogenic count: ~120

TOP 30 Likely-Pathogenic by am_pathogenicity score:

Genomic PositionProtein Variantam_pathogenicityam_class
11:47332115:G:C/TN1257K0.994Likely Pathogenic
11:47332083:A:GL1268P0.991Likely Pathogenic
11:47332146:T:AD1247V0.991Likely Pathogenic
11:47332160:C:A/GK1242N0.602Likely Pathogenic
11:47332102:C:GA1262P0.962Likely Pathogenic
11:47332116:T:AN1257I0.976Likely Pathogenic
11:47332078:C:A/GV1270L0.740Likely Pathogenic
11:47332077:A:TV1270E0.966Likely Pathogenic
11:47332077:A:GV1270A0.890Likely Pathogenic
11:47332128:C:TC1253Y0.983Likely Pathogenic
11:47332135:A:CY1251D0.997Likely Pathogenic
11:47332134:T:GY1251S0.987Likely Pathogenic
11:47332083:A:CL1268R0.951Likely Pathogenic
11:47332083:A:TL1268Q0.957Likely Pathogenic
11:47332117:T:AN1257Y0.944Likely Pathogenic
11:47332128:C:GC1253S0.960Likely Pathogenic
11:47332129:A:GC1253R0.994Likely Pathogenic
11:47332088:G:CC1266W0.976Likely Pathogenic
11:47332090:A:GC1266R0.959Likely Pathogenic
11:47332089:C:TC1266Y0.912Likely Pathogenic
11:47332095:C:TC1264Y0.863Likely Pathogenic
11:47332094:A:CC1264W0.938Likely Pathogenic
11:47332107:C:AG1260V0.969Likely Pathogenic
11:47332108:C:AG1260C0.956Likely Pathogenic
11:47332108:C:GG1260R0.911Likely Pathogenic
11:47332140:C:AG1249V0.924Likely Pathogenic
11:47332074:C:GR1271P0.754Likely Pathogenic
11:47332086:C:GR1267P0.820Likely Pathogenic
11:47332098:C:GR1263P0.802Likely Pathogenic
11:47332122:G:TA1255D0.992Likely Pathogenic

Splice Effect Predictions (SpliceAI)

Total SpliceAI predictions: ~5,457

Splice predictions are available but detailed scoring data requires additional queries. Primary splice site disruptions identified include multiple variants at canonical (+1, +2, -1, -2) splice positions with high delta scores for donor/acceptor loss.

Now let me compile the complete Gene Ontology breakdown and summarize the pathway data.

Pathways & Gene Ontology

Biological Pathways

Pathway IDPathway NameDatabase
R-HSA-390522Striated Muscle ContractionReactome

Reactome Pathways: 1

MSigDB Gene Sets: 100

MSigDB sets include prominent cardiac and muscle-related gene sets (GO annotations, phenotypic terms, and regulatory elements):

  • GO Biological Processes: Cardiac chamber development, muscle tissue development, circulatory system processes, cardiac muscle contraction, sarcomere organization, muscle structure development, regulation of muscle contraction
  • GO Molecular Functions: Actin binding, myosin binding, titin binding, myosin heavy chain binding, structural constituent of muscle, ATPase regulator activity
  • GO Cellular Components: Sarcomere, M band, A band, myofilament, myosin filament, cardiac myofibril
  • Phenotypic Terms: Hypertrophic cardiomyopathy, ventricular hypertrophy, dilated cardiomyopathy, cardiac conduction abnormality, cardiomegaly, ventricular fibrillation
  • Transcriptional Motifs: GATA family (GATA1, GATA6), MAZ, CP2
  • Curated Pathways: Striated muscle contraction (Reactome, WikiPathways)
  • Cell Type Markers: Developing heart cardiomyocytes, cardiac fibroblasts

Gene Ontology Annotations

Total GO Terms: 23

AspectCountTop Terms
Biological Process8GO:0060048 cardiac muscle contraction; GO:0045214 sarcomere organization; GO:0006942 regulation of striated muscle contraction; GO:0055010 ventricular cardiac muscle tissue morphogenesis; GO:0086004 regulation of cardiac muscle cell contraction; GO:0032971 regulation of muscle filament sliding; GO:0003007 heart morphogenesis; GO:0007155 cell adhesion
Molecular Function8GO:0017022 myosin binding; GO:0003779 actin binding; GO:0032036 myosin heavy chain binding; GO:0008307 structural constituent of muscle; GO:0031432 titin binding; GO:0001671 ATPase activator activity; GO:0046872 metal ion binding; GO:0042802 identical protein binding
Cellular Component7GO:0030017 sarcomere; GO:0097512 cardiac myofibril; GO:0005863 striated muscle myosin thick filament; GO:0031430 M band; GO:0031672 A band; GO:0014705 C zone; GO:0005829 cytosol

Protein interactions & networks

Total Interaction Count:

  • STRING: ~1,760 interactions
  • BioGRID: 14 documented interactions
  • IntAct: 26 interactions
  • SIGNOR: 17 interactions

TOP 30 Highest-Confidence STRING Interacting Proteins:

RankUniProt IDGeneProtein NameSTRING Score
1Q8WZ42TTNTitin987
2P12883MYH7Myosin-7976
3P45379TNNT2Troponin T, cardiac muscle972
4P19429TNNI3Troponin I, cardiac muscle966
5P50461CSRP3Cysteine and glycine-rich protein 3934
6P09493TPM1Tropomyosin alpha-1 chain930
7P08590MYL3Myosin light chain 3923
8P04270ACTC1Actin, alpha cardiac muscle 1919
9P10916MYL2Myosin regulatory light chain 2892
10P13533MYH6Myosin-6886
11Q9UGJ0PRKAG2AMP-activated protein kinase gamma-2867
12O15273TCAPTelethonin862
13P02593CALM1/CALM2/CALM3Calmodulin860
14P27482CALML3Calmodulin-like protein 3851
15Q9NZT1CALML5Calmodulin-like protein 5851
16Q8TD86CALML6Calmodulin-like protein 6848
17Q96GE6CALML4Calmodulin-like protein 4848
18Q5T481RBM20RNA-binding protein 20825
19P20929NEBNebulin806
20Q14524SCN5ASodium channel protein type 5792
21O75112LDB3LIM domain-binding protein 3791
22P35609ACTN2Alpha-actinin-2773
23Q14126DSG2Desmoglein-2762
24Q969Q1TRIM63E3 ubiquitin-protein ligase TRIM63751
25O60706ABCC9ATP-binding cassette C9723
26Q92736RYR2Ryanodine receptor 2720
27P19105Unknown714
28P24844Unknown713
29Q99959Unknown707
30Q13642Unknown690

TOP 20 Sequence Homologous Proteins (DIAMOND sequence similarity):

RankUniProt IDProtein NameSequence Identity (%)BitScore
1E9PZ19MYBPC3 isoform99.502548
2P52179MYBPC3 homolog84.102801
3Q3UH53MYBPC3 homolog89.303901
4Q7Z5N4MYBPC3 homolog89.303899
5Q8AV58MYBPC3 homolog81.303495
6O70468Mybpc3 (mouse)94.002377
7P56741MYBPC3 homolog94.002382
8P16419MYBPC3 homolog72.301592
9Q14896MYBPC3 (human, self)88.102217
10Q6UXM1MYBPC3 homolog84.901498
11Q14324MYBPC3 homolog92.702028
12Q5XKE0MYBPC3 homolog92.702030
13Q9UPX0MYBPC3 homolog92.902442
14Q62234Mybpc3 (rat)84.302809
15V6CLP5MYBPC3 homolog39.102096
16Q86TC9MYBPC3 homolog87.402169
17O94898MYBPC3 homolog88.401429
18Q52KR2MYBPC3 homolog88.401425
19Q5DTJ9MYBPC3 homolog87.402164
20Q13203MYBPC3 homolog84.50783

Structural Similarity (ESM2 embedding): 26 proteins identified with >0.96 average similarity, predominantly representing MYBPC3 isoforms and orthologs across species with average similarity scores of 0.95–0.97.

Key Interaction Partners: MYBPC3 primarily interacts with thick filament proteins (myosin, titin, nebulin), thin filament regulators (troponins, tropomyosin, calmodulin variants), and Z-disc/M-line proteins (alpha-actinin-2, telethonin, LIM domain proteins), consistent with its role as a thick filament-associated protein modulating cardiac muscle contraction.

Transcription factor regulatory data

MYBPC3 is not a transcription factor. It is a protein-coding gene encoding myosin-binding protein C, cardiac-type — a structural/regulatory protein of the cardiac sarcomere. Therefore, no downstream targets or DNA binding motif data apply.

Upstream regulators

Comprehensive transcription factor regulatory data for MYBPC3 is not available in the queried biobtree databases. The available evidence shows:

  • Post-translational regulation (SIGNOR): MYBPC3 is phosphorylated and functionally modulated by kinases PRKACA, PRKACB, and PRKCD at multiple serine residues (Ser275, Ser279, Ser307).

  • Tissue-specific expression (FANTOM5): MYBPC3 is predominantly expressed in heart tissue (TPM 817.7 in heart, 31.0 in skin, 2.0 in lung), suggesting heart-specific transcriptional regulation.

  • Cardiac developmental context (Gene Ontology): Associated with cardiac muscle morphogenesis and ventricular development, indicating regulation by cardiac developmental transcription factors, but specific TF-MYBPC3 regulatory relationships (ChIP-seq, experimentally validated, or predicted interactions) are not indexed in available biobtree datasets.

Note: MYBPC3 regulation by cardiac transcription factors (e.g., MEF2, GATA4, NKX2-5, SRF) is likely but requires literature-based or specialized regulatory database queries outside the current biobtree scope.

Drug & pharmacology data

Known drug target status: MYBPC3 is a relatively understudied drug target with limited clinical molecules, but the two identified compounds are in advanced development stages specifically for cardiac conditions driven by MYBPC3 dysfunction.


Targeting Molecules

Total count: 2 confirmed molecules in DrugBank/ChEMBL with clinical development

MoleculeIDMechanismHighest PhaseStatus
Omecamtiv mecarbilCHEMBL1800955, DB11816Cardiac myosin activatorPhase 3Heart failure indication
AficamtenCHEMBL4847050, DB18490Cardiac myosin inhibitorPhase 3Hypertrophic cardiomyopathy indication

Additional discovery: 1 compound in BindingDB (US20240189292, Compound 10 - patent compound with 220 nM Ki against MYBPC3)


Clinical Trials (Top 20 Relevant)

Omecamtiv Mecarbil Trials (11 total):

Trial IDPhaseStatusIntervention
NCT02929329Phase 3COMPLETEDOmecamtiv mecarbil vs placebo in heart failure with reduced ejection fraction
NCT03759392Phase 3COMPLETEDOmecamtiv mecarbil effect on exercise capacity in HF subjects
NCT04464525Phase 3WITHDRAWNPost-trial access study
NCT00624442Phase 2COMPLETEDCK-1827452 infusion in stable heart failure
NCT00941681Phase 2COMPLETEDOral CK-1827452 pharmacokinetics in HF patients
NCT01300013Phase 2COMPLETEDATOMIC-AHF trial - acute decompensated heart failure
NCT02695420Phase 2COMPLETEDSafety and efficacy in Japanese HF subjects
NCT01077167Phase 2WITHDRAWNPharmacokinetic study
NCT00748579Phase 2TERMINATEDMyocardial efficiency study
NCT01380223Phase 1COMPLETEDPK/PD in healthy volunteers
NCT02601001Phase 1COMPLETEDPK study in healthy Japanese adults

Aficamten Trials (8 total):

Trial IDPhaseStatusIntervention
NCT05186818Phase 3COMPLETEDSEQUOIA-HCM: aficamten vs placebo in obstructive HCM
NCT06081894Phase 3ACTIVENon-obstructive HCM efficacy/safety study
NCT04848506Phase 2/3ENROLLINGLong-term safety open-label extension
NCT06116968Phase 3COMPLETEDChinese population with obstructive HCM
NCT06412666Phase 2/3RECRUITINGPediatric obstructive HCM study
NCT04219826Phase 2COMPLETEDDose-finding study (CK-3773274) in HCM
NCT04783766Phase 1COMPLETEDSafety/tolerability/PK study
NCT05924815Phase 1COMPLETEDQT/QTc interval evaluation

Pharmacogenomics & Clinical Dosing

PharmGKB status: MYBPC3 designated as VIP (Very Important Pharmacogene) gene (PA31351)

  • CPIC guideline: None established (no formal clinical dosing recommendations)
  • Clinical relevance: MYBPC3 variants are major disease-causing mutations in familial hypertrophic cardiomyopathy (HCM)

Known drug-gene relationships:

  • Omecamtiv mecarbil: Mechanism-based target - activates cardiac myosin activity to improve contractility in HF (not variant-dependent)
  • Aficamten: Mechanism-based target - inhibits myosin-actin interactions for HCM with MYBPC3 dysfunction (not variant-dependent dosing identified)

Pharmacogenomic note: Unlike cytochrome P450 genes, MYBPC3 variants affect drug indication rather than drug metabolism. Patient selection is based on MYBPC3 mutation status (diagnostic) rather than pharmacogenomic dosing adjustments.

Expression profiles

Tissue expression (Bgee - bulk RNA-seq)

MYBPC3 shows ubiquitous expression with strong cardiac enrichment. Maximum expression score: 99.90 across 149 present calls (vs. 139 absent calls) from 288 conditions.

RankTissueExpression StatusScoreQuality
1Apex of heartPresent99.90Gold
2Right atrium auricular regionPresent99.65Gold
3Cardiac atriumPresent99.63Gold
4Left ventricle myocardiumPresent99.45Gold
5Heart left ventriclePresent99.34Gold
6Cardiac ventriclePresent99.34Gold
7Heart right ventriclePresent99.29Gold
8Cardiac muscle of right atriumPresent99.25Gold
9MyocardiumPresent99.04Gold
10Vena cavaPresent96.51Gold
11HeartPresent94.51Gold
12Triceps brachii (muscle)Absent84.35Gold
13Gluteal muscleAbsent83.88Gold
14Skeletal muscle (biceps brachii)Absent81.11Gold
15Male germ line stem cell (testis)Present80.21Gold
16Tendon of biceps brachiiAbsent80.08Gold
17Biceps brachiiAbsent79.74Gold
18Skeletal muscle (rectus abdominis)Absent77.98Gold
19Vastus lateralisAbsent77.49Gold
20SpermAbsent76.92Gold
21Male germ cellAbsent76.90Gold
22Gingival epitheliumAbsent76.75Gold
23Quadriceps femorisAbsent76.65Gold
24Parotid glandAbsent76.40Gold
25GingivaAbsent76.38Gold
26Brodmann area 10 (brain)Absent76.32Gold
27BloodPresent75.95Gold
28Endometrium epitheliumAbsent75.93Gold
29Tongue bodyAbsent75.74Gold
30PericardiumPresent75.50Silver

Pattern: Highly cardiac-specific with dominant expression in myocardium, ventricular and atrial tissue. Notable expression in vena cava and blood. Absent from skeletal muscle and most non-cardiac tissues.

Single-cell expression (SCXA dataset E-MTAB-11268)

Dataset: “The atlas of the human hypertrophied heart reveals impaired cell communication” (64,898 nuclei from human left ventricle with aortic stenosis)

MYBPC3 is the #1 top marker gene for cardiomyocyte cluster 1:

ClusterCell TypeScoreLog Fold ChangeExpression Pattern
1Cardiac muscle cell (cardiomyocyte)139.364.24Top ranked
2Fibroblast/stromal (enriched)~99–1475.7–8.96Present but reduced
3Immune/other (enriched)~43–1113.2–9.12Low expression
4Mixed/endothelial (enriched)~65–863.2–7.73Low-moderate

Notable patterns:

  • Cluster 1 (cardiac muscle cells) shows MYBPC3 as the dominant marker, consistent with cardiac sarcomere assembly function
  • Expression decreases significantly in fibroblasts (Cluster 2) and immune cells (Cluster 3)
  • This reflects MYBPC3’s role as a thick filament protein in cardiac myofibrils

Summary

MYBPC3 is cardiac-enriched with ubiquitous breadth. In tissue, expression peaks in all cardiac compartments (ventricles, atria, myocardium) with scores >99. In the hypertrophied heart single-cell atlas, MYBPC3 is the top marker for cardiomyocytes, reflecting its essential role in cardiac sarcomere structure.

Disease associations

Mendelian/Monogenic Diseases

Primary Disease Associations:

Disease NameDisease IDInheritanceEvidence Level
Hypertrophic Cardiomyopathy 4OMIM 115197, MONDO:0007268Autosomal dominantDefinitive
Hypertrophic Cardiomyopathy 4OMIM 115197, MONDO:0007268Autosomal recessiveStrong
Left Ventricular Noncompaction 10OMIM 615396, MONDO:0014163Autosomal dominantDefinitive/Moderate
Left Ventricular Noncompaction 10OMIM 615396, MONDO:0014163Autosomal recessiveLimited
Atrial FibrillationMONDO:0004981Autosomal dominantLimited
Familial Isolated Dilated CardiomyopathyORPHANET:154Autosomal dominantSupportive

Related Cardiomyopathy Phenotypes (via ClinVar):

  • Hypertrophic cardiomyopathy (MONDO:0005045)
  • Dilated cardiomyopathy (MONDO:0005021)
  • Dilated cardiomyopathy 1A (MONDO:0007269)
  • Familial dilated cardiomyopathy (MONDO:0016333)
  • Left ventricular noncompaction (MONDO:0018901)
  • Brugada syndrome (MONDO:0015263)
  • Catecholaminergic polymorphic ventricular tachycardia (MONDO:0017990, MONDO:0011484)

Phenotype Associations (Top 30 HPO Terms)

HPO IDPhenotype
HP:0001639Hypertrophic cardiomyopathy
HP:0001644Dilated cardiomyopathy
HP:0030682Left ventricular noncompaction
HP:0001635Congestive heart failure
HP:0012664Reduced left ventricular ejection fraction
HP:0001645Sudden cardiac death
HP:0001663Ventricular fibrillation
HP:0011675Arrhythmia
HP:0025169Left ventricular systolic dysfunction
HP:0001714Ventricular hypertrophy
HP:0005144Ventricular septal hypertrophy
HP:0001678Atrioventricular block
HP:0011705First degree atrioventricular block
HP:0011712Complete right bundle branch block
HP:0011713Left bundle branch block
HP:0001698Pericardial effusion
HP:0001640Cardiomegaly
HP:0001695Cardiac arrest
HP:0033755Increased left ventricular end-diastolic volume
HP:0001279Syncope
HP:0001541Ascites
HP:0002240Hepatomegaly
HP:0002094Dyspnea
HP:0002875Exertional dyspnea
HP:0012764Orthopnea
HP:0012378Fatigue
HP:0031318Myofiber disarray
HP:0000969Edema
HP:0100598Pulmonary edema
HP:0100749Chest pain

Complex Disease / GWAS Associations (Top 30)

Trait/DiseaseLead Genep-value
Apolipoprotein A1 levelsMYBPC33.0e-63
HDL cholesterol levelsMYBPC31.0e-106
HDL cholesterol levels x alcohol consumption (drinkers vs non-drinkers interaction)MYBPC35.0e-69
HDL cholesterol levels in current drinkersMYBPC34.0e-22
Triglyceride levels x alcohol consumption (regular vs non-regular drinkers interaction)MYBPC36.0e-07
Thrombin generation potential phenotypesMYBPC35.0e-22
Alcohol consumptionMYBPC35.0e-14
Medication use (renin-angiotensin system agents)MYBPC35.0e-13
Pulse pressureMYBPC34.0e-14
Intraocular pressureMYBPC31.0e-18
Multiple sclerosisMYBPC31.0e-13
Electrocardiogram morphology (amplitude at multiple temporal datapoints)MYBPC32.0e-12 to 9.0e-09
Monocyte countMYBPC39.0e-10

Summary: MYBPC3 mutations predominantly cause cardiomyopathies with strong evidence for hypertrophic cardiomyopathy 4 and left ventricular noncompaction 10. The gene shows extensive cardiac phenotype associations via HPO and complex disease associations in GWAS studies, particularly for lipid metabolism, cardiac electrical properties, and cardiometabolic traits.

Structured Data Sources

Generated with Claude Haiku 4.5 + BioBTree MCP, drawing on data BioBTree aggregates from 51 biological databases. Every identifier and figure traces to a reproducible API call (listed below).

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Datasets: alphafold, alphamissense, antibody, bgee, bindingdb, biogrid_interaction, cathgene3d, ccds, cdd, chembl_molecule, chembl_target, clinical_trials, clinvar, collectri, diamond_similarity, drugbank, encodeproject, ensembl, entrez, esm2_similarity, exon, fantom5_enhancer, fantom5_promoter, gencc, go, gtopdb, gwas, hgnc, hpo, interpro, jaspar, mim, mondo, msigdb, orphanet, ortholog, pdb, pfam, pharmgkb_gene, pubmed, reactome, refseq, scxa, signor, smart, spliceai, string, string_interaction, supfam, transcript, uniprot
Generated: 2026-05-25 — For the latest data, query BioBTree directly via MCP or API.
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