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In Silico Analysis of Novel Titin Non-Synonymous Missense Variants Detected by Targeted Next-Generation Sequencing in a Cohort of Romanian Index Patients with Hypertrophic Cardiomyopathy Cover

In Silico Analysis of Novel Titin Non-Synonymous Missense Variants Detected by Targeted Next-Generation Sequencing in a Cohort of Romanian Index Patients with Hypertrophic Cardiomyopathy

Open Access
|May 2022

Figures & Tables

Figure 1

Bioinformatic filtering strategy to identify variants for further prioritization. From total TTN variants passing quality filters were retrieved the coding ones with allele frequency < 0.1% in population databases. Furthermore, only nonsynonymous missense variants were recovered and manually searched through population databases and repositories. Seven novel TTN nonsynonymous missense variants were selected for prioritization.
Bioinformatic filtering strategy to identify variants for further prioritization. From total TTN variants passing quality filters were retrieved the coding ones with allele frequency < 0.1% in population databases. Furthermore, only nonsynonymous missense variants were recovered and manually searched through population databases and repositories. Seven novel TTN nonsynonymous missense variants were selected for prioritization.

Figure 2

Variant prioritizing strategy for further experimental investigation. From 7 novel TTN nonsynonymous missense variants, 4 were predicted to be possibly pathogenic by M-CAP and entered second prediction. Finally, 3 TTN variants were identified as likely function-impacting variants.
Variant prioritizing strategy for further experimental investigation. From 7 novel TTN nonsynonymous missense variants, 4 were predicted to be possibly pathogenic by M-CAP and entered second prediction. Finally, 3 TTN variants were identified as likely function-impacting variants.

General and echocardiographic characteristics of HCM subjects

VariableOverall cohort (n = 45)TTN+ (n = 13)TTN− (n = 32)p

Age at inclusion, years51±15.554.31±1449.34±15.840.34

Male sex, n (%)33 (73.3%)10 (76.9%)23 (71.9%)0.72

Family history of HCM, n (%)7 (15.56%)4 (30.77%)3 (9.4%)0.47

Family history of SCD, n (%)14 (31.1%)3 (23.1%)11 (34.4%)0.45

ICD, n (%)7 (15.56%)3 (23.1%)4 (12.5 %)0.56

Atrial fibrillation, n (%)22 (48.9%)7 (53.8%)15 (46.9%)0.67

Maron classification, n (%) 0.32
  17 (15.56%)1 (7.7%)6 (18.8%)
  25 (11.1%)2 (15.4%)3 (9.4%)
  332 (71.1%)9 (69.2%))23 (71.9%)
  41 (2.2%)1 (7.7%)0

Presence of LVOTO, n (%)20 (44.44%)7 (53.9%)13 (40.6%)0.53

LV maximal wall thickness, mm20.8±5.220.61±6.5820.69±4.580.32

LV mass, g279.91±90.72297±90.62272.04±91.60.51

LVEDD, mm41.21±7.8742.72±7.4940.59±8.070.44

LVESD, mm25.31±9.7724.18±5.2725.83±111.320.98

LVEDV, ml111.42±39.6125.55±45.8106.12±36.680.41

LVESV, ml55.55±30.1355.69±32.5656.74±29.630.98

LVEF, %57.09±7.6456.35±5.8657.39±7.120.66

LAD, mm40.92±6.8641.09±8.6940.85±6.130.88

LAV, ml90.32±41.7587.5±41.0691.42±42.750.68

Novel TTN nonsynonymous missense variants detected in our cohort

GeneHGVScHGVSpExonRegion
TTNc.44530G>Tp.Ala14844Ser242I-band
TTNc.30392G>Tp.Cys10131Phe108I-band
TTNc.25185G>Tp.Lys8395Asn88I-band
TTNc.16783G>Tp.Val5595Leu58I-band
TTNc.11927A>Gp.Lys3976Arg49I-band
TTNc.2518G>Tp.Ala840Ser16near Z-disk
TTNc.49G>Tp.Val17Leu2Z-disk
DOI: https://doi.org/10.47803/rjc.2021.31.3.565 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Page range: 565 - 571
Published on: May 5, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Miruna Mihaela Micheu, Nicoleta Oprescu, Nicoleta-Monica Popa-Fotea, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.