Heart failure & cardiomyopathiesCase-control study

Ethnicity, consanguinity, and genetic architecture of hypertrophic cardiomyopathy

Eur Heart JPublished

  • Case-control genetic association study
  • prospective
  • ancestry-matched controls

Authors' conclusion

Studying consanguineous populations reveals novel insights with relevance to genetic testing and our understanding of the genetic architecture of HCM.

Study context

Population
Hypertrophic cardiomyopathy (HCM) patients in North African cohorts with high consanguinity
Participants
514 / 684 / 400
Comparison
Egyptian HCM patients vs European-ancestry HCM cohort
  • Egyptiann = 514
  • Europeann = 684reference
  • Controlsn = 400
Outcome
Genetic architecture of HCM: rare variants in 13 validated HCM genes

Main finding

As reported in the abstract

Homozygous variants

P = 2 × 10-7

Observational data: associations, not effects.

Further findings

Biallelic TRIM63 variants (recessive HCM gene)

Biallelic TRIM63 variants detected in 2.1% of patients, five-fold greater than European patients

Proportion of rare variants classified (likely) pathogenic after incorporating ancestry-matched controls

Proportion increased after incorporating ancestry-matched controls
53.3%

Original publication

Ethnicity, consanguinity, and genetic architecture of hypertrophic cardiomyopathy. Eur Heart J. Published 11 July 2023. doi:10.1093/eurheartj/ehad372

Summarised from the published abstract; every number is checked against it