Heart failure & cardiomyopathies

Natural Missplicing Events Amplified by an Elusive Deep-Intronic MYBPC3 Variant Cause Hypertrophic Cardiomyopathy

CirculationPublished Genetic and mechanistic study

Authors' conclusion

MYBPC3 c.2308+227G>A is a pathogenic splice-altering variant that causes HCM by amplifying natural missplicing events.

Study context

Population
Genotype-negative patients with hypertrophic cardiomyopathy (HCM) from Salamanca, Spain, and their relatives35 probands · 46 relatives
Participants
81 patients
Outcome
Pathogenicity of deep-intronic variant MYBPC3 c.2308+227G>A
Methodological detailsfamily cosegregation, splicing assays, haplotype reconstruction
  • Family cosegregation
  • Splicing assays
  • Haplotype reconstruction

Main finding

As reported in the abstract

Carriers meeting HCM diagnostic criteria

56

69%

Cumulative penetrance by age 60 y, women

81%

Cumulative penetrance by age 60 y, men

96%

Combined LOD score across 20 informative families (strong evidence of cosegregation)

5.51

Further findings

HF, arrhythmic events, AF, mortality in probands vs carriers of other pathogenic MYBPC3 variants · follow-up

No significant differences

Original publication

Natural Missplicing Events Amplified by an Elusive Deep-Intronic MYBPC3 Variant Cause Hypertrophic Cardiomyopathy. Circulation. Published 15 September 2026. doi:10.1161/circulationaha.125.078812

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