MYOM1

protein-coding

myomesin 1, the group of I-set domain containing|Myosin binding proteins

Gene summary

The giant protein titin, together with its associated proteins, interconnects the major structure of sarcomeres, the M bands and Z discs. The C-terminal end of the titin string extends into the M line, where it binds tightly to M-band constituents of apparent molecular masses of 190 kD (myomesin 1) and 165 kD (myomesin 2). This protein, myomesin 1, like myomesin 2, titin, and other myofibrillar proteins contains structural modules with strong homology to either fibronectin type III (motif I) or immunoglobulin C2 (motif II) domains. Myomesin 1 and myomesin 2 each have a unique N-terminal region followed by 12 modules of motif I or motif II, in the arrangement II-II-I-I-I-I-I-II-II-II-II-II. The two proteins share 50% sequence identity in this repeat-containing region. The head structure formed by these 2 proteins on one end of the titin string extends into the center of the M band. The integrating structure of the sarcomere arises from muscle-specific members of the superfamily of immunoglobulin-like proteins. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

MANE transcript

NM_003803.4

Inheritance

AD, AR

ClinVar variants

P:2U:1181B:555

Top phenotype

Hypertrophic cardiomyopathy

gnomAD constraint

pLI —, LoF o/e 0.78

Max pathogenic AF

—

Genomic locus

chr18:3,066,807-3,219,968

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~153.2 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hypertrophic cardiomyopathyLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0005045

Submitter: PanelApp Australia

congenital heart diseaseLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0005453

Submitter: LiferaOmics

Genetic evidence – Published (AR scope) No scorable published cases of biallelic (autosomal recessive) MYOM1 variants causing cardiovascular disease were identified. Published genetic evidence total = 0/12 Published (AD context; not scored for AR) ClinGen Gene–Disease Validity: MYOM1 – Hypertrophic cardiomyopathy (AD) has been curated by the Hereditary Cardiovascular Disease GCEP and classified as Disputed. The available evidence for monoallelic MYOM1 variants causing autosomal dominant HCM was considered insufficient to support a validated gene–disease relationship. PMID: 21256114 AD-context evidence total (not scored for AR) = 0 Genetic evidence – Our case Family 1 – One proband. Case-level (biallelic predicted null in AR model; homozygous nonsense NM_003803.3:c.3101G>A, p.Trp1034Ter; AR predicted null default = 1.5; consanguinity −0.5 applied) = (1.5 − 0.5) = 1.0; Segregation = 0 (prior neonatal deaths not genotyped); Case-control = 0; Family 1 total = 1.0 Total genetic evidence (published AR + our case) 1.0/12 Experimental evidence – Published PMID: 33452765 – Demonstrates that MYOM1 is essential for sarcomere organization and cardiomyocyte structural integrity. MYOM1 knockout human stem-cell–derived cardiomyocytes showed impaired sarcomere assembly and contractile dysfunction, supporting a role for MYOM1 in cardiac muscle structure and function. Although these experiments do not establish a specific autosomal recessive human disorder, they provide biological plausibility that loss of MYOM1 affects cardiac tissue. Gene function / biological plausibility = 0.5 Experimental evidence total = 0.5/6 Overall score Genetic evidence = 1.0 Experimental evidence = 0.5 Overall score = 1.5

familial hypertrophic cardiomyopathyNO_KNOWN

Inheritance Pattern: AD

Disease ID:MONDO:0024573

Submitter: G2P

hypertrophic cardiomyopathyNO_KNOWN

Inheritance Pattern: AD

Disease ID:MONDO:0005045

Submitter: ClinGen

*MYOM1* was first reported in relation to hypertrophic cardiomyopathy (HCM) in humans in 2011 (Siegert et al, 2011, PMID 21256114). *MYOM1* has been associated with hypertrophic cardiomyopathy (HCM) in 11 probands across 4 publications (Siegert et al, 2011, PMID 21256114; Cecconi M, et al., 2016, PMID: 27600940; Bottillo I, et al., 2016, PMID: 26656175; Guo X, et al., 2017, PMID: 28323875). A single missense variant, p.Val1490Ile, segregated in 2 affected family members with HCM and destabilized dimerization of the MYOM1 protein; however, variants in all 8 sarcomeric genes were not ruled out (Siegert et al, 2011, PMID 21256114). Nine additional missense variants, one intronic variant, one splice-site variant, and a synonymous variant are included in this curation. All but one received reduced scores either due to the presence of variants in other HCM genes, inconsistent phenotypes, or high allele frequencies in gnomAD (Cecconi M, et al., 2016, PMID: 27600940; Bottillo I, et al., 2016, PMID: 26656175; Guo X, et al., 2017, PMID: 28323875). The mechanism for disease is unknown.This gene-disease relationship is supported by an expression study (Schoenauer et al, 2011, PMID 21069531). This gene-disease pair was originally evaluated by the ClinGen Hypertrophic Cardiomyopathy Gene Curation Expert Panel on July 20th, 2017. It was reevaluated by the Hereditary Cardiovascular Disease Gene Curation Expert Panel on February 23rd, 2023. As a result of this reevaluation, the classification was changed from limited to disputed.

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MYOM1 variants in ClinVar

13 Conditions Cataloged
Hypertrophic cardiomyopathyTotal: 1564
not specifiedTotal: 1053
not providedTotal: 104
MYOM1-related disorderTotal: 54
Cardiovascular phenotypeTotal: 21
Primary dilated cardiomyopathyTotal: 2
MYOM1-related non-immune fetal hydropsTotal: 2
Non-immune hydrops fetalisTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_003803.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
11
clinvar
475
clinvar
2
clinvar
488
missense
1
clinvar
1073
clinvar
66
clinvar
8
clinvar
1148
nonsense
1
clinvar
32
clinvar
33
start loss
0
frameshift
43
clinvar
1
clinvar
44
splice donor/acceptor (+/-2bp)
22
clinvar
3
clinvar
25
Total021181545101738

Highest pathogenic variant AF is 0.000031618063

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 24 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_003803.4RefSeqNP_003794.337MANE Select
ENST00000356443.9EnsemblENSP00000348821.437MANE Select
NM_019856.2RefSeqNP_062830.136Standard
ENST00000261606.11EnsemblENSP00000261606.736Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Striated Muscle Contraction

Biological Process

  • extraocular skeletal muscle development
  • muscle contraction
  • positive regulation of gene expression
  • protein kinase A signaling
  • skeletal muscle thin filament assembly

Molecular Function

  • protein binding
  • structural constituent of muscle
  • kinase binding
  • identical protein binding
  • protein homodimerization activity

Cellular Component

  • striated muscle myosin thick filament
  • striated muscle thin filament
  • sarcomere
  • Z disc
  • M band

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000356443
Coding exons
37
Length
153302
Individuals with no LoFs
124445
Homozygous LoFs
0
Heterozygous LoFs
251
Defined
124696
p
0.00101
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.6189209740.9440.000057910960
Missense (PolyPhen)315363.60.866344053
Synonymous-0.01773773771.000.00002443220
Loss of Function1.937393.10.7840.000004921114

Population LoF Frequency

PopulationCAFp-valueStatus
African0.00130.0011notable
Latino/Admixed American0.00150.0013notable
Ashkenazi Jewish0.000300.00030rare
East Asian0.00230.0023notable
Finnish0.000140.00014rare
European (Non-Finnish)0.000900.00088rare
South Asian0.00130.0012notable
Other0.000840.00083rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Major component of the vertebrate myofibrillar M band. Binds myosin, titin, and light meromyosin. This binding is dose dependent.;

Recessive Scores

pRec
0.112

Intolerance Scores

RVIS EVS
0.56
RVIS percentile EVS
81.68

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.115

Gene Damage Prediction

AllRecessiveDominant
MendelianHighHighHigh
Primary ImmunodeficiencyHighHighHigh
CancerHighHighHigh
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