MYOZ2

protein-coding

myozenin 2, the group of Myozenins

Gene summary

The protein encoded by this gene belongs to a family of sarcomeric proteins that bind to calcineurin, a phosphatase involved in calcium-dependent signal transduction in diverse cell types. These family members tether calcineurin to alpha-actinin at the z-line of the sarcomere of cardiac and skeletal muscle cells, and thus they are important for calcineurin signaling. Mutations in this gene cause cardiomyopathy familial hypertrophic type 16, a hereditary heart disorder. [provided by RefSeq, Aug 2011]

Previous symbols:
  • C4orf5

MANE transcript

NM_016599.5

Inheritance

AD

ClinVar variants

P:1U:174B:75

Top phenotype

Cardiomyopathy, familial hypertrophic, 16

gnomAD constraint

pLI —, LoF o/e 0.54

Max pathogenic AF

—

Genomic locus

chr4:119,135,832-119,187,789

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~52.0 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hypertrophic cardiomyopathy 16LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0013455

Submitter: Labcorp Genetics (formerly Invitae)

hypertrophic cardiomyopathyNO_KNOWN

Inheritance Pattern: AD

Disease ID:MONDO:0005045

Submitter: ClinGen

MYOZ2 was first reported in relation to hypertrophic cardiomyopathy (HCM) in humans in 2007 (Osio et al., PMID: 17347475). MYOZ2 encodes a protein which belongs to a family of sarcomeric proteins that bind to calcineurin and are important in calcineurin signaling. The MYOZ2 gene has been related with HCM in 7 probands across 4 publications. One missense variant with experimental evidence to support its pathogenicity was identified in a patient and was shown to segregate with 5 additional family members (Osio et al., 2007, PMID: 17347475). Five additional unique variants with little to no experimental evidence to support their pathogenicity were reported (Osio et al., 2007, PMID: 17347475; Posch et al., 2008, PMID: 18591919; Cecconi M, et al., 2016, PMID: 27600940). Another unique missense variant was identified in a proband who also harbored a variant in MYH7 and was excluded as causative (Guo et al., 2017, PMID: 28296734). The mechanism for disease is unknown. The gene-disease relationship is supported by expression data in the heart (Frey N, et al., 2000, PMID: 11114196), a mouse model that exhibits features of hypertrophic cardiomyopathy including left ventricular hypertrophy and interstitial cardiac fibrosis (Ruggiero A, et al., 2013, PMID: 22987565), and protein interaction with ACTN2 (Frey N, et al., 2000, PMID: 11114196). In summary, the evidence to support the gene-disease association between MYOZ2 and HCM is disputed as there has been a lack of supportive evidence since the previous curation and the points were reduced due to the new SOP. More evidence is needed to either support or entirely refute the role MYOZ2 plays in this disease. This gene-disease pair was originally evaluated by the ClinGen Hypertrophic Cardiomyopathy Gene Curation Expert Panel on June 26th, 2017. It was reevaluated on October 27th, 2022. As a result of this reevaluation, the classification changed from limited to disputed.

familial hypertrophic cardiomyopathyNO_KNOWN

Inheritance Pattern: AD

Disease ID:MONDO:0024573

Submitter: G2P

hypertrophic cardiomyopathy 16LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0013455

Submitter: Ambry Genetics

hypertrophic cardiomyopathy 16LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0013455

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Cardiomyopathy, familial hypertrophic, 16AD

Manifestation: Cardiovascular

Intervention: Cardiovascular

Rationale: Surveillance and preventive measures related to cardiac manifestations, which have been reported as including arrhythmias, may allow early diagnosis and medical management as well as pacemaker placement, which may reduce morbidity and mortality

Refs: 17347475; 19472918Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MYOZ2 variants in ClinVar

9 Conditions Cataloged
Hypertrophic cardiomyopathyTotal: 162
Cardiovascular phenotypeTotal: 161
not providedTotal: 56
not specifiedTotal: 40
Hypertrophic cardiomyopathy 16Total: 32
MYOZ2-related disorderTotal: 23
CardiomyopathyTotal: 19
Primary familial hypertrophic cardiomyopathyTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_016599.5. 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
58
clinvar
3
clinvar
61
missense
1
clinvar
155
clinvar
14
clinvar
170
nonsense
7
clinvar
7
start loss
2
clinvar
2
frameshift
5
clinvar
5
splice donor/acceptor (+/-2bp)
5
clinvar
5
Total01174723250
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 36 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_016599.5RefSeqNP_057683.15MANE Select
ENST00000307128.6EnsemblENSP00000306997.65MANE Select
NM_001440645.1RefSeqNP_001427574.16Standard
NM_001440646.1RefSeqNP_001427575.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • skeletal muscle tissue development
  • biological_process
  • skeletal muscle fiber adaptation
  • sarcomere organization

Molecular Function

  • actin binding
  • protein binding
  • protein phosphatase 2B binding
  • telethonin binding
  • FATZ binding

Cellular Component

  • actin cytoskeleton
  • sarcomere
  • Z disc

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000307128
Coding exons
5
Length
52006
Individuals with no LoFs
125721
Homozygous LoFs
0
Heterozygous LoFs
24
Defined
125745
p
0.0000954
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.5391251430.8730.000006931746
Missense (PolyPhen)4453.0590.82927647
Synonymous-0.07124948.41.010.00000225498
Loss of Function1.41611.10.5435.63e-7138

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000180.00018rare
Latino/Admixed American0.0000290.000029rare
Ashkenazi Jewish00.0absent
East Asian0.000330.00033rare
Finnish0.0000460.000046rare
European (Non-Finnish)0.000110.00011rare
South Asian0.0000330.000033rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Myozenins may serve as intracellular binding proteins involved in linking Z line proteins such as alpha-actinin, gamma- filamin, TCAP/telethonin, LDB3/ZASP and localizing calcineurin signaling to the sarcomere. Plays an important role in the modulation of calcineurin signaling. May play a role in myofibrillogenesis.;

Recessive Scores

pRec
0.158

Intolerance Scores

LoFtool
0.568
RVIS EVS
-0.27
RVIS percentile EVS
33.97

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.323

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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