Evidence map›Paper›PMID 25351510›Full record

Observational studyHeart (British Cardiac Society)2015

Novel genotype-phenotype associations demonstrated by high-throughput sequencing in patients with hypertrophic cardiomyopathy.

Luis R Lopes, Petros Syrris, Oliver P Guttmann, Constantinos O'Mahony, Hak Chiaw Tang, Chrysoula Dalageorgou, Sharon Jenkins, Mike Hubank, Lorenzo Monserrat, William J McKenna and 2 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Heart (British Cardiac Society), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 3 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Clinical outcomes associated with sarcomere mutations in hypertrophic cardiomyopathy: a meta-analysis on 7675 individuals.Clinical research in cardiology : official journal of the German Cardiac Society · 2018
    Pooled it
  4. Trial
  5. Article
  6. Observational
  7. Sex Differences in Hypertrophic Cardiomyopathy.Current cardiology reports · 2026
    Review
  8. Article
  9. Observational
  10. Review
  11. Functional Profiling ofCirculation. Genomic and precision medicine · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 5 countries.

Luis R LopesUCL Institute of Cardiovascular Science, London, UK.
Petros SyrrisUCL Institute of Cardiovascular Science, London, UK.
Oliver P GuttmannUCL Institute of Cardiovascular Science, London, UK.
Constantinos O'MahonyUCL Institute of Cardiovascular Science, London, UK The London Chest Hospital, London, UK.
Hak Chiaw TangUCL Institute of Cardiovascular Science, London, UK National Heart Centre, Singapore, Singapore.
Chrysoula DalageorgouUCL Institute of Cardiovascular Science, London, UK.
Sharon JenkinsUCL Institute of Cardiovascular Science, London, UK.
Mike HubankUCL Genomics, Department of Molecular Haematology and Cancer Biology, UCL Institute of Child Health, London, UK.
Lorenzo MonserratInstituto de Investigación Biomédica de la Universidad de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC)-Universidad de A Coruña, A Coruña, Spain.
William J McKennaUCL Institute of Cardiovascular Science, London, UK.
Vincent PlagnolUCL Genetics Institute, London, UK.
Perry M ElliottUCL Institute of Cardiovascular Science, London, UK.ORCID http://orcid.org/0000-0003-3383-3984
University College London · GBComplexo Hospitalario Universitario A Coruña · ESInstitute of Child Health · INInstitute of Genetics · HULondon Chest Hospital · GBNational Heart Centre Singapore · SG

Funding

British Heart Foundation PG/11/32/28728
6 · The paper itself

Abstract

objectiveA predictable relation between genotype and disease expression is needed in order to use genetic testing for clinical decision-making in hypertrophic cardiomyopathy (HCM). The primary aims of this study were to examine the phenotypes associated with sarcomere protein (SP) gene mutations and test the hypothesis that variation in non-sarcomere genes modifies the phenotype.

methodsUnrelated and consecutive patients were clinically evaluated and prospectively followed in a specialist clinic. High-throughput sequencing was used to analyse 41 genes implicated in inherited cardiac conditions. Variants in SP and non-SP genes were tested for associations with phenotype and survival.

results874 patients (49.6±15.4 years, 67.8% men) were studied; likely disease-causing SP gene variants were detected in 383 (43.8%). Patients with SP variants were characterised by younger age and higher prevalence of family history of HCM, family history of sudden cardiac death, asymmetric septal hypertrophy, greater maximum LV wall thickness (all p values<0.0005) and an increased incidence of cardiovascular death (p=0.012). Similar associations were observed for individual SP genes. Patients with ANK2 variants had greater maximum wall thickness (p=0.0005). Associations at a lower level of significance were demonstrated with variation in other non-SP genes.

conclusionsPatients with HCM caused by rare SP variants differ with respect to age at presentation, family history of the disease, morphology and survival from patients without SP variants. Novel associations for SP genes are reported and, for the first time, we demonstrate possible influence of variation in non-SP genes associated with other forms of cardiomyopathy and arrhythmia syndromes on the clinical phenotype of HCM.

Indexed as

High-Throughput Nucleotide SequencingMutationAdolescentAdultAgedAged, 80 and overAge FactorsCardiomyopathy, Hypertrophic, FamilialChildDeath, Sudden, CardiacDNA Mutational AnalysisFemaleGenetic Association StudiesGenetic Predisposition to DiseaseHumansKaplan-Meier EstimateMuscle ProteinsGENETICS

Identifiers

PMID25351510
PMCPMC4345808
OpenAlexW2171649986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.