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Malignant Hyperthermia Susceptibility v1.3 ASPH Paul De Fazio gene: ASPH was added
gene: ASPH was added to Malignant Hyperthermia Susceptibility. Sources: Literature
Mode of inheritance for gene: ASPH was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Publications for gene: ASPH were set to 35697689
Phenotypes for gene: ASPH were set to Exertional heat illness; malignant hyperthermia susceptibility
Review for gene: ASPH was set to AMBER
gene: ASPH was marked as current diagnostic
Added comment: In a study of 103 individuals (63 affected from 34 families, plus 40 sporadic cases) who had either a sentinel event of EHI or MH, or else a positive CHCT and a first degree releative with EHI/MH, and where RYR1 and CACNA1S Sanger sequencing was negative, the following variants in ASPH were identified in unrelated individuals:

- c.161T > C in 2 members of a family with myalgias exacerbated by heat/exercise. One had elevated CK. Both had positive CHCT. An unaffected sibling did not have the variant. 27 hets in gnomad v2 / 17 hets in gnomad v3.
- c.445G>C in a patient with MH, myalgias and muscle cramps worsened by heat and exercise. 4 hets in gnomad v2 / 3 hets in gnomad v3. Non-coding in the MANE transcript.
- c.263A > C in a patient with EHI, diagnosed as MHN by in vitro contracture test. Absent from gnomad but non-coding in the MANE transcript.
- c.605A > G in a patient with EHI, diagnosed as MHN by in vitro contracture test. 223 hets in gnomad v2 / 120 hets in gnomad v3; no homs. Non-coding in the MANE transcript.

A zebrafish model and cell line functional studies supported pathogenicity of the c.161T > C and c.263A > C variants.
Sources: Literature
Malignant Hyperthermia Susceptibility v0.11 TRPV1 Bryony Thompson changed review comment from: 3 cases with a muscle biopsy sensitive for halothane but not for caffeine, MHSh, and a single case susceptible to both (MHS). One of the MHSh cases was from a family with RYR1-associated myopathy, where the TRPV1 occurred with RYR1 variants. Two of the cases had a clinical diagnosis of malignant hyperthermia and two of the cases had an exertional heat stress episode. Supporting functional assays in HEK293 cells and trpv1 -/- mouse muscle, demonstrated impairment of intracellular Ca2+ signaling.; to: 3 cases with a muscle biopsy sensitive for halothane but not for caffeine, MHSh, and a single case susceptible to both (MHS). One of the MHSh cases was from a family with RYR1-associated myopathy, where the TRPV1 occurred with RYR1 variants. Two of the cases had a clinical diagnosis of malignant hyperthermia and two of the cases had an exertional heat stroke episode. Supporting functional assays in HEK293 cells and trpv1 -/- mouse muscle, demonstrated impairment of intracellular Ca2+ signaling.
Malignant Hyperthermia Susceptibility v0.4 RYR1 Bryony Thompson edited their review of gene: RYR1: Set current diagnostic: yes
Malignant Hyperthermia Susceptibility v0.2 RYR1 Bryony Thompson Marked gene: RYR1 as ready
Malignant Hyperthermia Susceptibility v0.2 RYR1 Bryony Thompson Gene: ryr1 has been classified as Green List (High Evidence).
Malignant Hyperthermia Susceptibility v0.2 RYR1 Bryony Thompson Classified gene: RYR1 as Green List (high evidence)
Malignant Hyperthermia Susceptibility v0.2 RYR1 Bryony Thompson Gene: ryr1 has been classified as Green List (High Evidence).
Malignant Hyperthermia Susceptibility v0.1 RYR1 Bryony Thompson gene: RYR1 was added
gene: RYR1 was added to Malignant Hyperthermia Susceptibility. Sources: Expert list
Mode of inheritance for gene: RYR1 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: RYR1 were set to 20301325
Phenotypes for gene: RYR1 were set to {Malignant hyperthermia susceptibility 1} MIM#145600
Mode of pathogenicity for gene: RYR1 was set to Other
Review for gene: RYR1 was set to GREEN
Added comment: Gain-of-function RYR1 variants are the most common cause of malignant hyperthermia
Sources: Expert list