Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies

Gene: HMGCR

Green List (high evidence)

HMGCR (3-hydroxy-3-methylglutaryl-CoA reductase)
EnsemblGeneIds (GRCh38): ENSG00000113161
EnsemblGeneIds (GRCh37): ENSG00000113161
OMIM: 142910, Gene2Phenotype
HMGCR is in 2 panels

3 reviews

Achchuthan Shanmugasundram (Genomics England Curator)

Green List (high evidence)

The rating of this gene has been updated to green following NHS Genomic Medicine Service approval.
Created: 5 Dec 2024, 5:12 p.m. | Last Modified: 5 Dec 2024, 5:12 p.m.
Panel Version: 4.40

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Sarah Leigh (Genomics England Curator)

Green List (high evidence)

HMGCR variants have been associated with Muscular dystrophy, limb-girdle, autosomal recessive 28 (OMIM:620375), but with a phenotype in Gen2Phen. PMIDs 37167966; 36745799 report seven HMGCR variants in four unrelated cases. Segregation of the variants and the condition was seen all of the families and in vitro studies revealed that the variant protein had a reduced activity (PMID: 36745799).
Created: 22 Aug 2023, 4:37 p.m. | Last Modified: 22 Aug 2023, 4:37 p.m.
Panel Version: 4.22
Comment on list classification: There is enough evidence for this gene to be rated GREEN at the next major review.
Created: 22 Aug 2023, 4:30 p.m. | Last Modified: 22 Aug 2023, 4:30 p.m.
Panel Version: 4.22

Julia Baptista (South East Genomic Laboratory Hub, Synnovis, King's College Hospital)

Green List (high evidence)

Several families reported and OMIM entry now available.

Morales-Rosado et al. (2023) reported 9 patients from 5 unrelated families with LGMDR28. Symptoms included hypotonia, delayed motor milestones, and axial and neck muscle weakness. Progressive proximal muscle weakness of the upper and lower limbs, waddling gait, muscle atrophy, and increased serum creatine kinase were also described. Biallelic pathogenic variants identified by exome sequencing including missense, in-frame deletion and splice site.

Yogev et al (2023) reported 6 affected members of a large consanguineous Bedouin kindred with LGMDR28. In vitro functional studies of the missense variant supported a partial loss of function effect.
Sources: Expert Review, Literature
Created: 21 Aug 2023, 12:50 p.m.

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Autosomal recessive limb-girdle muscular dystrophy-28; muscle weakness; myopathy

Publications

Details

Mode of Inheritance
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • NHS GMS
Phenotypes
  • Muscular dystrophy, limb-girdle, autosomal recessive 28, OMIM:620375
OMIM
142910
Clinvar variants
Variants in HMGCR
Penetrance
None
Publications
Panels with this gene

History Filter Activity

5 Dec 2024, Gel status: 3

Removed Tag

Achchuthan Shanmugasundram (Genomics England Curator)

Tag Q3_23_promote_green was removed from gene: HMGCR.

5 Dec 2024, Gel status: 3

Added New Source, Added New Source, Status Update

Achchuthan Shanmugasundram (Genomics England Curator)

Source NHS GMS was added to HMGCR. Source Expert Review Green was added to HMGCR. Rating Changed from Amber List (moderate evidence) to Green List (high evidence)

2 Jul 2024, Gel status: 2

Removed Tag

Achchuthan Shanmugasundram (Genomics England Curator)

Tag Q3_23_MOI was removed from gene: HMGCR.

22 Aug 2023, Gel status: 2

Added Tag, Added Tag

Sarah Leigh (Genomics England Curator)

Tag Q3_23_promote_green tag was added to gene: HMGCR. Tag Q3_23_MOI tag was added to gene: HMGCR.

22 Aug 2023, Gel status: 2

Entity classified by Genomics England curator

Sarah Leigh (Genomics England Curator)

Gene: hmgcr has been classified as Amber List (Moderate Evidence).

22 Aug 2023, Gel status: 0

Set Phenotypes

Sarah Leigh (Genomics England Curator)

Phenotypes for gene: HMGCR were changed from Autosomal recessive limb-girdle muscular dystrophy-28; muscle weakness; myopathy to Muscular dystrophy, limb-girdle, autosomal recessive 28, OMIM:620375

21 Aug 2023, Gel status: 0

Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes

Julia Baptista (South East Genomic Laboratory Hub, Synnovis, King's College Hospital)

gene: HMGCR was added gene: HMGCR was added to Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies. Sources: Expert Review,Literature Mode of inheritance for gene: HMGCR was set to BIALLELIC, autosomal or pseudoautosomal Publications for gene: HMGCR were set to 37167966; 36745799 Phenotypes for gene: HMGCR were set to Autosomal recessive limb-girdle muscular dystrophy-28; muscle weakness; myopathy Review for gene: HMGCR was set to GREEN