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Malignant Hyperthermia Susceptibility v1.6 ASPH Zornitza Stark Phenotypes for gene: ASPH were changed from Exertional heat illness; malignant hyperthermia susceptibility HP:0002047, ASPH-related to Exertional heat illness; malignant hyperthermia susceptibility, MONDO:0018493, ASPH-related
Malignant Hyperthermia Susceptibility v1.5 ASPH Zornitza Stark Marked gene: ASPH as ready
Malignant Hyperthermia Susceptibility v1.5 ASPH Zornitza Stark Gene: asph has been classified as Amber List (Moderate Evidence).
Malignant Hyperthermia Susceptibility v1.5 ASPH Zornitza Stark Phenotypes for gene: ASPH were changed from Exertional heat illness; malignant hyperthermia susceptibility to Exertional heat illness; malignant hyperthermia susceptibility HP:0002047, ASPH-related
Malignant Hyperthermia Susceptibility v1.4 ASPH Zornitza Stark Classified gene: ASPH as Amber List (moderate evidence)
Malignant Hyperthermia Susceptibility v1.4 ASPH Zornitza Stark Gene: asph has been classified as Amber List (Moderate Evidence).
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