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Rhabdomyolysis and Metabolic Myopathy v0.156 RYR1 Bryony Thompson Marked gene: RYR1 as ready
Rhabdomyolysis and Metabolic Myopathy v0.156 RYR1 Bryony Thompson Gene: ryr1 has been classified as Green List (High Evidence).
Rhabdomyolysis and Metabolic Myopathy v0.156 RYR1 Bryony Thompson Publications for gene: RYR1 were set to
Rhabdomyolysis and Metabolic Myopathy v0.119 CACNA1S Bryony Thompson Added comment: Comment on list classification: Second most common cause of malignant hyperthermia susceptibility after RYR1, but it is still a rare cause.
Rhabdomyolysis and Metabolic Myopathy v0.88 ASPH Paul De Fazio gene: ASPH was added
gene: ASPH was added to Rhabdomyolysis. 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
Rhabdomyolysis and Metabolic Myopathy v0.0 RYR1 Bryony Thompson gene: RYR1 was added
gene: RYR1 was added to Rhabdomyolysis_RMH. Sources: Royal Melbourne Hospital,Expert Review Green
Mode of inheritance for gene: RYR1 was set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Phenotypes for gene: RYR1 were set to {Malignant hyperthermia susceptibility 1}, 145600; Central core disease, 117000; King-Denborough syndrome, 145600; Neuromuscular disease, congenital, with uniform type 1 fiber, 117000; Minicore myopathy with external ophthalmoplegia, 255320