11-47350582-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000256.3(MYBPC3):​c.326C>A​(p.Ala109Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 18/23 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A109T) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

MYBPC3
NM_000256.3 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.522

Publications

1 publications found
Variant links:
Genes affected
MYBPC3 (HGNC:7551): (myosin binding protein C3) MYBPC3 encodes the cardiac isoform of myosin-binding protein C. Myosin-binding protein C is a myosin-associated protein found in the cross-bridge-bearing zone (C region) of A bands in striated muscle. MYBPC3 is expressed exclusively in heart muscle and is a key regulator of cardiac contraction. Mutations in this gene are a frequent cause of familial hypertrophic cardiomyopathy. [provided by RefSeq, May 2022]
MYBPC3 Gene-Disease associations (from GenCC):
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • hypertrophic cardiomyopathy 4
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • left ventricular noncompaction 10
    Inheritance: AR, AD Classification: DEFINITIVE, MODERATE, LIMITED Submitted by: Ambry Genetics
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • arrhythmogenic right ventricular cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • atrial fibrillation
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • dilated cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.09741905).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000256.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYBPC3
NM_000256.3
MANE Select
c.326C>Ap.Ala109Asp
missense
Exon 3 of 35NP_000247.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYBPC3
ENST00000545968.6
TSL:5 MANE Select
c.326C>Ap.Ala109Asp
missense
Exon 3 of 35ENSP00000442795.1
MYBPC3
ENST00000399249.6
TSL:5
c.326C>Ap.Ala109Asp
missense
Exon 3 of 34ENSP00000382193.2
MYBPC3
ENST00000544791.1
TSL:5
n.326C>A
non_coding_transcript_exon
Exon 3 of 27ENSP00000444259.1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1372004
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
678408
African (AFR)
AF:
0.00
AC:
0
AN:
28864
American (AMR)
AF:
0.00
AC:
0
AN:
22970
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23148
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35854
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73786
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49120
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5096
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1076530
Other (OTH)
AF:
0.00
AC:
0
AN:
56636
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Hypertrophic cardiomyopathy Uncertain:1
Nov 16, 2018
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated, but these predictions have not been confirmed by published functional studies and their clinical significance is uncertain. This variant has not been reported in the literature in individuals with MYBPC3-related disease. This variant is not present in population databases (ExAC no frequency). This sequence change replaces alanine with aspartic acid at codon 109 of the MYBPC3 protein (p.Ala109Asp). The alanine residue is weakly conserved and there is a moderate physicochemical difference between alanine and aspartic acid.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
CardioboostCm
Benign
0.0017
BayesDel_addAF
Benign
-0.098
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
14
DANN
Benign
0.95
DEOGEN2
Benign
0.13
T
Eigen
Benign
-0.80
Eigen_PC
Benign
-0.81
FATHMM_MKL
Benign
0.049
N
LIST_S2
Benign
0.55
T
M_CAP
Benign
0.062
D
MetaRNN
Benign
0.097
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.55
N
PhyloP100
0.52
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-0.64
N
REVEL
Benign
0.034
Sift
Benign
0.20
T
Sift4G
Benign
0.37
T
Polyphen
0.23
B
Vest4
0.13
MutPred
0.28
Gain of solvent accessibility (P = 0.0109)
MVP
0.76
MPC
0.33
ClinPred
0.13
T
GERP RS
1.0
Varity_R
0.16
gMVP
0.48
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs397516011; hg19: chr11-47372133; API