14-23389062-AGGG-AGGGG

Variant names:

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_002471.4(MYH6):c.3979-8dupC variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0071 ( 5 hom., cov: 0)

Exomes 𝑓: 0.0037 ( 0 hom. )

Consequence

MYH6
NM_002471.4 splice_region, intron

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:7O:1

Conservation

PhyloP100: 0.275

Publications

5 publications found

Variant links:

Genes affected

MYH6 (HGNC:7576): (myosin heavy chain 6) Cardiac muscle myosin is a hexamer consisting of two heavy chain subunits, two light chain subunits, and two regulatory subunits. This gene encodes the alpha heavy chain subunit of cardiac myosin. The gene is located approximately 4kb downstream of the gene encoding the beta heavy chain subunit of cardiac myosin. Mutations in this gene cause familial hypertrophic cardiomyopathy and atrial septal defect 3. [provided by RefSeq, Feb 2017]

MYH6 Gene-Disease associations (from GenCC):

MYH-6 related congenital heart defects
Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
hypertrophic cardiomyopathy 14
Inheritance: AD Classification: STRONG, LIMITED Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
Keppen-Lubinsky syndrome
Inheritance: AD Classification: MODERATE Submitted by: Illumina
familial isolated dilated cardiomyopathy
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
atrial septal defect 3
Inheritance: AD Classification: LIMITED Submitted by: G2P
dilated cardiomyopathy
Inheritance: AD Classification: LIMITED Submitted by: ClinGen
hypertrophic cardiomyopathy
Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

MYH6 links:

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP6

Variant 14-23389062-A-AG is Benign according to our data. Variant chr14-23389062-A-AG is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 179575.

BS1

Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00713 (825/115680) while in subpopulation SAS AF = 0.0216 (74/3430). AF 95% confidence interval is 0.0176. There are 5 homozygotes in GnomAd4. There are 428 alleles in the male GnomAd4 subpopulation. Median coverage is 0. This position passed quality control check.

BS2

High AC in GnomAd4 at 825 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002471.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	MYH6	NM_002471.4	MANE Select	c.3979-8dupC		splice_region intron	N/A	NP_002462.2	P13533

Ensembl Transcripts

Gene	Transcript	Tags	HGVSc	Effect	Exon Rank	Protein	UniProt
MYH6	ENST00000405093.9	TSL:5 MANE Select	c.3979-8_3979-7insC	splice_region intron	N/A	ENSP00000386041.3	P13533
MYH6	ENST00000968262.1		c.4012-8_4012-7insC	splice_region intron	N/A	ENSP00000638321.1
MYH6	ENST00000968257.1		c.3979-8_3979-7insC	splice_region intron	N/A	ENSP00000638316.1

Frequencies

GnomAD3 genomes

AF:

0.00714

AC:

825

AN:

115566

Hom.:

Cov.:

show subpopulations

Gnomad AFR

AF:

0.00129

Gnomad AMI

AF:

0.00740

Gnomad AMR

AF:

0.00941

Gnomad ASJ

AF:

0.00965

Gnomad EAS

AF:

0.0148

Gnomad SAS

AF:

0.0219

Gnomad FIN

AF:

0.00578

Gnomad MID

AF:

0.0310

Gnomad NFE

AF:

0.00962

Gnomad OTH

AF:

0.0121

GnomAD2 exomes

AF:

0.00589

AC:

822

AN:

139674

AF XY:

0.00638

show subpopulations

Gnomad AFR exome

AF:

0.000456

Gnomad AMR exome

AF:

0.00599

Gnomad ASJ exome

AF:

0.00289

Gnomad EAS exome

AF:

0.00865

Gnomad FIN exome

AF:

0.00344

Gnomad NFE exome

AF:

0.00507

Gnomad OTH exome

AF:

0.00585

GnomAD4 exome

AF:

0.00367

AC:

3873

AN:

1056040

Hom.:

Cov.:

AF XY:

0.00410

AC XY:

2159

AN XY:

526192

show subpopulations

⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.

African (AFR)

AF:

0.000395

AC:

AN:

30368

American (AMR)

AF:

0.00523

AC:

154

AN:

29430

Ashkenazi Jewish (ASJ)

AF:

0.00425

AC:

AN:

19314

East Asian (EAS)

AF:

0.00700

AC:

193

AN:

27584

South Asian (SAS)

AF:

0.0113

AC:

735

AN:

65106

European-Finnish (FIN)

AF:

0.00750

AC:

261

AN:

34782

Middle Eastern (MID)

AF:

0.0132

AC:

AN:

4160

European-Non Finnish (NFE)

AF:

0.00277

AC:

2217

AN:

800294

Other (OTH)

AF:

0.00364

AC:

164

AN:

45002

⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.313

Heterozygous variant carriers

239

477

716

954

1193

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Exome Het

Variant carriers

144

192

240

<30

30-35

35-40

40-45

45-50

50-55

55-60

60-65

65-70

70-75

75-80

>80

Age

GnomAD4 genome

AF:

0.00713

AC:

825

AN:

115680

Hom.:

Cov.:

AF XY:

0.00753

AC XY:

428

AN XY:

56842

show subpopulations

African (AFR)

AF:

0.00129

AC:

AN:

38880

American (AMR)

AF:

0.00940

AC:

106

AN:

11272

Ashkenazi Jewish (ASJ)

AF:

0.00965

AC:

AN:

2592

East Asian (EAS)

AF:

0.0148

AC:

AN:

3034

South Asian (SAS)

AF:

0.0216

AC:

AN:

3430

European-Finnish (FIN)

AF:

0.00578

AC:

AN:

7092

Middle Eastern (MID)

AF:

0.0331

AC:

AN:

242

European-Non Finnish (NFE)

AF:

0.00964

AC:

452

AN:

46872

Other (OTH)

AF:

0.0119

AC:

AN:

1590

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.427

Heterozygous variant carriers

108

144

180

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Genome Het

Genome Hom

Variant carriers

100

<30

30-35

35-40

40-45

45-50

50-55

55-60

60-65

65-70

70-75

75-80

>80

Age

Alfa

AF:

0.00

Hom.:

ClinVar

ClinVar submissions

Significance:Conflicting classifications of pathogenicity

Revision:criteria provided, conflicting classifications

View on ClinVar

Pathogenic

VUS

Benign

Condition

not specified (5)

Atrial septal defect (1)

Cardiomyopathy (1)

Dilated Cardiomyopathy, Dominant (1)

Hypertrophic cardiomyopathy (1)

Hypertrophic cardiomyopathy 14 (1)

not provided (1)

Computational scores

Source: dbNSFP v4.9

Name

Calibrated prediction

Score

Prediction

PhyloP100

0.28

Mutation Taster

=100/0

polymorphism

(source)

Splicing

Name

Calibrated prediction

Score

Prediction

SpliceAI score (max)

0.010

Details are displayed if max score is > 0.2

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

Publications

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Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

Publications

ACMG classification

Variant Effect in Transcripts

RefSeq Transcripts

Ensembl Transcripts

Frequencies

Age Distribution

Age Distribution

ClinVar

Computational scores

Splicing

Publications

Other links and lift over