16-74691297-T-C

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_152649.4(MLKL):ā€‹c.702A>Gā€‹(p.Lys234=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000933 in 1,598,684 control chromosomes in the GnomAD database, including 24 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0023 ( 3 hom., cov: 31)
Exomes š‘“: 0.00080 ( 21 hom. )

Consequence

MLKL
NM_152649.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -4.02
Variant links:
Genes affected
MLKL (HGNC:26617): (mixed lineage kinase domain like pseudokinase) This gene belongs to the protein kinase superfamily. The encoded protein contains a protein kinase-like domain; however, is thought to be inactive because it lacks several residues required for activity. This protein plays a critical role in tumor necrosis factor (TNF)-induced necroptosis, a programmed cell death process, via interaction with receptor-interacting protein 3 (RIP3), which is a key signaling molecule in necroptosis pathway. Inhibitor studies and knockdown of this gene inhibited TNF-induced necrosis. High levels of this protein and RIP3 are associated with inflammatory bowel disease in children. Alternatively spliced transcript variants have been described for this gene. [provided by RefSeq, Sep 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.91).
BP6
Variant 16-74691297-T-C is Benign according to our data. Variant chr16-74691297-T-C is described in ClinVar as [Benign]. Clinvar id is 716578.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-4.02 with no splicing effect.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00227 (337/148494) while in subpopulation AMR AF= 0.0186 (278/14908). AF 95% confidence interval is 0.0168. There are 3 homozygotes in gnomad4. There are 184 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MLKLNM_152649.4 linkuse as main transcriptc.702A>G p.Lys234= synonymous_variant 4/11 ENST00000308807.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MLKLENST00000308807.12 linkuse as main transcriptc.702A>G p.Lys234= synonymous_variant 4/112 NM_152649.4 P1Q8NB16-1
MLKLENST00000306247.11 linkuse as main transcriptc.535+1045A>G intron_variant 1 Q8NB16-2
MLKLENST00000571303.1 linkuse as main transcriptc.174A>G p.Lys58= synonymous_variant, NMD_transcript_variant 1/63

Frequencies

GnomAD3 genomes
AF:
0.00228
AC:
338
AN:
148378
Hom.:
3
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000696
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0187
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00241
Gnomad SAS
AF:
0.000214
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000165
Gnomad OTH
AF:
0.00343
GnomAD3 exomes
AF:
0.00333
AC:
812
AN:
243870
Hom.:
13
AF XY:
0.00263
AC XY:
347
AN XY:
132126
show subpopulations
Gnomad AFR exome
AF:
0.000569
Gnomad AMR exome
AF:
0.0221
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00291
Gnomad SAS exome
AF:
0.000135
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000540
Gnomad OTH exome
AF:
0.00357
GnomAD4 exome
AF:
0.000796
AC:
1154
AN:
1450190
Hom.:
21
Cov.:
31
AF XY:
0.000687
AC XY:
496
AN XY:
721496
show subpopulations
Gnomad4 AFR exome
AF:
0.000398
Gnomad4 AMR exome
AF:
0.0220
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00216
Gnomad4 SAS exome
AF:
0.000153
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000289
Gnomad4 OTH exome
AF:
0.00115
GnomAD4 genome
AF:
0.00227
AC:
337
AN:
148494
Hom.:
3
Cov.:
31
AF XY:
0.00254
AC XY:
184
AN XY:
72336
show subpopulations
Gnomad4 AFR
AF:
0.000694
Gnomad4 AMR
AF:
0.0186
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00242
Gnomad4 SAS
AF:
0.000214
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000165
Gnomad4 OTH
AF:
0.00339
Alfa
AF:
0.000213
Hom.:
0
Bravo
AF:
0.00350
Asia WGS
AF:
0.00231
AC:
8
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJun 18, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.91
CADD
Benign
0.090
DANN
Benign
0.33

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs56247416; hg19: chr16-74725195; API