17-10445274-C-A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2

The NM_017533.2(MYH4):​c.5258G>T​(p.Arg1753Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000217 in 1,614,176 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00022 ( 0 hom. )

Consequence

MYH4
NM_017533.2 missense

Scores

5
10
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.03
Variant links:
Genes affected
MYH4 (HGNC:7574): (myosin heavy chain 4) Enables double-stranded RNA binding activity. Involved in muscle contraction. Located in myofibril. [provided by Alliance of Genome Resources, Apr 2022]
MYHAS (HGNC:50609): (myosin heavy chain gene cluster antisense RNA) Predicted to enable primary miRNA binding activity. Predicted to be involved in response to muscle activity and skeletal muscle fiber development. Predicted to act upstream of or within with a positive effect on gene expression. Predicted to be located in cytoplasm and nucleus. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.757
BS2
High AC in GnomAd4 at 22 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYH4NM_017533.2 linkc.5258G>T p.Arg1753Leu missense_variant 36/40 ENST00000255381.2 NP_060003.2
MYH4XM_017024676.2 linkc.5258G>T p.Arg1753Leu missense_variant 34/38 XP_016880165.1 Q9Y623
MYHASNR_125367.1 linkn.167+39036C>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYH4ENST00000255381.2 linkc.5258G>T p.Arg1753Leu missense_variant 36/401 NM_017533.2 ENSP00000255381.2 Q9Y623
ENSG00000272736ENST00000399342.6 linkn.206+38997C>A intron_variant 3
ENSG00000272736ENST00000581304.1 linkn.143+39036C>A intron_variant 3
MYHASENST00000587182.2 linkn.155+39036C>A intron_variant 5

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152204
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000159
AC:
40
AN:
251476
Hom.:
0
AF XY:
0.000118
AC XY:
16
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000334
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000224
AC:
328
AN:
1461854
Hom.:
0
Cov.:
42
AF XY:
0.000217
AC XY:
158
AN XY:
727230
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000284
Gnomad4 OTH exome
AF:
0.000149
GnomAD4 genome
AF:
0.000144
AC:
22
AN:
152322
Hom.:
0
Cov.:
32
AF XY:
0.000134
AC XY:
10
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.0000722
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000250
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000199
Hom.:
0
Bravo
AF:
0.000128
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000157
AC:
19
EpiCase
AF:
0.000164
EpiControl
AF:
0.000593

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 23, 2024The c.5258G>T (p.R1753L) alteration is located in exon 36 (coding exon 34) of the MYH4 gene. This alteration results from a G to T substitution at nucleotide position 5258, causing the arginine (R) at amino acid position 1753 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.34
BayesDel_addAF
Benign
-0.080
T
BayesDel_noAF
Uncertain
-0.050
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.51
D
Eigen
Uncertain
0.52
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.051
D
MetaRNN
Pathogenic
0.76
D
MetaSVM
Uncertain
0.55
D
MutationAssessor
Pathogenic
3.5
M
PrimateAI
Benign
0.47
T
PROVEAN
Pathogenic
-4.8
D
REVEL
Pathogenic
0.69
Sift
Uncertain
0.011
D
Sift4G
Uncertain
0.037
D
Polyphen
0.95
P
Vest4
0.57
MVP
0.77
MPC
0.21
ClinPred
0.76
D
GERP RS
4.6
Varity_R
0.12
gMVP
0.41

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: rs187295127; hg19: chr17-10348591; API