19-38459089-T-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000540.3(RYR1):​c.2168-57T>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.634 in 1,422,274 control chromosomes in the GnomAD database, including 289,928 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). There are indicators that this mutation may affect the branch point..

Frequency

Genomes: 𝑓 0.62 ( 30138 hom., cov: 31)
Exomes 𝑓: 0.64 ( 259790 hom. )

Consequence

RYR1
NM_000540.3 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2O:1

Conservation

PhyloP100: 0.224
Variant links:
Genes affected
RYR1 (HGNC:10483): (ryanodine receptor 1) This gene encodes a ryanodine receptor found in skeletal muscle. The encoded protein functions as a calcium release channel in the sarcoplasmic reticulum but also serves to connect the sarcoplasmic reticulum and transverse tubule. Mutations in this gene are associated with malignant hyperthermia susceptibility, central core disease, and minicore myopathy with external ophthalmoplegia. Alternatively spliced transcripts encoding different isoforms have been described. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
This place is a probable branch point but likely benign (scored 1 / 10). Computational evidence support a benign effect (BayesDel_noAF=-0.81).
BP6
Variant 19-38459089-T-G is Benign according to our data. Variant chr19-38459089-T-G is described in ClinVar as [Benign]. Clinvar id is 133113.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-38459089-T-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.678 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RYR1NM_000540.3 linkc.2168-57T>G intron_variant ENST00000359596.8 NP_000531.2 P21817-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RYR1ENST00000359596.8 linkc.2168-57T>G intron_variant 5 NM_000540.3 ENSP00000352608.2 P21817-1
RYR1ENST00000355481.8 linkc.2168-57T>G intron_variant 1 ENSP00000347667.3 P21817-2
RYR1ENST00000599547.6 linkn.2168-57T>G intron_variant 2 ENSP00000471601.2 M0R127

Frequencies

GnomAD3 genomes
AF:
0.624
AC:
94747
AN:
151896
Hom.:
30125
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.536
Gnomad AMI
AF:
0.796
Gnomad AMR
AF:
0.689
Gnomad ASJ
AF:
0.670
Gnomad EAS
AF:
0.594
Gnomad SAS
AF:
0.419
Gnomad FIN
AF:
0.709
Gnomad MID
AF:
0.703
Gnomad NFE
AF:
0.661
Gnomad OTH
AF:
0.637
GnomAD4 exome
AF:
0.636
AC:
807319
AN:
1270260
Hom.:
259790
AF XY:
0.630
AC XY:
404132
AN XY:
641694
show subpopulations
Gnomad4 AFR exome
AF:
0.528
Gnomad4 AMR exome
AF:
0.687
Gnomad4 ASJ exome
AF:
0.664
Gnomad4 EAS exome
AF:
0.647
Gnomad4 SAS exome
AF:
0.436
Gnomad4 FIN exome
AF:
0.694
Gnomad4 NFE exome
AF:
0.649
Gnomad4 OTH exome
AF:
0.639
GnomAD4 genome
AF:
0.624
AC:
94796
AN:
152014
Hom.:
30138
Cov.:
31
AF XY:
0.621
AC XY:
46116
AN XY:
74310
show subpopulations
Gnomad4 AFR
AF:
0.535
Gnomad4 AMR
AF:
0.690
Gnomad4 ASJ
AF:
0.670
Gnomad4 EAS
AF:
0.595
Gnomad4 SAS
AF:
0.419
Gnomad4 FIN
AF:
0.709
Gnomad4 NFE
AF:
0.661
Gnomad4 OTH
AF:
0.632
Alfa
AF:
0.652
Hom.:
9755
Bravo
AF:
0.625
Asia WGS
AF:
0.453
AC:
1578
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2Other:1
Benign, criteria provided, single submitterclinical testingGeneDxJun 14, 2018This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
not provided, no classification providedliterature onlyLeiden Muscular Dystrophy (RYR1)-- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.81
CADD
Benign
4.1
DANN
Benign
0.72
BranchPoint Hunter
1.0

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

LitVar

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

Other links and lift over

dbSNP: rs4802474; hg19: chr19-38949729; COSMIC: COSV62092107; API