19-38505459-C-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000540.3(RYR1):​c.8400+61C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0378 in 1,224,474 control chromosomes in the GnomAD database, including 1,689 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.069 ( 700 hom., cov: 31)
Exomes 𝑓: 0.033 ( 989 hom. )

Consequence

RYR1
NM_000540.3 intron

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -0.262

Publications

3 publications found
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]
RYR1 Gene-Disease associations (from GenCC):
  • malignant hyperthermia, susceptibility to, 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp, Ambry Genetics
  • congenital multicore myopathy with external ophthalmoplegia
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
  • RYR1-related myopathy
    Inheritance: AR, AD Classification: DEFINITIVE Submitted by: ClinGen
  • central core myopathy
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
  • King-Denborough syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • malignant hyperthermia of anesthesia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive centronuclear myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • benign Samaritan congenital myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital myopathy with myasthenic-like onset
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • lethal multiple pterygium syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 19-38505459-C-T is Benign according to our data. Variant chr19-38505459-C-T is described in ClinVar as Benign. ClinVar VariationId is 133225.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.165 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RYR1NM_000540.3 linkc.8400+61C>T intron_variant Intron 53 of 105 ENST00000359596.8 NP_000531.2 P21817-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RYR1ENST00000359596.8 linkc.8400+61C>T intron_variant Intron 53 of 105 5 NM_000540.3 ENSP00000352608.2 P21817-1

Frequencies

GnomAD3 genomes
AF:
0.0689
AC:
10482
AN:
152100
Hom.:
696
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.168
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0711
Gnomad ASJ
AF:
0.0271
Gnomad EAS
AF:
0.00115
Gnomad SAS
AF:
0.0199
Gnomad FIN
AF:
0.00913
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.0298
Gnomad OTH
AF:
0.0618
GnomAD4 exome
AF:
0.0333
AC:
35750
AN:
1072256
Hom.:
989
AF XY:
0.0322
AC XY:
17511
AN XY:
543944
show subpopulations
African (AFR)
AF:
0.164
AC:
4097
AN:
25004
American (AMR)
AF:
0.0885
AC:
3180
AN:
35938
Ashkenazi Jewish (ASJ)
AF:
0.0286
AC:
665
AN:
23250
East Asian (EAS)
AF:
0.0000863
AC:
3
AN:
34754
South Asian (SAS)
AF:
0.0205
AC:
1500
AN:
73198
European-Finnish (FIN)
AF:
0.0135
AC:
659
AN:
48866
Middle Eastern (MID)
AF:
0.0284
AC:
140
AN:
4928
European-Non Finnish (NFE)
AF:
0.0303
AC:
23606
AN:
778994
Other (OTH)
AF:
0.0401
AC:
1900
AN:
47324
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
1515
3030
4544
6059
7574
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
870
1740
2610
3480
4350
<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:
0.0691
AC:
10522
AN:
152218
Hom.:
700
Cov.:
31
AF XY:
0.0671
AC XY:
4998
AN XY:
74444
show subpopulations
African (AFR)
AF:
0.168
AC:
6973
AN:
41510
American (AMR)
AF:
0.0714
AC:
1091
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.0271
AC:
94
AN:
3472
East Asian (EAS)
AF:
0.00116
AC:
6
AN:
5188
South Asian (SAS)
AF:
0.0199
AC:
96
AN:
4816
European-Finnish (FIN)
AF:
0.00913
AC:
97
AN:
10620
Middle Eastern (MID)
AF:
0.0238
AC:
7
AN:
294
European-Non Finnish (NFE)
AF:
0.0298
AC:
2029
AN:
68006
Other (OTH)
AF:
0.0611
AC:
129
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
468
937
1405
1874
2342
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
108
216
324
432
540
<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:
0.0519
Hom.:
57
Bravo
AF:
0.0799
Asia WGS
AF:
0.0220
AC:
78
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
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

-
RYR1 database
Significance:not provided
Review Status:no classification provided
Collection Method:literature only

- -

Jun 14, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
3.3
DANN
Benign
0.53
PhyloP100
-0.26
Mutation Taster
=98/2
polymorphism (auto)

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

Other links and lift over

dbSNP: rs2960341; hg19: chr19-38996099; COSMIC: COSV62114020; API