19-50309093-G-A
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 1P and 5B. PP3BS1_SupportingBS2
The NM_001145809.2(MYH14):c.5876G>A(p.Arg1959Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0002 in 1,613,892 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 Conflicting classifications of pathogenicity (no stars).
Frequency
Genomes: 𝑓 0.00012 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00021 ( 0 hom. )
Consequence
MYH14
NM_001145809.2 missense
NM_001145809.2 missense
Scores
7
11
1
Clinical Significance
Conservation
PhyloP100: 9.77
Genes affected
MYH14 (HGNC:23212): (myosin heavy chain 14) This gene encodes a member of the myosin superfamily. The protein represents a conventional non-muscle myosin; it should not be confused with the unconventional myosin-14 (MYO14). Myosins are actin-dependent motor proteins with diverse functions including regulation of cytokinesis, cell motility, and cell polarity. Mutations in this gene result in one form of autosomal dominant hearing impairment. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2011]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -4 ACMG points.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.772
BS1
Variant frequency is greater than expected in population nfe. gnomad4_exome allele frequency = 0.000209 (305/1461618) while in subpopulation NFE AF= 0.000267 (297/1111816). AF 95% confidence interval is 0.000242. There are 0 homozygotes in gnomad4_exome. There are 143 alleles in male gnomad4_exome subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 18 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
MYH14 | NM_001145809.2 | c.5876G>A | p.Arg1959Gln | missense_variant | 42/43 | ENST00000642316.2 | NP_001139281.1 | |
MYH14 | NM_001077186.2 | c.5777G>A | p.Arg1926Gln | missense_variant | 41/42 | NP_001070654.1 | ||
MYH14 | NM_024729.4 | c.5753G>A | p.Arg1918Gln | missense_variant | 40/41 | NP_079005.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
MYH14 | ENST00000642316.2 | c.5876G>A | p.Arg1959Gln | missense_variant | 42/43 | NM_001145809.2 | ENSP00000493594.1 |
Frequencies
GnomAD3 genomes AF: 0.000118 AC: 18AN: 152156Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.0000763 AC: 19AN: 249090Hom.: 0 AF XY: 0.0000888 AC XY: 12AN XY: 135158
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GnomAD4 exome AF: 0.000209 AC: 305AN: 1461618Hom.: 0 Cov.: 33 AF XY: 0.000197 AC XY: 143AN XY: 727110
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GnomAD4 genome AF: 0.000118 AC: 18AN: 152274Hom.: 0 Cov.: 31 AF XY: 0.000134 AC XY: 10AN XY: 74454
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ClinVar
Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link
Submissions by phenotype
not provided Uncertain:1Benign:1
Likely benign, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Jun 01, 2024 | MYH14: BS2 - |
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Feb 12, 2021 | In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be disruptive, but these predictions have not been confirmed by published functional studies and their clinical significance is uncertain. This variant has not been reported in the literature in individuals with MYH14-related conditions. ClinVar contains an entry for this variant (Variation ID: 44077). This variant is present in population databases (rs200878464, ExAC 0.02%), and has an allele count higher than expected for a pathogenic variant (PMID: 28166811). This sequence change replaces arginine with glutamine at codon 1918 of the MYH14 protein (p.Arg1918Gln). The arginine residue is highly conserved and there is a small physicochemical difference between arginine and glutamine. - |
not specified Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Apr 08, 2013 | Variant classified as Uncertain Significance - Favor Benign. The Arg1959Gln vari ant in MYH14 has not been reported in the literature nor previously identified b y our laboratory in any other families. This variant has been identified in 0.02 % (2/8402) of European American chromosomes from a broad population by the NHLBI Exome Sequencing Project (http://evs.gs.washington.edu/EVS). Although this vari ant has been seen in the general population, its frequency is not high enough to rule out a pathogenic role. Computational analyses (biochemical amino acid prop erties, conservation, AlignGVGD, PolyPhen2, and SIFT) suggest that the Arg1959Gl n variant may impact the protein, though this information is not predictive enou gh to determine pathogenicity. It is noted that this individual shares this vari ant with his daughter but does not have a hearing loss suggesting a more benign role for this variant assuming complete penetrance of MYH14 pathogenic variants. In summary, the clinical significance of this variant cannot be determined with certainty; however, based upon its presence in an unaffected family member, we would lean towards a more benign role. - |
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Dec 06, 2024 | The c.5753G>A (p.R1918Q) alteration is located in exon 40 (coding exon 39) of the MYH14 gene. This alteration results from a G to A substitution at nucleotide position 5753, causing the arginine (R) at amino acid position 1918 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
BayesDel_addAF
Uncertain
T
BayesDel_noAF
Uncertain
CADD
Pathogenic
DANN
Pathogenic
DEOGEN2
Uncertain
.;.;.;D;.;.;D
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Pathogenic
D
LIST_S2
Pathogenic
.;D;D;D;.;D;.
M_CAP
Uncertain
D
MetaRNN
Pathogenic
D;D;D;D;D;D;D
MetaSVM
Uncertain
D
MutationAssessor
Uncertain
.;.;.;M;.;.;M
PrimateAI
Uncertain
T
PROVEAN
Uncertain
.;.;D;.;.;.;.
REVEL
Pathogenic
Sift
Uncertain
.;.;D;.;.;.;.
Sift4G
Uncertain
D;T;D;D;.;D;D
Polyphen
D;.;D;D;D;D;D
Vest4
MVP
MPC
0.71
ClinPred
D
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at