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GeneBe

20-31819630-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_033118.4(MYLK2):c.50C>T(p.Thr17Ile) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000286 in 1,399,264 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/23 in silico tools predict a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T17K) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000029 ( 0 hom. )

Consequence

MYLK2
NM_033118.4 missense, splice_region

Scores

3
15
Splicing: ADA: 0.9997
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.556
Variant links:
Genes affected
MYLK2 (HGNC:16243): (myosin light chain kinase 2) This gene encodes a myosin light chain kinase, a calcium/calmodulin dependent enzyme, that is exclusively expressed in adult skeletal muscle. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MYLK2NM_033118.4 linkuse as main transcriptc.50C>T p.Thr17Ile missense_variant, splice_region_variant 2/13 ENST00000375985.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MYLK2ENST00000375985.5 linkuse as main transcriptc.50C>T p.Thr17Ile missense_variant, splice_region_variant 2/131 NM_033118.4 P1
MYLK2ENST00000375994.6 linkuse as main transcriptc.50C>T p.Thr17Ile missense_variant, splice_region_variant 1/121 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000128
AC:
2
AN:
156422
Hom.:
0
AF XY:
0.0000122
AC XY:
1
AN XY:
82276
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000878
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000286
AC:
4
AN:
1399264
Hom.:
0
Cov.:
31
AF XY:
0.00000435
AC XY:
3
AN XY:
690114
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000505
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.0000181
AC:
1

ClinVar

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

Submissions by phenotype

Hypertrophic cardiomyopathy 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeDec 22, 2020In 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 are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). This variant has not been reported in the literature in individuals with MYLK2-related conditions. This variant is present in population databases (rs192056427, ExAC 0.01%). This sequence change replaces threonine with isoleucine at codon 17 of the MYLK2 protein (p.Thr17Ile). The threonine residue is moderately conserved and there is a moderate physicochemical difference between threonine and isoleucine. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.32
Cadd
Uncertain
25
Dann
Uncertain
1.0
DEOGEN2
Benign
0.27
T;T
Eigen
Benign
0.044
Eigen_PC
Benign
0.058
FATHMM_MKL
Benign
0.34
N
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.17
T;T
MetaSVM
Benign
-0.52
T
MutationAssessor
Benign
1.8
L;L
MutationTaster
Benign
0.93
D;D
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.74
N;N
REVEL
Benign
0.13
Sift
Uncertain
0.0010
D;D
Sift4G
Benign
0.15
T;T
Polyphen
0.74
P;P
Vest4
0.21
MutPred
0.10
Loss of phosphorylation at T17 (P = 0.0108);Loss of phosphorylation at T17 (P = 0.0108);
MVP
0.74
MPC
0.27
ClinPred
0.61
D
GERP RS
3.5
Varity_R
0.12
gMVP
0.13

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.98
SpliceAI score (max)
0.15
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: rs192056427; hg19: chr20-30407433; API