20-31820503-C-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_033118.4(MYLK2):​c.430C>G​(p.Pro144Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0186 in 1,605,850 control chromosomes in the GnomAD database, including 367 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.015 ( 30 hom., cov: 33)
Exomes 𝑓: 0.019 ( 337 hom. )

Consequence

MYLK2
NM_033118.4 missense

Scores

1
2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: 0.154
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 Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004096389).
BP6
Variant 20-31820503-C-G is Benign according to our data. Variant chr20-31820503-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 36652.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr20-31820503-C-G is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.015 (2286/152346) while in subpopulation AMR AF= 0.0263 (403/15308). AF 95% confidence interval is 0.0242. There are 30 homozygotes in gnomad4. There are 1074 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 2286 AD,Digenic gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MYLK2NM_033118.4 linkc.430C>G p.Pro144Ala missense_variant Exon 3 of 13 ENST00000375985.5 NP_149109.1 Q9H1R3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MYLK2ENST00000375985.5 linkc.430C>G p.Pro144Ala missense_variant Exon 3 of 13 1 NM_033118.4 ENSP00000365152.4 Q9H1R3
MYLK2ENST00000375994.6 linkc.430C>G p.Pro144Ala missense_variant Exon 2 of 12 1 ENSP00000365162.2 Q9H1R3

Frequencies

GnomAD3 genomes
AF:
0.0150
AC:
2285
AN:
152228
Hom.:
30
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00424
Gnomad AMI
AF:
0.0363
Gnomad AMR
AF:
0.0264
Gnomad ASJ
AF:
0.00374
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00621
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.0227
Gnomad OTH
AF:
0.0201
GnomAD3 exomes
AF:
0.0142
AC:
3427
AN:
241806
Hom.:
34
AF XY:
0.0140
AC XY:
1851
AN XY:
131754
show subpopulations
Gnomad AFR exome
AF:
0.00374
Gnomad AMR exome
AF:
0.0193
Gnomad ASJ exome
AF:
0.00331
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00154
Gnomad FIN exome
AF:
0.00794
Gnomad NFE exome
AF:
0.0214
Gnomad OTH exome
AF:
0.0187
GnomAD4 exome
AF:
0.0190
AC:
27617
AN:
1453504
Hom.:
337
Cov.:
33
AF XY:
0.0183
AC XY:
13247
AN XY:
723358
show subpopulations
Gnomad4 AFR exome
AF:
0.00314
Gnomad4 AMR exome
AF:
0.0195
Gnomad4 ASJ exome
AF:
0.00325
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00137
Gnomad4 FIN exome
AF:
0.00804
Gnomad4 NFE exome
AF:
0.0225
Gnomad4 OTH exome
AF:
0.0167
GnomAD4 genome
AF:
0.0150
AC:
2286
AN:
152346
Hom.:
30
Cov.:
33
AF XY:
0.0144
AC XY:
1074
AN XY:
74510
show subpopulations
Gnomad4 AFR
AF:
0.00423
Gnomad4 AMR
AF:
0.0263
Gnomad4 ASJ
AF:
0.00374
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.00621
Gnomad4 NFE
AF:
0.0227
Gnomad4 OTH
AF:
0.0198
Alfa
AF:
0.00888
Hom.:
0
Bravo
AF:
0.0156
TwinsUK
AF:
0.0256
AC:
95
ALSPAC
AF:
0.0272
AC:
105
ESP6500AA
AF:
0.00704
AC:
31
ESP6500EA
AF:
0.0202
AC:
174
ExAC
AF:
0.0131
AC:
1583
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.0239
EpiControl
AF:
0.0238

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Jun 24, 2013
Biesecker Lab/Clinical Genomics Section, National Institutes of Health
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: research

- -

Apr 04, 2012
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Pro144Ala in Exon 03 of MYLK2: This variant is not expected to have clinical sig nificance because it has been identified in 2.0% (137/7018) of European American chromosomes from a broad population by the NHLBI Exome Sequencing Project (http ://evs.gs.washington.edu/EVS; dbSNP rs34396614). -

Mar 10, 2014
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. -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Hypertrophic cardiomyopathy 1 Benign:3
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

May 28, 2019
Mendelics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 26, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cardiomyopathy Benign:2
Dec 09, 2013
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Apr 23, 2019
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Jan 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

MYLK2: BP4, BS1, BS2 -

MYLK2-related disorder Benign:1
Mar 13, 2019
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.079
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.33
T;T
Eigen
Benign
-0.025
Eigen_PC
Benign
-0.15
FATHMM_MKL
Benign
0.051
N
LIST_S2
Benign
0.78
.;T
MetaRNN
Benign
0.0041
T;T
MetaSVM
Benign
-0.88
T
MutationAssessor
Uncertain
2.2
M;M
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.14
Sift
Pathogenic
0.0
D;D
Sift4G
Benign
0.074
T;T
Polyphen
1.0
D;D
Vest4
0.13
MPC
0.46
ClinPred
0.028
T
GERP RS
3.7
Varity_R
0.14
gMVP
0.11

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: rs34396614; hg19: chr20-30408306; API