22-50074276-G-T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_015166.4(MLC1):​c.654C>A​(p.Asn218Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00396 in 1,614,094 control chromosomes in the GnomAD database, including 14 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. N218N) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0030 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0041 ( 13 hom. )

Consequence

MLC1
NM_015166.4 missense

Scores

6
7
6

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.0900

Publications

14 publications found
Variant links:
Genes affected
MLC1 (HGNC:17082): (modulator of VRAC current 1) The function of this gene product is unknown; however, homology to other proteins suggests that it may be an integral membrane transporter. Mutations in this gene have been associated with megalencephalic leukoencephalopathy with subcortical cysts, an autosomal recessive neurological disorder. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]
MLC1 Gene-Disease associations (from GenCC):
  • megalencephalic leukoencephalopathy with subcortical cysts 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, Myriad Women’s Health
  • megalencephalic leukoencephalopathy with subcortical cysts
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014566392).
BP6
Variant 22-50074276-G-T is Benign according to our data. Variant chr22-50074276-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 21525.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAdExome4 at 13 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MLC1NM_015166.4 linkc.654C>A p.Asn218Lys missense_variant Exon 8 of 12 ENST00000311597.10 NP_055981.1 Q15049-1A0A024R4V4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MLC1ENST00000311597.10 linkc.654C>A p.Asn218Lys missense_variant Exon 8 of 12 1 NM_015166.4 ENSP00000310375.6 Q15049-1
MLC1ENST00000395876.6 linkc.654C>A p.Asn218Lys missense_variant Exon 8 of 12 1 ENSP00000379216.2 Q15049-1
MLC1ENST00000442311.1 linkc.564C>A p.Asn188Lys missense_variant Exon 7 of 8 5 ENSP00000401385.1 A6PVC3
MLC1ENST00000470008.1 linkn.134C>A non_coding_transcript_exon_variant Exon 2 of 3 3

Frequencies

GnomAD3 genomes
AF:
0.00304
AC:
463
AN:
152232
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000844
Gnomad AMI
AF:
0.00329
Gnomad AMR
AF:
0.00137
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00754
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00472
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00286
AC:
717
AN:
250566
AF XY:
0.00306
show subpopulations
Gnomad AFR exome
AF:
0.000803
Gnomad AMR exome
AF:
0.000724
Gnomad ASJ exome
AF:
0.00119
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00584
Gnomad NFE exome
AF:
0.00463
Gnomad OTH exome
AF:
0.00278
GnomAD4 exome
AF:
0.00406
AC:
5936
AN:
1461744
Hom.:
13
Cov.:
31
AF XY:
0.00404
AC XY:
2938
AN XY:
727178
show subpopulations
African (AFR)
AF:
0.000597
AC:
20
AN:
33480
American (AMR)
AF:
0.000671
AC:
30
AN:
44710
Ashkenazi Jewish (ASJ)
AF:
0.00115
AC:
30
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.0000232
AC:
2
AN:
86226
European-Finnish (FIN)
AF:
0.00506
AC:
270
AN:
53352
Middle Eastern (MID)
AF:
0.00191
AC:
11
AN:
5768
European-Non Finnish (NFE)
AF:
0.00484
AC:
5387
AN:
1111984
Other (OTH)
AF:
0.00308
AC:
186
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
336
672
1009
1345
1681
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
194
388
582
776
970
<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:
0.00304
AC:
463
AN:
152350
Hom.:
1
Cov.:
33
AF XY:
0.00334
AC XY:
249
AN XY:
74508
show subpopulations
African (AFR)
AF:
0.000842
AC:
35
AN:
41586
American (AMR)
AF:
0.00137
AC:
21
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.000864
AC:
3
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00754
AC:
80
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00472
AC:
321
AN:
68038
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
23
46
70
93
116
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00421
Hom.:
6
Bravo
AF:
0.00256
TwinsUK
AF:
0.00458
AC:
17
ALSPAC
AF:
0.00441
AC:
17
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.00407
AC:
35
ExAC
AF:
0.00268
AC:
325
EpiCase
AF:
0.00382
EpiControl
AF:
0.00367

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jan 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

MLC1: PP3, BS2 -

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

- -

Jan 20, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Megalencephalic leukoencephalopathy with subcortical cysts 1 Benign:2
Apr 16, 2014
Counsyl
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:literature only

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -

not specified Benign:1
Jun 28, 2018
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

MLC1-related disorder Benign:1
Jun 17, 2019
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

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

Megalencephalic leukoencephalopathy with subcortical cysts Benign:1
Dec 09, 2019
Natera, Inc.
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.59
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Uncertain
-0.020
CADD
Benign
7.2
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.55
D;D;.
Eigen
Benign
0.093
Eigen_PC
Benign
-0.076
FATHMM_MKL
Benign
0.63
D
LIST_S2
Uncertain
0.92
.;D;D
M_CAP
Pathogenic
0.49
D
MetaRNN
Benign
0.015
T;T;T
MetaSVM
Uncertain
0.65
D
MutationAssessor
Uncertain
2.3
M;M;.
PhyloP100
0.090
PrimateAI
Uncertain
0.72
T
PROVEAN
Pathogenic
-5.3
D;D;D
REVEL
Pathogenic
0.66
Sift
Pathogenic
0.0
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.94
MutPred
0.75
Gain of sheet (P = 0.0221);Gain of sheet (P = 0.0221);.;
MVP
0.86
MPC
0.96
ClinPred
0.047
T
GERP RS
-1.3
Varity_R
0.73
gMVP
0.87
Mutation Taster
=96/4
polymorphism

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

Other links and lift over

dbSNP: rs41302601; hg19: chr22-50512705; COSMIC: COSV100286680; COSMIC: COSV100286680; API