3-123640516-C-T

Variant summary

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

The NM_053025.4(MYLK):​c.4620-12G>A variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.032 in 1,613,558 control chromosomes in the GnomAD database, including 974 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.029 ( 83 hom., cov: 31)
Exomes 𝑓: 0.032 ( 891 hom. )

Consequence

MYLK
NM_053025.4 splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.00001352
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -1.14
Variant links:
Genes affected
MYLK (HGNC:7590): (myosin light chain kinase) This gene, a muscle member of the immunoglobulin gene superfamily, encodes myosin light chain kinase which is a calcium/calmodulin dependent enzyme. This kinase phosphorylates myosin regulatory light chains to facilitate myosin interaction with actin filaments to produce contractile activity. This gene encodes both smooth muscle and nonmuscle isoforms. In addition, using a separate promoter in an intron in the 3' region, it encodes telokin, a small protein identical in sequence to the C-terminus of myosin light chain kinase, that is independently expressed in smooth muscle and functions to stabilize unphosphorylated myosin filaments. A pseudogene is located on the p arm of chromosome 3. Four transcript variants that produce four isoforms of the calcium/calmodulin dependent enzyme have been identified as well as two transcripts that produce two isoforms of telokin. Additional variants have been identified but lack full length transcripts. [provided by RefSeq, Jul 2008]
MYLK-AS1 (HGNC:42440): (MYLK antisense RNA 1)

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.89).
BP6
Variant 3-123640516-C-T is Benign according to our data. Variant chr3-123640516-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 262284.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-123640516-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0293 (4466/152278) while in subpopulation NFE AF= 0.0344 (2341/68014). AF 95% confidence interval is 0.0333. There are 83 homozygotes in gnomad4. There are 2059 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 83 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYLKNM_053025.4 linkuse as main transcriptc.4620-12G>A splice_polypyrimidine_tract_variant, intron_variant ENST00000360304.8 NP_444253.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYLKENST00000360304.8 linkuse as main transcriptc.4620-12G>A splice_polypyrimidine_tract_variant, intron_variant 5 NM_053025.4 ENSP00000353452 P4Q15746-1
MYLK-AS1ENST00000485162.5 linkuse as main transcriptn.523-3988C>T intron_variant, non_coding_transcript_variant 4

Frequencies

GnomAD3 genomes
AF:
0.0293
AC:
4462
AN:
152160
Hom.:
83
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0343
Gnomad AMI
AF:
0.0219
Gnomad AMR
AF:
0.0137
Gnomad ASJ
AF:
0.0170
Gnomad EAS
AF:
0.000580
Gnomad SAS
AF:
0.0110
Gnomad FIN
AF:
0.0285
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.0344
Gnomad OTH
AF:
0.0234
GnomAD3 exomes
AF:
0.0240
AC:
6016
AN:
250630
Hom.:
92
AF XY:
0.0241
AC XY:
3268
AN XY:
135496
show subpopulations
Gnomad AFR exome
AF:
0.0346
Gnomad AMR exome
AF:
0.0111
Gnomad ASJ exome
AF:
0.0159
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.0127
Gnomad FIN exome
AF:
0.0270
Gnomad NFE exome
AF:
0.0336
Gnomad OTH exome
AF:
0.0229
GnomAD4 exome
AF:
0.0322
AC:
47125
AN:
1461280
Hom.:
891
Cov.:
32
AF XY:
0.0317
AC XY:
23069
AN XY:
726962
show subpopulations
Gnomad4 AFR exome
AF:
0.0356
Gnomad4 AMR exome
AF:
0.0113
Gnomad4 ASJ exome
AF:
0.0164
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.0124
Gnomad4 FIN exome
AF:
0.0257
Gnomad4 NFE exome
AF:
0.0367
Gnomad4 OTH exome
AF:
0.0284
GnomAD4 genome
AF:
0.0293
AC:
4466
AN:
152278
Hom.:
83
Cov.:
31
AF XY:
0.0277
AC XY:
2059
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.0343
Gnomad4 AMR
AF:
0.0137
Gnomad4 ASJ
AF:
0.0170
Gnomad4 EAS
AF:
0.000581
Gnomad4 SAS
AF:
0.0114
Gnomad4 FIN
AF:
0.0285
Gnomad4 NFE
AF:
0.0344
Gnomad4 OTH
AF:
0.0232
Alfa
AF:
0.0310
Hom.:
25
Bravo
AF:
0.0291
Asia WGS
AF:
0.00549
AC:
19
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingGeneDxOct 03, 2016This 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. -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 19, 2019Variant summary: MYLK c.4620-12G>A alters a non-conserved nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. 5/5 computational tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 0.024 in 250630 control chromosomes in the gnomAD database, including 92 homozygotes. The observed variant frequency is approximately 960-folds higher than the estimated maximal expected allele frequency for a pathogenic variant in MYLK causing Aortopathy phenotype (2.5e-05), strongly suggesting that the variant is benign. Two ClinVar submissions (evaluation after 2014) cite the variant as likely benign/benign. Based on the evidence outlined above, the variant was classified as benign. -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Aortic aneurysm, familial thoracic 7 Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.89
CADD
Benign
0.32
DANN
Benign
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000014
dbscSNV1_RF
Benign
0.0
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: rs41301337; hg19: chr3-123359363; API