3-123700312-ATTGCCCATGGGCTTCAGGGTCTCGGCAGGCTTGGCG-ATTGCCCATGGGCTTCAGGGTCTCGGCAGGCTTGGCGTTGCCCATGGGCTTCAGGGTCTCGGCAGGCTTGGCG

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM4

The NM_053025.4(MYLK):​c.3120_3155dupCGCCAAGCCTGCCGAGACCCTGAAGCCCATGGGCAA​(p.Asn1052_Ala1053insAlaLysProAlaGluThrLeuLysProMetGlyAsn) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. It is difficult to determine the true allele frequency of this variant because it is of type INS_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. N1052N) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 30)
Exomes 𝑓: 6.8e-7 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

MYLK
NM_053025.4 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.50

Publications

0 publications found
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)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_053025.4.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_053025.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYLK
NM_053025.4
MANE Select
c.3120_3155dupCGCCAAGCCTGCCGAGACCCTGAAGCCCATGGGCAAp.Asn1052_Ala1053insAlaLysProAlaGluThrLeuLysProMetGlyAsn
disruptive_inframe_insertion
Exon 18 of 34NP_444253.3
MYLK
NM_053027.4
c.3120_3155dupCGCCAAGCCTGCCGAGACCCTGAAGCCCATGGGCAAp.Asn1052_Ala1053insAlaLysProAlaGluThrLeuLysProMetGlyAsn
disruptive_inframe_insertion
Exon 18 of 33NP_444255.3
MYLK
NM_053026.4
c.2913_2948dupCGCCAAGCCTGCCGAGACCCTGAAGCCCATGGGCAAp.Asn983_Ala984insAlaLysProAlaGluThrLeuLysProMetGlyAsn
disruptive_inframe_insertion
Exon 17 of 33NP_444254.3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYLK
ENST00000360304.8
TSL:5 MANE Select
c.3120_3155dupCGCCAAGCCTGCCGAGACCCTGAAGCCCATGGGCAAp.Asn1052_Ala1053insAlaLysProAlaGluThrLeuLysProMetGlyAsn
disruptive_inframe_insertion
Exon 18 of 34ENSP00000353452.3Q15746-1
MYLK
ENST00000504946.6
TSL:1
c.729_764dupCGCCAAGCCTGCCGAGACCCTGAAGCCCATGGGCAAp.Asn255_Ala256insAlaLysProAlaGluThrLeuLysProMetGlyAsn
disruptive_inframe_insertion
Exon 2 of 4ENSP00000510315.1A0A8I5KYZ0
MYLK
ENST00000464489.5
TSL:1
n.*2699_*2734dupCGCCAAGCCTGCCGAGACCCTGAAGCCCATGGGCAA
non_coding_transcript_exon
Exon 17 of 33ENSP00000417798.1F8WBL7

Frequencies

GnomAD3 genomes
Cov.:
30
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
6.84e-7
AC:
1
AN:
1461754
Hom.:
0
Cov.:
40
AF XY:
0.00
AC XY:
0
AN XY:
727162
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
33478
American (AMR)
AF:
0.00
AC:
0
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39692
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86230
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
8.99e-7
AC:
1
AN:
1111924
Other (OTH)
AF:
0.00
AC:
0
AN:
60386
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
30

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Aortic aneurysm, familial thoracic 7 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
1.5

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs779483683; hg19: chr3-123419159; API