6-2678235-A-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001012418.5(MYLK4):ā€‹c.1025T>Cā€‹(p.Leu342Pro) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000041 in 1,461,764 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000041 ( 0 hom. )

Consequence

MYLK4
NM_001012418.5 missense

Scores

13
5
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.28
Variant links:
Genes affected
MYLK4 (HGNC:27972): (myosin light chain kinase family member 4) Predicted to enable myosin light chain kinase activity. Predicted to be involved in protein phosphorylation. Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.957

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYLK4NM_001012418.5 linkuse as main transcriptc.1025T>C p.Leu342Pro missense_variant 10/13 ENST00000274643.9 NP_001012418.2
MYLK4NM_001347872.2 linkuse as main transcriptc.1193T>C p.Leu398Pro missense_variant 10/13 NP_001334801.1 Q86YV6A0A8V8TMV3
MYLK4XM_005249078.5 linkuse as main transcriptc.1268T>C p.Leu423Pro missense_variant 10/13 XP_005249135.2
MYLK4XM_006715082.4 linkuse as main transcriptc.1007T>C p.Leu336Pro missense_variant 9/12 XP_006715145.1 A0A2R8Y4U5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYLK4ENST00000274643.9 linkuse as main transcriptc.1025T>C p.Leu342Pro missense_variant 10/131 NM_001012418.5 ENSP00000274643.7 Q86YV6-1
MYLK4ENST00000698899.1 linkuse as main transcriptc.1193T>C p.Leu398Pro missense_variant 10/13 ENSP00000514016.1 A0A8V8TMV3
MYLK4ENST00000647417.1 linkuse as main transcriptc.1007T>C p.Leu336Pro missense_variant 9/12 ENSP00000494309.1 A0A2R8Y4U5

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000119
AC:
3
AN:
251302
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135810
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000410
AC:
6
AN:
1461764
Hom.:
0
Cov.:
30
AF XY:
0.00000413
AC XY:
3
AN XY:
727190
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000508
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 27, 2021The c.1025T>C (p.L342P) alteration is located in exon 10 (coding exon 9) of the MYLK4 gene. This alteration results from a T to C substitution at nucleotide position 1025, causing the leucine (L) at amino acid position 342 to be replaced by a proline (P). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.37
D
BayesDel_noAF
Pathogenic
0.35
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.44
.;T
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.92
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.97
D;D
M_CAP
Uncertain
0.25
D
MetaRNN
Pathogenic
0.96
D;D
MetaSVM
Uncertain
0.73
D
MutationAssessor
Pathogenic
4.5
.;H
PrimateAI
Uncertain
0.72
T
PROVEAN
Pathogenic
-6.7
.;D
REVEL
Pathogenic
0.89
Sift
Pathogenic
0.0
.;D
Sift4G
Pathogenic
0.0
.;D
Polyphen
1.0
.;D
Vest4
0.99
MVP
0.82
MPC
0.89
ClinPred
1.0
D
GERP RS
5.0
Varity_R
0.99
gMVP
0.97

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: rs764245515; hg19: chr6-2678469; API