6-2678371-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001012418.5(MYLK4):​c.889C>A​(p.Leu297Ile) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00000205 in 1,461,590 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

MYLK4
NM_001012418.5 missense, splice_region

Scores

3
8
8
Splicing: ADA: 0.9856
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.88
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.88

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MYLK4NM_001012418.5 linkuse as main transcriptc.889C>A p.Leu297Ile missense_variant, splice_region_variant 10/13 ENST00000274643.9
MYLK4NM_001347872.2 linkuse as main transcriptc.1057C>A p.Leu353Ile missense_variant, splice_region_variant 10/13
MYLK4XM_005249078.5 linkuse as main transcriptc.1132C>A p.Leu378Ile missense_variant, splice_region_variant 10/13
MYLK4XM_006715082.4 linkuse as main transcriptc.871C>A p.Leu291Ile missense_variant, splice_region_variant 9/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MYLK4ENST00000274643.9 linkuse as main transcriptc.889C>A p.Leu297Ile missense_variant, splice_region_variant 10/131 NM_001012418.5 A2Q86YV6-1
MYLK4ENST00000698899.1 linkuse as main transcriptc.1057C>A p.Leu353Ile missense_variant, splice_region_variant 10/13 A2
MYLK4ENST00000647417.1 linkuse as main transcriptc.871C>A p.Leu291Ile missense_variant, splice_region_variant 9/12 P2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461590
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727106
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000447
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:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

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 GeneticsMay 31, 2022The c.889C>A (p.L297I) alteration is located in exon 10 (coding exon 9) of the MYLK4 gene. This alteration results from a C to A substitution at nucleotide position 889, causing the leucine (L) at amino acid position 297 to be replaced by an isoleucine (I). 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
Benign
0.16
BayesDel_addAF
Uncertain
0.078
D
BayesDel_noAF
Benign
-0.13
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
.;T
Eigen
Pathogenic
0.70
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.84
T;T
M_CAP
Benign
0.021
T
MetaRNN
Pathogenic
0.88
D;D
MetaSVM
Benign
-0.65
T
MutationAssessor
Uncertain
2.0
.;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-1.9
.;N
REVEL
Uncertain
0.39
Sift
Uncertain
0.029
.;D
Sift4G
Uncertain
0.023
.;D
Polyphen
0.99
.;D
Vest4
0.81
MutPred
0.82
.;Loss of catalytic residue at L297 (P = 0.0213);
MVP
0.48
MPC
0.71
ClinPred
0.97
D
GERP RS
5.1
Varity_R
0.65
gMVP
0.68

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Pathogenic
0.83
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: rs1278333544; hg19: chr6-2678605; API