6-2683078-C-G

Variant summary

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

The ENST00000274643.9(MYLK4):ā€‹c.630G>Cā€‹(p.Gln210His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000157 in 1,461,888 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‘“: 0.000016 ( 0 hom. )

Consequence

MYLK4
ENST00000274643.9 missense

Scores

8
7
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.84
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 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, 0.969

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYLK4NM_001012418.5 linkuse as main transcriptc.630G>C p.Gln210His missense_variant 7/13 ENST00000274643.9 NP_001012418.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYLK4ENST00000274643.9 linkuse as main transcriptc.630G>C p.Gln210His missense_variant 7/131 NM_001012418.5 ENSP00000274643 A2Q86YV6-1
MYLK4ENST00000698899.1 linkuse as main transcriptc.798G>C p.Gln266His missense_variant 7/13 ENSP00000514016 A2
MYLK4ENST00000647417.1 linkuse as main transcriptc.612G>C p.Gln204His missense_variant 6/12 ENSP00000494309 P2
MYLK4ENST00000698900.1 linkuse as main transcriptn.891G>C non_coding_transcript_exon_variant 8/9

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.0000157
AC:
23
AN:
1461888
Hom.:
0
Cov.:
31
AF XY:
0.0000165
AC XY:
12
AN XY:
727248
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:
0.0000207
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.0000113

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 14, 2023The c.630G>C (p.Q210H) alteration is located in exon 7 (coding exon 6) of the MYLK4 gene. This alteration results from a G to C substitution at nucleotide position 630, causing the glutamine (Q) at amino acid position 210 to be replaced by a histidine (H). 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
0.93
BayesDel_addAF
Pathogenic
0.27
D
BayesDel_noAF
Pathogenic
0.15
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
.;T
Eigen
Uncertain
0.46
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.93
D;D
M_CAP
Benign
0.051
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Benign
-0.39
T
MutationAssessor
Pathogenic
2.9
.;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Pathogenic
-5.0
.;D
REVEL
Uncertain
0.57
Sift
Pathogenic
0.0
.;D
Sift4G
Pathogenic
0.0010
.;D
Polyphen
1.0
.;D
Vest4
0.56
MutPred
0.94
.;Loss of ubiquitination at K209 (P = 0.2335);
MVP
0.55
MPC
0.59
ClinPred
0.99
D
GERP RS
3.8
Varity_R
0.91
gMVP
0.90

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: rs367822894; hg19: chr6-2683312; API