6-2688920-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The ENST00000274643.9(MYLK4):​c.272G>A​(p.Arg91His) variant causes a missense change. The variant allele was found at a frequency of 0.00000274 in 1,461,854 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R91S) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

MYLK4
ENST00000274643.9 missense

Scores

3
11
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.16
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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYLK4NM_001012418.5 linkuse as main transcriptc.272G>A p.Arg91His missense_variant 4/13 ENST00000274643.9 NP_001012418.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYLK4ENST00000274643.9 linkuse as main transcriptc.272G>A p.Arg91His missense_variant 4/131 NM_001012418.5 ENSP00000274643 A2Q86YV6-1
MYLK4ENST00000698899.1 linkuse as main transcriptc.440G>A p.Arg147His missense_variant 4/13 ENSP00000514016 A2
MYLK4ENST00000647417.1 linkuse as main transcriptc.254G>A p.Arg85His missense_variant 3/12 ENSP00000494309 P2
MYLK4ENST00000698900.1 linkuse as main transcriptn.533G>A non_coding_transcript_exon_variant 5/9

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1461854
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727222
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

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 GeneticsApr 04, 2024The c.272G>A (p.R91H) alteration is located in exon 4 (coding exon 3) of the MYLK4 gene. This alteration results from a G to A substitution at nucleotide position 272, causing the arginine (R) at amino acid position 91 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
Uncertain
0.44
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
-0.080
CADD
Pathogenic
27
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.33
.;T
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.60
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Pathogenic
0.98
D;D
M_CAP
Benign
0.056
D
MetaRNN
Uncertain
0.72
D;D
MetaSVM
Benign
-0.35
T
MutationAssessor
Benign
1.6
.;L
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.56
T
PROVEAN
Pathogenic
-4.9
.;D
REVEL
Uncertain
0.34
Sift
Uncertain
0.0010
.;D
Sift4G
Uncertain
0.0030
.;D
Polyphen
1.0
.;D
Vest4
0.71
MutPred
0.43
.;Gain of ubiquitination at K96 (P = 0.0707);
MVP
0.75
MPC
0.75
ClinPred
0.99
D
GERP RS
4.3
Varity_R
0.42
gMVP
0.44

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: rs1312872346; hg19: chr6-2689154; COSMIC: COSV51151924; API