chr1-171636386-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BA1BS3_Supporting

This summary comes from the ClinGen Evidence Repository: The c.1054G>A variant in MYOC is a missense variant predicted to cause substitution of Glutamic Acid by Lysine at amino acid 352 (p.Glu352Lys). The highest minor allele frequency of this variant was in the African/African-American population of gnomAD (v2.1.1) = 0.01174, which met the ≥ 0.01 threshold set for BA1 (293 alleles out of 24 954, meeting the threshold of ≥ 5 of at least 2,000 observed alleles). The REVEL score = 0.514, which was neither above nor below the thresholds for PP3 (≥ 0.7) or BP4 (≤ 0.15), predicting a damaging or benign impact on MYOC function. Previous studies (PMIDs: 16466712, 10545602) demonstrated that the Glu352Lys protein had similar solubility and secretion levels to wild type myocilin protein and met the OddsPath threshold for BS3_Moderate (< 0.23), indicating that this variant did not impact protein function. As BA1 was met, PP1 did not apply and segregations were not counted. Although probands with primary open angle glaucoma have been reported carrying this variant, PM2_Supporting was not met, therefore PS4 did not apply. In summary, this variant was classified as benign (BA1 is a stand-alone criterion for a benign level of pathogenicity) for primary open angle glaucoma based on the ACMG/AMP criteria met, as specified by the ClinGen Glaucoma VCEP (v1, 12 Oct 2021): BA1, BS3_Moderate LINK:https://erepo.genome.network/evrepo/ui/classification/CA1244087/MONDO:0007665/019

Frequency

Genomes: 𝑓 0.0038 ( 2 hom., cov: 32)
Exomes 𝑓: 0.00043 ( 5 hom. )

Consequence

MYOC
NM_000261.2 missense

Scores

6
12

Clinical Significance

Benign reviewed by expert panel B:8

Conservation

PhyloP100: 4.08
Variant links:
Genes affected
MYOC (HGNC:7610): (myocilin) MYOC encodes the protein myocilin, which is believed to have a role in cytoskeletal function. MYOC is expressed in many occular tissues, including the trabecular meshwork, and was revealed to be the trabecular meshwork glucocorticoid-inducible response protein (TIGR). The trabecular meshwork is a specialized eye tissue essential in regulating intraocular pressure, and mutations in MYOC have been identified as the cause of hereditary juvenile-onset open-angle glaucoma. [provided by RefSeq, Jul 2008]
MYOCOS (HGNC:53429): (myocilin opposite strand)

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BS3
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYOCNM_000261.2 linkuse as main transcriptc.1054G>A p.Glu352Lys missense_variant 3/3 ENST00000037502.11 NP_000252.1 Q99972A0A0S2Z421

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYOCENST00000037502.11 linkuse as main transcriptc.1054G>A p.Glu352Lys missense_variant 3/31 NM_000261.2 ENSP00000037502.5 Q99972
MYOCOSENST00000637303.1 linkuse as main transcriptc.235-2244C>T intron_variant 5 ENSP00000490048.1 A0A1B0GUC4
MYOCENST00000638471.1 linkuse as main transcriptn.*392G>A non_coding_transcript_exon_variant 4/45 ENSP00000491206.1 A0A1W2PP09
MYOCENST00000638471.1 linkuse as main transcriptn.*392G>A 3_prime_UTR_variant 4/45 ENSP00000491206.1 A0A1W2PP09

Frequencies

GnomAD3 genomes
AF:
0.00370
AC:
563
AN:
152060
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0126
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00177
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000735
Gnomad OTH
AF:
0.00336
GnomAD3 exomes
AF:
0.000931
AC:
234
AN:
251390
Hom.:
0
AF XY:
0.000662
AC XY:
90
AN XY:
135862
show subpopulations
Gnomad AFR exome
AF:
0.0119
Gnomad AMR exome
AF:
0.000954
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:
0.0000528
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000425
AC:
622
AN:
1461808
Hom.:
5
Cov.:
31
AF XY:
0.000374
AC XY:
272
AN XY:
727216
show subpopulations
Gnomad4 AFR exome
AF:
0.0136
Gnomad4 AMR exome
AF:
0.000939
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000495
Gnomad4 OTH exome
AF:
0.00103
GnomAD4 genome
AF:
0.00378
AC:
575
AN:
152178
Hom.:
2
Cov.:
32
AF XY:
0.00379
AC XY:
282
AN XY:
74398
show subpopulations
Gnomad4 AFR
AF:
0.0129
Gnomad4 AMR
AF:
0.00177
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000735
Gnomad4 OTH
AF:
0.00332
Alfa
AF:
0.000545
Hom.:
1
Bravo
AF:
0.00426
ESP6500AA
AF:
0.0125
AC:
55
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00119
AC:
145
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not provided Benign:4
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 12, 2020This variant is associated with the following publications: (PMID: 30484747, 9804137, 16466712) -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2023MYOC: BS1 -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 07, 2023- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingMendelicsAug 22, 2023- -
Glaucoma 1, open angle, A Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 28, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -
Glaucoma Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 28, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
Glaucoma 1, open angle, E Benign:1
Benign, reviewed by expert panelcurationClinGen Glaucoma Variant Curation Expert PanelMar 05, 2022The c.1054G>A variant in MYOC is a missense variant predicted to cause substitution of Glutamic Acid by Lysine at amino acid 352 (p.Glu352Lys). The highest minor allele frequency of this variant was in the African/African-American population of gnomAD (v2.1.1) = 0.01174, which met the >= 0.01 threshold set for BA1 (293 alleles out of 24 954, meeting the threshold of >= 5 of at least 2,000 observed alleles). The REVEL score = 0.514, which was neither above nor below the thresholds for PP3 (>= 0.7) or BP4 (<= 0.15), predicting a damaging or benign impact on MYOC function. Previous studies (PMIDs: 16466712, 10545602) demonstrated that the Glu352Lys protein had similar solubility and secretion levels to wild type myocilin protein and met the OddsPath threshold for BS3_Moderate (< 0.23), indicating that this variant did not impact protein function. As BA1 was met, PP1 did not apply and segregations were not counted. Although probands with primary open angle glaucoma have been reported carrying this variant, PM2_Supporting was not met, therefore PS4 did not apply. In summary, this variant was classified as benign (BA1 is a stand-alone criterion for a benign level of pathogenicity) for primary open angle glaucoma based on the ACMG/AMP criteria met, as specified by the ClinGen Glaucoma VCEP (v1, 12 Oct 2021): BA1, BS3_Moderate -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.22
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.47
T
Eigen
Benign
0.14
Eigen_PC
Benign
0.038
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.86
D
MetaRNN
Benign
0.013
T
MetaSVM
Uncertain
0.58
D
MutationAssessor
Benign
1.8
L
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-1.1
N
REVEL
Uncertain
0.51
Sift
Benign
0.030
D
Sift4G
Benign
0.092
T
Polyphen
1.0
D
Vest4
0.53
MVP
0.95
MPC
0.76
ClinPred
0.024
T
GERP RS
4.8
Varity_R
0.47
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: rs61745146; hg19: chr1-171605526; API