chr19-38457716-T-C

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000540.3(RYR1):​c.1925+86T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.642 in 1,395,246 control chromosomes in the GnomAD database, including 290,728 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.65 ( 32069 hom., cov: 30)
Exomes 𝑓: 0.64 ( 258659 hom. )

Consequence

RYR1
NM_000540.3 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2O:1

Conservation

PhyloP100: 1.89

Publications

10 publications found
Variant links:
Genes affected
RYR1 (HGNC:10483): (ryanodine receptor 1) This gene encodes a ryanodine receptor found in skeletal muscle. The encoded protein functions as a calcium release channel in the sarcoplasmic reticulum but also serves to connect the sarcoplasmic reticulum and transverse tubule. Mutations in this gene are associated with malignant hyperthermia susceptibility, central core disease, and minicore myopathy with external ophthalmoplegia. Alternatively spliced transcripts encoding different isoforms have been described. [provided by RefSeq, Jul 2008]
RYR1 Gene-Disease associations (from GenCC):
  • malignant hyperthermia, susceptibility to, 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp, Ambry Genetics
  • congenital multicore myopathy with external ophthalmoplegia
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
  • RYR1-related myopathy
    Inheritance: AR, AD Classification: DEFINITIVE Submitted by: ClinGen
  • central core myopathy
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
  • King-Denborough syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • malignant hyperthermia of anesthesia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive centronuclear myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • benign Samaritan congenital myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital myopathy with myasthenic-like onset
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • lethal multiple pterygium syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.92).
BP6
Variant 19-38457716-T-C is Benign according to our data. Variant chr19-38457716-T-C is described in ClinVar as Benign. ClinVar VariationId is 133110.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.688 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RYR1NM_000540.3 linkc.1925+86T>C intron_variant Intron 17 of 105 ENST00000359596.8 NP_000531.2 P21817-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RYR1ENST00000359596.8 linkc.1925+86T>C intron_variant Intron 17 of 105 5 NM_000540.3 ENSP00000352608.2 P21817-1

Frequencies

GnomAD3 genomes
AF:
0.646
AC:
98075
AN:
151766
Hom.:
32051
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.613
Gnomad AMI
AF:
0.802
Gnomad AMR
AF:
0.699
Gnomad ASJ
AF:
0.672
Gnomad EAS
AF:
0.593
Gnomad SAS
AF:
0.421
Gnomad FIN
AF:
0.709
Gnomad MID
AF:
0.709
Gnomad NFE
AF:
0.661
Gnomad OTH
AF:
0.649
GnomAD4 exome
AF:
0.641
AC:
796954
AN:
1243362
Hom.:
258659
AF XY:
0.635
AC XY:
398987
AN XY:
628798
show subpopulations
African (AFR)
AF:
0.603
AC:
17563
AN:
29114
American (AMR)
AF:
0.692
AC:
29748
AN:
42986
Ashkenazi Jewish (ASJ)
AF:
0.668
AC:
16521
AN:
24726
East Asian (EAS)
AF:
0.647
AC:
24939
AN:
38542
South Asian (SAS)
AF:
0.438
AC:
35749
AN:
81564
European-Finnish (FIN)
AF:
0.694
AC:
33529
AN:
48318
Middle Eastern (MID)
AF:
0.658
AC:
3530
AN:
5362
European-Non Finnish (NFE)
AF:
0.654
AC:
600907
AN:
919424
Other (OTH)
AF:
0.646
AC:
34468
AN:
53326
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
15969
31938
47907
63876
79845
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
14380
28760
43140
57520
71900
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.646
AC:
98132
AN:
151884
Hom.:
32069
Cov.:
30
AF XY:
0.642
AC XY:
47662
AN XY:
74202
show subpopulations
African (AFR)
AF:
0.612
AC:
25353
AN:
41406
American (AMR)
AF:
0.699
AC:
10681
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.672
AC:
2331
AN:
3468
East Asian (EAS)
AF:
0.594
AC:
3051
AN:
5136
South Asian (SAS)
AF:
0.420
AC:
2025
AN:
4816
European-Finnish (FIN)
AF:
0.709
AC:
7478
AN:
10546
Middle Eastern (MID)
AF:
0.704
AC:
207
AN:
294
European-Non Finnish (NFE)
AF:
0.661
AC:
44922
AN:
67932
Other (OTH)
AF:
0.643
AC:
1357
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1713
3426
5140
6853
8566
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
778
1556
2334
3112
3890
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.649
Hom.:
27364
Bravo
AF:
0.649
Asia WGS
AF:
0.457
AC:
1591
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2Other:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

-
RYR1 database
Significance:not provided
Review Status:no classification provided
Collection Method:literature only

- -

Jun 14, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.92
CADD
Benign
12
DANN
Benign
0.47
PhyloP100
1.9
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs2071085; hg19: chr19-38948356; COSMIC: COSV62092577; API