chr19-38473637-C-A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 3P and 6B. PM5PP2BP4_StrongBP6_Moderate

The NM_000540.3(RYR1):​c.4026C>A​(p.Ser1342Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000323 in 1,560,414 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S1342G) has been classified as Benign.

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00033 ( 0 hom. )

Consequence

RYR1
NM_000540.3 missense

Scores

2
15

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -1.42
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr19-38473635-A-G is described in Lovd as [Pathogenic].
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RYR1. . Gene score misZ 1.918 (greater than the threshold 3.09). Trascript score misZ 3.9788 (greater than threshold 3.09). GenCC has associacion of gene with King-Denborough syndrome, congenital multicore myopathy with external ophthalmoplegia, autosomal recessive centronuclear myopathy, RYR1-related myopathy, lethal multiple pterygium syndrome, malignant hyperthermia of anesthesia, benign Samaritan congenital myopathy, malignant hyperthermia, susceptibility to, 1, congenital myopathy with myasthenic-like onset, central core myopathy.
BP4
Computational evidence support a benign effect (MetaRNN=0.008480877).
BP6
Variant 19-38473637-C-A is Benign according to our data. Variant chr19-38473637-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 478226.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RYR1NM_000540.3 linkuse as main transcriptc.4026C>A p.Ser1342Arg missense_variant 28/106 ENST00000359596.8 NP_000531.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RYR1ENST00000359596.8 linkuse as main transcriptc.4026C>A p.Ser1342Arg missense_variant 28/1065 NM_000540.3 ENSP00000352608 A2P21817-1
RYR1ENST00000355481.8 linkuse as main transcriptc.4026C>A p.Ser1342Arg missense_variant 28/1051 ENSP00000347667 P4P21817-2
RYR1ENST00000599547.6 linkuse as main transcriptc.4026C>A p.Ser1342Arg missense_variant, NMD_transcript_variant 28/802 ENSP00000471601

Frequencies

GnomAD3 genomes
AF:
0.000296
AC:
45
AN:
151978
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000725
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.000960
GnomAD3 exomes
AF:
0.000459
AC:
73
AN:
159194
Hom.:
1
AF XY:
0.000466
AC XY:
40
AN XY:
85822
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000401
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000422
Gnomad FIN exome
AF:
0.00248
Gnomad NFE exome
AF:
0.000456
Gnomad OTH exome
AF:
0.000887
GnomAD4 exome
AF:
0.000326
AC:
459
AN:
1408318
Hom.:
0
Cov.:
33
AF XY:
0.000305
AC XY:
212
AN XY:
695656
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:
0.0000124
Gnomad4 FIN exome
AF:
0.00362
Gnomad4 NFE exome
AF:
0.000239
Gnomad4 OTH exome
AF:
0.000360
GnomAD4 genome
AF:
0.000296
AC:
45
AN:
152096
Hom.:
0
Cov.:
31
AF XY:
0.000255
AC XY:
19
AN XY:
74366
show subpopulations
Gnomad4 AFR
AF:
0.0000723
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00189
Gnomad4 NFE
AF:
0.000250
Gnomad4 OTH
AF:
0.000950
Alfa
AF:
0.000201
Hom.:
0
Bravo
AF:
0.000193
ExAC
AF:
0.000555
AC:
62
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

RYR1-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 04, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
0.078
DANN
Benign
0.83
DEOGEN2
Benign
0.37
.;T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.54
T;T
MetaRNN
Benign
0.0085
T;T
MetaSVM
Uncertain
-0.13
T
MutationAssessor
Benign
-0.34
N;N
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-1.3
N;N
REVEL
Benign
0.23
Sift
Benign
0.54
T;T
Polyphen
0.0010
B;B
Vest4
0.15
MutPred
0.39
Gain of MoRF binding (P = 0.0104);Gain of MoRF binding (P = 0.0104);
MVP
0.58
MPC
0.59
ClinPred
0.018
T
GERP RS
-7.9
Varity_R
0.057
gMVP
0.22

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: rs182004703; hg19: chr19-38964277; API