chr22-50064085-C-A

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_015166.4(MLC1):​c.1008G>T​(p.Gln336His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00015 in 1,609,726 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00018 ( 2 hom., cov: 34)
Exomes 𝑓: 0.00015 ( 6 hom. )

Consequence

MLC1
NM_015166.4 missense

Scores

1
4
14

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:6

Conservation

PhyloP100: 0.375
Variant links:
Genes affected
MLC1 (HGNC:17082): (modulator of VRAC current 1) The function of this gene product is unknown; however, homology to other proteins suggests that it may be an integral membrane transporter. Mutations in this gene have been associated with megalencephalic leukoencephalopathy with subcortical cysts, an autosomal recessive neurological disorder. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.4064023).
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MLC1NM_015166.4 linkuse as main transcriptc.1008G>T p.Gln336His missense_variant 11/12 ENST00000311597.10 NP_055981.1 Q15049-1A0A024R4V4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MLC1ENST00000311597.10 linkuse as main transcriptc.1008G>T p.Gln336His missense_variant 11/121 NM_015166.4 ENSP00000310375.6 Q15049-1
MLC1ENST00000395876.6 linkuse as main transcriptc.1008G>T p.Gln336His missense_variant 11/121 ENSP00000379216.2 Q15049-1
MLC1ENST00000483836.1 linkuse as main transcriptn.365G>T non_coding_transcript_exon_variant 4/52

Frequencies

GnomAD3 genomes
AF:
0.000178
AC:
27
AN:
151604
Hom.:
2
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000485
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000329
Gnomad ASJ
AF:
0.000579
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000221
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.000190
AC:
47
AN:
247902
Hom.:
0
AF XY:
0.000178
AC XY:
24
AN XY:
134734
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000232
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000102
Gnomad NFE exome
AF:
0.000320
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.000147
AC:
214
AN:
1458122
Hom.:
6
Cov.:
39
AF XY:
0.000135
AC XY:
98
AN XY:
725594
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000291
Gnomad4 ASJ exome
AF:
0.0000766
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000219
Gnomad4 NFE exome
AF:
0.000151
Gnomad4 OTH exome
AF:
0.000282
GnomAD4 genome
AF:
0.000178
AC:
27
AN:
151604
Hom.:
2
Cov.:
34
AF XY:
0.000203
AC XY:
15
AN XY:
74032
show subpopulations
Gnomad4 AFR
AF:
0.0000485
Gnomad4 AMR
AF:
0.000329
Gnomad4 ASJ
AF:
0.000579
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000221
Gnomad4 OTH
AF:
0.00144
Alfa
AF:
0.000253
Hom.:
0
Bravo
AF:
0.000178
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000231
AC:
28
EpiCase
AF:
0.000164
EpiControl
AF:
0.000296

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Megalencephalic leukoencephalopathy with subcortical cysts 1 Uncertain:3
Uncertain significance, criteria provided, single submitterclinical testingBaylor GeneticsJul 31, 2018This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
Uncertain significance, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicMay 30, 2017- -
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsDec 13, 2021- -
not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 07, 2022This sequence change replaces glutamine, which is neutral and polar, with histidine, which is basic and polar, at codon 336 of the MLC1 protein (p.Gln336His). This variant is present in population databases (rs139336504, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with MLC1-related conditions. ClinVar contains an entry for this variant (Variation ID: 547978). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Uncertain significance, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 10, 2024The c.1008G>T (p.Q336H) alteration is located in exon 11 (coding exon 10) of the MLC1 gene. This alteration results from a G to T substitution at nucleotide position 1008, causing the glutamine (Q) at amino acid position 336 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
Benign
0.14
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
14
DANN
Uncertain
0.99
DEOGEN2
Benign
0.10
T;T
Eigen
Benign
-0.19
Eigen_PC
Benign
-0.34
FATHMM_MKL
Benign
0.19
N
LIST_S2
Benign
0.51
.;T
M_CAP
Pathogenic
0.30
D
MetaRNN
Benign
0.41
T;T
MetaSVM
Uncertain
-0.045
T
MutationAssessor
Benign
1.6
L;L
PrimateAI
Uncertain
0.60
T
PROVEAN
Uncertain
-2.5
N;N
REVEL
Benign
0.27
Sift
Benign
0.16
T;T
Sift4G
Benign
0.27
T;T
Polyphen
0.99
D;D
Vest4
0.43
MutPred
0.23
Gain of methylation at R334 (P = 0.0454);Gain of methylation at R334 (P = 0.0454);
MVP
0.81
MPC
0.86
ClinPred
0.076
T
GERP RS
1.9
Varity_R
0.14
gMVP
0.25

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: rs139336504; hg19: chr22-50502514; API