chr3-123682213-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The ENST00000504946.6(MYLK):​c.1272G>A​(p.Ser424Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0419 in 1,590,224 control chromosomes in the GnomAD database, including 1,627 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.032 ( 109 hom., cov: 32)
Exomes 𝑓: 0.043 ( 1518 hom. )

Consequence

MYLK
ENST00000504946.6 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 0.767
Variant links:
Genes affected
MYLK (HGNC:7590): (myosin light chain kinase) This gene, a muscle member of the immunoglobulin gene superfamily, encodes myosin light chain kinase which is a calcium/calmodulin dependent enzyme. This kinase phosphorylates myosin regulatory light chains to facilitate myosin interaction with actin filaments to produce contractile activity. This gene encodes both smooth muscle and nonmuscle isoforms. In addition, using a separate promoter in an intron in the 3' region, it encodes telokin, a small protein identical in sequence to the C-terminus of myosin light chain kinase, that is independently expressed in smooth muscle and functions to stabilize unphosphorylated myosin filaments. A pseudogene is located on the p arm of chromosome 3. Four transcript variants that produce four isoforms of the calcium/calmodulin dependent enzyme have been identified as well as two transcripts that produce two isoforms of telokin. Additional variants have been identified but lack full length transcripts. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.74).
BP6
Variant 3-123682213-C-T is Benign according to our data. Variant chr3-123682213-C-T is described in ClinVar as [Benign]. Clinvar id is 226765.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-123682213-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0323 (4914/152190) while in subpopulation NFE AF= 0.0465 (3163/67996). AF 95% confidence interval is 0.0452. There are 109 homozygotes in gnomad4. There are 2466 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 109 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYLKNM_053025.4 linkuse as main transcriptc.3652+11G>A intron_variant ENST00000360304.8 NP_444253.3 Q15746-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYLKENST00000360304.8 linkuse as main transcriptc.3652+11G>A intron_variant 5 NM_053025.4 ENSP00000353452.3 Q15746-1

Frequencies

GnomAD3 genomes
AF:
0.0323
AC:
4916
AN:
152072
Hom.:
109
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00835
Gnomad AMI
AF:
0.0691
Gnomad AMR
AF:
0.0211
Gnomad ASJ
AF:
0.0265
Gnomad EAS
AF:
0.000386
Gnomad SAS
AF:
0.0266
Gnomad FIN
AF:
0.0700
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0465
Gnomad OTH
AF:
0.0248
GnomAD3 exomes
AF:
0.0339
AC:
7349
AN:
216504
Hom.:
169
AF XY:
0.0349
AC XY:
4034
AN XY:
115530
show subpopulations
Gnomad AFR exome
AF:
0.00725
Gnomad AMR exome
AF:
0.0153
Gnomad ASJ exome
AF:
0.0253
Gnomad EAS exome
AF:
0.000306
Gnomad SAS exome
AF:
0.0308
Gnomad FIN exome
AF:
0.0650
Gnomad NFE exome
AF:
0.0447
Gnomad OTH exome
AF:
0.0373
GnomAD4 exome
AF:
0.0429
AC:
61665
AN:
1438034
Hom.:
1518
Cov.:
29
AF XY:
0.0429
AC XY:
30573
AN XY:
712922
show subpopulations
Gnomad4 AFR exome
AF:
0.00595
Gnomad4 AMR exome
AF:
0.0158
Gnomad4 ASJ exome
AF:
0.0252
Gnomad4 EAS exome
AF:
0.000179
Gnomad4 SAS exome
AF:
0.0297
Gnomad4 FIN exome
AF:
0.0620
Gnomad4 NFE exome
AF:
0.0474
Gnomad4 OTH exome
AF:
0.0377
GnomAD4 genome
AF:
0.0323
AC:
4914
AN:
152190
Hom.:
109
Cov.:
32
AF XY:
0.0332
AC XY:
2466
AN XY:
74384
show subpopulations
Gnomad4 AFR
AF:
0.00833
Gnomad4 AMR
AF:
0.0211
Gnomad4 ASJ
AF:
0.0265
Gnomad4 EAS
AF:
0.000387
Gnomad4 SAS
AF:
0.0268
Gnomad4 FIN
AF:
0.0700
Gnomad4 NFE
AF:
0.0465
Gnomad4 OTH
AF:
0.0246
Alfa
AF:
0.0381
Hom.:
26
Bravo
AF:
0.0275

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, criteria provided, single submitterclinical testingGeneDxOct 03, 2016- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineApr 04, 20133652+11G>A in intron 20 of MYLK: This variant is not expected to have clinical s ignificance because it is not located within the conserved splice consensus sequ ence. It has been identified in 4.5% (386/8598) of European American chromosomes from a broad population by the NHLBI Exome Sequencing Project (http://evs.gs.wa shington.edu/EVS; dbSNP rs41271437). -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 19, 2019Variant summary: MYLK c.3652+11G>A alters a non-conserved nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. 5/5 computational tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 0.034 in 247866 control chromosomes in the gnomAD database, including 191 homozygotes. The observed variant frequency is approximately 1366-folds over the estimated maximal expected allele frequency for a pathogenic variant in MYLK causing Aortopathy phenotype (2.5e-05), strongly suggesting that the variant is benign. Two ClinVar submissions (evaluation after 2014) cites the variant as likely benign/benign. Based on the evidence outlined above, the variant was classified as benign. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Aortic aneurysm, familial thoracic 7 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.74
CADD
Benign
9.8
DANN
Benign
0.75
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs41271437; hg19: chr3-123401060; API