rs121908105
Variant summary
Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PM1PM2PP3_StrongPP5
The NM_001080467.3(MYO5B):c.1966C>T(p.Arg656Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000689 in 1,451,680 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 13/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R656R) has been classified as Benign.
Frequency
Consequence
NM_001080467.3 missense
Scores
Clinical Significance
Conservation
Publications
- microvillus inclusion diseaseInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae)
- cholestasis, progressive familial intrahepatic, 10Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- progressive familial intrahepatic cholestasis type 1Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 9 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| MYO5B | ENST00000285039.12 | c.1966C>T | p.Arg656Cys | missense_variant | Exon 16 of 40 | 1 | NM_001080467.3 | ENSP00000285039.6 | ||
| MYO5B | ENST00000697219.1 | c.1762C>T | p.Arg588Cys | missense_variant | Exon 14 of 38 | ENSP00000513188.1 |
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD2 exomes AF: 0.0000172 AC: 4AN: 232288 AF XY: 0.0000239 show subpopulations
GnomAD4 exome AF: 0.00000689 AC: 10AN: 1451680Hom.: 0 Cov.: 31 AF XY: 0.00000555 AC XY: 4AN XY: 720860 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
Congenital microvillous atrophy Pathogenic:2
PM3(moderate),PM2,PP3,PM1 -
- -
not provided Uncertain:1
This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 656 of the MYO5B protein (p.Arg656Cys). 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. 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: "Deleterious"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). ClinVar contains an entry for this variant (Variation ID: 4251). This missense change has been observed in individual(s) with microvillus inclusion disease and/or primary immunodeficiency (PMID: 18724368, 28899465, 32888943). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at