rs138172035

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_053025.4(MYLK):​c.1968G>T​(p.Trp656Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00219 in 1,614,048 control chromosomes in the GnomAD database, including 5 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. W656R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0023 ( 5 hom. )

Consequence

MYLK
NM_053025.4 missense

Scores

13
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:9O:1

Conservation

PhyloP100: 6.61

Publications

10 publications found
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]
MYLK-AS1 (HGNC:42440): (MYLK antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP6
Variant 3-123708870-C-A is Benign according to our data. Variant chr3-123708870-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 342893.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00142 (216/152208) while in subpopulation NFE AF = 0.00235 (160/68010). AF 95% confidence interval is 0.00205. There are 0 homozygotes in GnomAd4. There are 95 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 5 AD,AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_053025.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYLK
NM_053025.4
MANE Select
c.1968G>Tp.Trp656Cys
missense
Exon 15 of 34NP_444253.3
MYLK
NM_053027.4
c.1968G>Tp.Trp656Cys
missense
Exon 15 of 33NP_444255.3
MYLK
NM_053026.4
c.1761G>Tp.Trp587Cys
missense
Exon 14 of 33NP_444254.3

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYLK
ENST00000360304.8
TSL:5 MANE Select
c.1968G>Tp.Trp656Cys
missense
Exon 15 of 34ENSP00000353452.3
MYLK
ENST00000464489.5
TSL:1
n.*1547G>T
non_coding_transcript_exon
Exon 14 of 33ENSP00000417798.1
MYLK
ENST00000464489.5
TSL:1
n.*1547G>T
3_prime_UTR
Exon 14 of 33ENSP00000417798.1

Frequencies

GnomAD3 genomes
AF:
0.00142
AC:
216
AN:
152090
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000580
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00183
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00235
Gnomad OTH
AF:
0.000958
GnomAD2 exomes
AF:
0.00130
AC:
326
AN:
251486
AF XY:
0.00131
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.00110
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.00214
Gnomad OTH exome
AF:
0.00228
GnomAD4 exome
AF:
0.00227
AC:
3318
AN:
1461840
Hom.:
5
Cov.:
31
AF XY:
0.00222
AC XY:
1612
AN XY:
727224
show subpopulations
African (AFR)
AF:
0.000269
AC:
9
AN:
33480
American (AMR)
AF:
0.00119
AC:
53
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.000939
AC:
81
AN:
86256
European-Finnish (FIN)
AF:
0.0000562
AC:
3
AN:
53418
Middle Eastern (MID)
AF:
0.00243
AC:
14
AN:
5766
European-Non Finnish (NFE)
AF:
0.00272
AC:
3025
AN:
1111966
Other (OTH)
AF:
0.00219
AC:
132
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.428
Heterozygous variant carriers
0
181
361
542
722
903
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
120
240
360
480
600
<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:
0.00142
AC:
216
AN:
152208
Hom.:
0
Cov.:
32
AF XY:
0.00128
AC XY:
95
AN XY:
74424
show subpopulations
African (AFR)
AF:
0.000578
AC:
24
AN:
41522
American (AMR)
AF:
0.00183
AC:
28
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.000415
AC:
2
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10608
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00235
AC:
160
AN:
68010
Other (OTH)
AF:
0.000948
AC:
2
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
12
24
36
48
60
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00171
Hom.:
0
Bravo
AF:
0.00151
TwinsUK
AF:
0.00270
AC:
10
ALSPAC
AF:
0.00311
AC:
12
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00267
AC:
23
ExAC
AF:
0.00107
AC:
130
EpiCase
AF:
0.00191
EpiControl
AF:
0.00261

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
1
Aortic aneurysm, familial thoracic 7 (4)
-
-
3
not provided (3)
-
-
2
Familial thoracic aortic aneurysm and aortic dissection (2)
-
-
1
Connective tissue disorder (1)
-
-
1
MYLK-related disorder (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.57
CADD
Pathogenic
30
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.79
D
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.87
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D
M_CAP
Pathogenic
0.68
D
MetaRNN
Uncertain
0.63
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
4.5
H
PhyloP100
6.6
PrimateAI
Uncertain
0.61
T
PROVEAN
Pathogenic
-6.9
D
REVEL
Pathogenic
0.96
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.97
MutPred
0.90
Gain of disorder (P = 0.0307)
MVP
0.95
MPC
0.25
ClinPred
0.25
T
GERP RS
4.6
Varity_R
0.77
gMVP
0.92
Mutation Taster
=9/91
disease causing

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: rs138172035; hg19: chr3-123427717; API