rs193922378
Variant summary
Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_ModerateBP6_Very_StrongBP7
The NM_000256.3(MYBPC3):c.1863C>T(p.Phe621Phe) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000097 in 1,597,722 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Consequence
NM_000256.3 synonymous
Scores
Clinical Significance
Conservation
Publications
- hypertrophic cardiomyopathyInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- hypertrophic cardiomyopathy 4Inheritance: AD, AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
- left ventricular noncompaction 10Inheritance: AR, AD Classification: DEFINITIVE, MODERATE, LIMITED Submitted by: Ambry Genetics
- familial isolated dilated cardiomyopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- arrhythmogenic right ventricular cardiomyopathyInheritance: AD Classification: LIMITED Submitted by: ClinGen
- atrial fibrillationInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
- dilated cardiomyopathyInheritance: AD Classification: LIMITED Submitted by: ClinGen
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ACMG classification
Our verdict: Benign. The variant received -11 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| MYBPC3 | NM_000256.3 | c.1863C>T | p.Phe621Phe | synonymous_variant | Exon 19 of 35 | ENST00000545968.6 | NP_000247.2 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| MYBPC3 | ENST00000545968.6 | c.1863C>T | p.Phe621Phe | synonymous_variant | Exon 19 of 35 | 5 | NM_000256.3 | ENSP00000442795.1 | ||
| MYBPC3 | ENST00000399249.6 | c.1863C>T | p.Phe621Phe | synonymous_variant | Exon 18 of 34 | 5 | ENSP00000382193.2 | |||
| MYBPC3 | ENST00000544791.1 | n.1863C>T | non_coding_transcript_exon_variant | Exon 19 of 27 | 5 | ENSP00000444259.1 |
Frequencies
GnomAD3 genomes AF: 0.000283 AC: 43AN: 152180Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.000114 AC: 26AN: 228324 AF XY: 0.000129 show subpopulations
GnomAD4 exome AF: 0.0000761 AC: 110AN: 1445424Hom.: 0 Cov.: 36 AF XY: 0.0000738 AC XY: 53AN XY: 717732 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000295 AC: 45AN: 152298Hom.: 0 Cov.: 33 AF XY: 0.000309 AC XY: 23AN XY: 74482 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not specified Benign:2
p.Phe621Phe in exon 19 of MYBPC3: This variant is not expected to have clinical significance because it does not alter an amino acid residue and is not located within the splice consensus sequence. It has been identified in 0.1% (7/4616) of African chromosomes by the Exome Aggregation Consortium (ExAC, http://exac.broa dinstitute.org; dbSNP rs193922378). -
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Cardiomyopathy Benign:2
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Hypertrophic cardiomyopathy Benign:2
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Primary familial hypertrophic cardiomyopathy Benign:1
The c.1863C>T (p.Phe621Phe) synonymous variant affects a non-conserved nucleotide. The Mutation Taster predicts a disease-causing outcome while 5/5 in silico programs (via Alamut) predict no significant effect on splicing. The variant was observed in the large, broad control population, ExAC with an allele frequency of 0.023% which does not exceed the maximal expected allele frequency of a disease causing MYBPC3 alleles. The variant has not been reported in CMYO patients and in vivo/vitro studies to describe the impact of the variant on splicing or mRNA levels have not been published at the time of scoring. Multiple reputable clinical laboratories classify the variant as “Likely Benign/Benign” without providing evidence. Considering all evidence, the variant of interest is classified as Possibly Normal Variant, until additional information becomes available. -
Cardiovascular phenotype Benign:1
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
MYBPC3-related disorder Benign:1
This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at