rs193922629
Variant summary
Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP3
The NM_002474.3(MYH11):c.3233T>C(p.Ile1078Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000204 in 1,613,842 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I1078F) has been classified as Uncertain significance.
Frequency
Consequence
NM_002474.3 missense
Scores
Clinical Significance
Conservation
Publications
- familial thoracic aortic aneurysm and aortic dissectionInheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
- aortic aneurysm, familial thoracic 4Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
- megacystis-microcolon-intestinal hypoperistalsis syndrome 2Inheritance: AR Classification: STRONG, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae)
- megacystis-microcolon-intestinal hypoperistalsis syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- visceral myopathy 2Inheritance: AR, AD Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Uncertain_significance. The variant received 1 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| MYH11 | NM_002474.3 | c.3233T>C | p.Ile1078Thr | missense_variant | Exon 25 of 41 | ENST00000300036.6 | NP_002465.1 | |
| MYH11 | NM_001040113.2 | c.3254T>C | p.Ile1085Thr | missense_variant | Exon 26 of 43 | ENST00000452625.7 | NP_001035202.1 | |
| MYH11 | NM_001040114.2 | c.3254T>C | p.Ile1085Thr | missense_variant | Exon 26 of 42 | NP_001035203.1 | ||
| MYH11 | NM_022844.3 | c.3233T>C | p.Ile1078Thr | missense_variant | Exon 25 of 42 | NP_074035.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| MYH11 | ENST00000300036.6 | c.3233T>C | p.Ile1078Thr | missense_variant | Exon 25 of 41 | 1 | NM_002474.3 | ENSP00000300036.5 | ||
| MYH11 | ENST00000452625.7 | c.3254T>C | p.Ile1085Thr | missense_variant | Exon 26 of 43 | 1 | NM_001040113.2 | ENSP00000407821.2 | 
Frequencies
GnomAD3 genomes  0.00000657  AC: 1AN: 152156Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 251308 AF XY:  0.00000736   show subpopulations 
GnomAD4 exome  AF:  0.0000219  AC: 32AN: 1461686Hom.:  0  Cov.: 33 AF XY:  0.0000234  AC XY: 17AN XY: 727168 show subpopulations 
Age Distribution
GnomAD4 genome  0.00000657  AC: 1AN: 152156Hom.:  0  Cov.: 32 AF XY:  0.00  AC XY: 0AN XY: 74324 show subpopulations 
ClinVar
Submissions by phenotype
Familial thoracic aortic aneurysm and aortic dissection    Uncertain:2 
The p.I1078T variant (also known as c.3233T>C), located in coding exon 24 of the MYH11 gene, results from a T to C substitution at nucleotide position 3233. The isoleucine at codon 1078 is replaced by threonine, an amino acid with similar properties. This amino acid position is highly conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
This missense variant replaces isoleucine with threonine at codon 1085 of the MYH11 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function (internally defined REVEL score threshold 0.5 < inconclusive < 0.7, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has not been reported in individuals affected with MYH11-related disorders in the literature. This variant has been identified in 1/251308 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
not specified    Uncertain:1 
MYH11 c.3254T>C (p.Ile1085Thr, NM_001040113.1) results in a non-conservative amino acid change located in the Myosin tail domain (IPR002928) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4e-06 in 251308 control chromosomes (gnomAD). The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. To our knowledge, no occurrence of c.3254T>C in individuals affected with Aortopathy and no experimental evidence demonstrating its impact on protein function have been reported. Two submitters have provided clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation and classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Aortic aneurysm, familial thoracic 4    Uncertain:1 
This sequence change replaces isoleucine with threonine at codon 1085 of the MYH11 protein (p.Ile1085Thr). The isoleucine residue is highly conserved and there is a moderate physicochemical difference between isoleucine and threonine. This variant is not present in population databases (ExAC no frequency). This variant has not been reported in the literature in individuals affected with MYH11-related conditions. ClinVar contains an entry for this variant (Variation ID: 36618). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be disruptive. 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. -
not provided    Uncertain:1 
Has not been previously published as pathogenic or benign to our knowledge; Not observed at a significant frequency in large population cohorts (Lek et al., 2016); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect -
Aortic aneurysm, familial thoracic 4;C5543466:Visceral myopathy 2;C5543476:Megacystis-microcolon-intestinal hypoperistalsis syndrome 2    Uncertain:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at