rs193922653

Variant summary

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

The NM_002471.4(MYH6):​c.4651-12A>C variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00395 in 144,334 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0039 ( 1 hom., cov: 31)
Exomes 𝑓: 0.00057 ( 1 hom. )
Failed GnomAD Quality Control

Consequence

MYH6
NM_002471.4 splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.000007133
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -0.865
Variant links:
Genes affected
MYH6 (HGNC:7576): (myosin heavy chain 6) Cardiac muscle myosin is a hexamer consisting of two heavy chain subunits, two light chain subunits, and two regulatory subunits. This gene encodes the alpha heavy chain subunit of cardiac myosin. The gene is located approximately 4kb downstream of the gene encoding the beta heavy chain subunit of cardiac myosin. Mutations in this gene cause familial hypertrophic cardiomyopathy and atrial septal defect 3. [provided by RefSeq, Feb 2017]

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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=-0.95).
BP6
Variant 14-23386635-T-G is Benign according to our data. Variant chr14-23386635-T-G is described in ClinVar as [Benign]. Clinvar id is 36630.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-23386635-T-G is described in Lovd as [Benign]. Variant chr14-23386635-T-G is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00395 (570/144334) while in subpopulation AFR AF= 0.0136 (539/39752). AF 95% confidence interval is 0.0126. There are 1 homozygotes in gnomad4. There are 246 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High AC in GnomAd4 at 570 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MYH6NM_002471.4 linkuse as main transcriptc.4651-12A>C splice_polypyrimidine_tract_variant, intron_variant ENST00000405093.9 NP_002462.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MYH6ENST00000405093.9 linkuse as main transcriptc.4651-12A>C splice_polypyrimidine_tract_variant, intron_variant 5 NM_002471.4 ENSP00000386041 P1

Frequencies

GnomAD3 genomes
AF:
0.00396
AC:
571
AN:
144192
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0136
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00123
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000501
Gnomad FIN
AF:
0.000221
Gnomad MID
AF:
0.00325
Gnomad NFE
AF:
0.0000456
Gnomad OTH
AF:
0.00247
GnomAD3 exomes
AF:
0.00100
AC:
244
AN:
243406
Hom.:
1
AF XY:
0.000700
AC XY:
92
AN XY:
131338
show subpopulations
Gnomad AFR exome
AF:
0.0137
Gnomad AMR exome
AF:
0.000641
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000913
Gnomad OTH exome
AF:
0.000503
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000567
AC:
604
AN:
1066134
Hom.:
1
Cov.:
44
AF XY:
0.000480
AC XY:
258
AN XY:
537670
show subpopulations
Gnomad4 AFR exome
AF:
0.0163
Gnomad4 AMR exome
AF:
0.000751
Gnomad4 ASJ exome
AF:
0.000471
Gnomad4 EAS exome
AF:
0.000157
Gnomad4 SAS exome
AF:
0.0000386
Gnomad4 FIN exome
AF:
0.000105
Gnomad4 NFE exome
AF:
0.000112
Gnomad4 OTH exome
AF:
0.00107
GnomAD4 genome
AF:
0.00395
AC:
570
AN:
144334
Hom.:
1
Cov.:
31
AF XY:
0.00350
AC XY:
246
AN XY:
70228
show subpopulations
Gnomad4 AFR
AF:
0.0136
Gnomad4 AMR
AF:
0.00123
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000500
Gnomad4 FIN
AF:
0.000221
Gnomad4 NFE
AF:
0.0000456
Gnomad4 OTH
AF:
0.00244
Alfa
AF:
0.00225
Hom.:
0

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Benign, criteria provided, single submitterclinical testingGeneDxJan 12, 2017This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineJun 25, 2015c.4651-12A>C in intron 32 of MYH6: This variant is not expected to have clinical significance because it has been identified in 1.4% (139/10018) of African chro mosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.or g/, dbSNP rs193922653). -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Hypertrophic cardiomyopathy 14 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Cardiomyopathy Benign:1
Benign, no assertion criteria providedclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMay 26, 2015- -
not provided Benign:1
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Primary dilated cardiomyopathy Benign:1
Benign, criteria provided, single submitterclinical testingCenter for Advanced Laboratory Medicine, UC San Diego Health, University of California San DiegoMay 08, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.95
CADD
Benign
1.7
DANN
Benign
0.40

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0000071
dbscSNV1_RF
Benign
0.0
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: rs193922653; hg19: chr14-23855844; API