rs200894780

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_000540.3(RYR1):​c.3946C>A​(p.Pro1316Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00115 in 1,599,518 control chromosomes in the GnomAD database, including 26 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P1316L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0023 ( 8 hom., cov: 31)
Exomes 𝑓: 0.0010 ( 18 hom. )

Consequence

RYR1
NM_000540.3 missense

Scores

1
4
11

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 1.03

Publications

1 publications found
Variant links:
Genes affected
RYR1 (HGNC:10483): (ryanodine receptor 1) This gene encodes a ryanodine receptor found in skeletal muscle. The encoded protein functions as a calcium release channel in the sarcoplasmic reticulum but also serves to connect the sarcoplasmic reticulum and transverse tubule. Mutations in this gene are associated with malignant hyperthermia susceptibility, central core disease, and minicore myopathy with external ophthalmoplegia. Alternatively spliced transcripts encoding different isoforms have been described. [provided by RefSeq, Jul 2008]
RYR1 Gene-Disease associations (from GenCC):
  • malignant hyperthermia, susceptibility to, 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp, Ambry Genetics
  • congenital multicore myopathy with external ophthalmoplegia
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
  • RYR1-related myopathy
    Inheritance: AR, AD Classification: DEFINITIVE Submitted by: ClinGen
  • central core myopathy
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
  • King-Denborough syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • malignant hyperthermia of anesthesia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive centronuclear myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • benign Samaritan congenital myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital myopathy with myasthenic-like onset
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • lethal multiple pterygium syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008618742).
BP6
Variant 19-38473557-C-A is Benign according to our data. Variant chr19-38473557-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 544494.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 8 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000540.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RYR1
NM_000540.3
MANE Select
c.3946C>Ap.Pro1316Thr
missense
Exon 28 of 106NP_000531.2
RYR1
NM_001042723.2
c.3946C>Ap.Pro1316Thr
missense
Exon 28 of 105NP_001036188.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RYR1
ENST00000359596.8
TSL:5 MANE Select
c.3946C>Ap.Pro1316Thr
missense
Exon 28 of 106ENSP00000352608.2
RYR1
ENST00000355481.8
TSL:1
c.3946C>Ap.Pro1316Thr
missense
Exon 28 of 105ENSP00000347667.3
RYR1
ENST00000594335.6
TSL:1
n.3946C>A
non_coding_transcript_exon
Exon 28 of 103ENSP00000470927.2

Frequencies

GnomAD3 genomes
AF:
0.00229
AC:
349
AN:
152154
Hom.:
8
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0310
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.00278
AC:
597
AN:
214766
AF XY:
0.00255
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0297
Gnomad NFE exome
AF:
0.000342
Gnomad OTH exome
AF:
0.000746
GnomAD4 exome
AF:
0.00103
AC:
1484
AN:
1447246
Hom.:
18
Cov.:
33
AF XY:
0.000989
AC XY:
711
AN XY:
719044
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33234
American (AMR)
AF:
0.00
AC:
0
AN:
41450
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25836
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39020
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84790
European-Finnish (FIN)
AF:
0.0267
AC:
1368
AN:
51308
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5728
European-Non Finnish (NFE)
AF:
0.0000732
AC:
81
AN:
1106108
Other (OTH)
AF:
0.000586
AC:
35
AN:
59772
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
102
205
307
410
512
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00229
AC:
349
AN:
152272
Hom.:
8
Cov.:
31
AF XY:
0.00347
AC XY:
258
AN XY:
74444
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41568
American (AMR)
AF:
0.00
AC:
0
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4816
European-Finnish (FIN)
AF:
0.0310
AC:
329
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000250
AC:
17
AN:
68004
Other (OTH)
AF:
0.00142
AC:
3
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
14
29
43
58
72
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.000682
Hom.:
0
Bravo
AF:
0.0000718
ExAC
AF:
0.00162
AC:
192

ClinVar

ClinVar submissions as Germline

Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Malignant hyperthermia, susceptibility to, 1 (1)
-
-
1
not provided (1)
-
-
1
RYR1-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.076
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.11
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.38
T
Eigen
Benign
0.14
Eigen_PC
Benign
0.15
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.74
T
MetaRNN
Benign
0.0086
T
MetaSVM
Uncertain
0.74
D
MutationAssessor
Benign
0.0
N
PhyloP100
1.0
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
-1.1
N
REVEL
Uncertain
0.42
Sift
Benign
0.57
T
Polyphen
1.0
D
Vest4
0.39
MVP
0.98
MPC
0.84
ClinPred
0.11
T
GERP RS
5.1
Varity_R
0.15
gMVP
0.34
Mutation Taster
=88/12
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs200894780; hg19: chr19-38964197; API