rs3732485

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_053025.4(MYLK):​c.2533C>T​(p.Arg845Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0122 in 1,611,056 control chromosomes in the GnomAD database, including 648 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.016 ( 62 hom., cov: 30)
Exomes 𝑓: 0.012 ( 586 hom. )

Consequence

MYLK
NM_053025.4 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: -0.0490
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0014624298).
BP6
Variant 3-123700935-G-A is Benign according to our data. Variant chr3-123700935-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 226038.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-123700935-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0789 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MYLKNM_053025.4 linkc.2533C>T p.Arg845Cys missense_variant Exon 18 of 34 ENST00000360304.8 NP_444253.3 Q15746-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MYLKENST00000360304.8 linkc.2533C>T p.Arg845Cys missense_variant Exon 18 of 34 5 NM_053025.4 ENSP00000353452.3 Q15746-1

Frequencies

GnomAD3 genomes
AF:
0.0163
AC:
2477
AN:
152010
Hom.:
62
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0164
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.0117
Gnomad ASJ
AF:
0.00346
Gnomad EAS
AF:
0.0484
Gnomad SAS
AF:
0.0856
Gnomad FIN
AF:
0.0660
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.00322
Gnomad OTH
AF:
0.0110
GnomAD3 exomes
AF:
0.0270
AC:
6650
AN:
246212
Hom.:
240
AF XY:
0.0293
AC XY:
3925
AN XY:
134066
show subpopulations
Gnomad AFR exome
AF:
0.0175
Gnomad AMR exome
AF:
0.0297
Gnomad ASJ exome
AF:
0.00331
Gnomad EAS exome
AF:
0.0505
Gnomad SAS exome
AF:
0.0888
Gnomad FIN exome
AF:
0.0582
Gnomad NFE exome
AF:
0.00375
Gnomad OTH exome
AF:
0.0190
GnomAD4 exome
AF:
0.0117
AC:
17118
AN:
1458928
Hom.:
586
Cov.:
39
AF XY:
0.0140
AC XY:
10192
AN XY:
725962
show subpopulations
Gnomad4 AFR exome
AF:
0.0157
Gnomad4 AMR exome
AF:
0.0269
Gnomad4 ASJ exome
AF:
0.00333
Gnomad4 EAS exome
AF:
0.0398
Gnomad4 SAS exome
AF:
0.0871
Gnomad4 FIN exome
AF:
0.0535
Gnomad4 NFE exome
AF:
0.00225
Gnomad4 OTH exome
AF:
0.0154
GnomAD4 genome
AF:
0.0163
AC:
2484
AN:
152128
Hom.:
62
Cov.:
30
AF XY:
0.0200
AC XY:
1490
AN XY:
74344
show subpopulations
Gnomad4 AFR
AF:
0.0164
Gnomad4 AMR
AF:
0.0116
Gnomad4 ASJ
AF:
0.00346
Gnomad4 EAS
AF:
0.0481
Gnomad4 SAS
AF:
0.0857
Gnomad4 FIN
AF:
0.0660
Gnomad4 NFE
AF:
0.00322
Gnomad4 OTH
AF:
0.0142
Alfa
AF:
0.00619
Hom.:
3
Bravo
AF:
0.0117
ESP6500AA
AF:
0.0139
AC:
61
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.0265
AC:
3213
Asia WGS
AF:
0.0750
AC:
259
AN:
3476
EpiCase
AF:
0.00218
EpiControl
AF:
0.00296

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Apr 04, 2013
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Arg845Cys in exon 18 of MYLK: This variant is not expected to have clinical sign ificance because it has been identified in 1.4% (61/4402) of African American ch romosomes from a broad population by the NHLBI Exome Sequencing Project (http:// evs.gs.washington.edu/EVS; dbSNP rs3732485). -

Dec 06, 2016
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 17, 2020
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: MYLK c.2533C>T (p.Arg845Cys) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.027 in 246212 control chromosomes in the gnomAD database, including 240 homozygotes. The observed variant frequency is approximately 1080-fold of the estimated maximal expected allele frequency for a pathogenic variant in MYLK causing Aortopathy phenotype (2.5e-05), strongly suggesting that the variant is benign. To our knowledge, no occurrence of c.2533C>T in individuals affected with Aortopathy and no experimental evidence demonstrating its impact on protein function have been reported. Seven ClinVar submitters (evaluation after 2014) cite the variant as benign/likely benign. Based on the evidence outlined above, the variant was classified as benign. -

-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Aortic aneurysm, familial thoracic 7 Benign:2
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Familial thoracic aortic aneurysm and aortic dissection Benign:2
Jan 23, 2015
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as 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. -

Feb 01, 2016
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Nov 01, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aortic aneurysm, familial thoracic 6 Benign:1
Mar 11, 2015
CSER _CC_NCGL, University of Washington
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.48
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
14
DANN
Benign
0.96
DEOGEN2
Benign
0.23
.;.;.;T;.;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.053
N
LIST_S2
Benign
0.78
.;T;T;T;.;.
MetaRNN
Benign
0.0015
T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N;.;N;N;.;N
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-0.58
N;.;N;N;N;N
REVEL
Benign
0.062
Sift
Benign
0.25
T;.;T;T;T;T
Sift4G
Benign
0.10
T;T;T;T;T;T
Polyphen
0.021
B;B;B;B;B;B
Vest4
0.083
MPC
0.22
ClinPred
0.0016
T
GERP RS
1.3
Varity_R
0.048
gMVP
0.21

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs3732485; hg19: chr3-123419782; COSMIC: COSV60619931; COSMIC: COSV60619931; API