rs397515995
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Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_000256.3(MYBPC3):βc.2943_2947delβ(p.Gln981HisfsTer68) variant causes a frameshift change. The variant allele was found at a frequency of 0.00000126 in 1,585,906 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (β β ). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: π 0.0000066 ( 0 hom., cov: 33)
Exomes π: 7.0e-7 ( 0 hom. )
Consequence
MYBPC3
NM_000256.3 frameshift
NM_000256.3 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 3.95
Genes affected
MYBPC3 (HGNC:7551): (myosin binding protein C3) MYBPC3 encodes the cardiac isoform of myosin-binding protein C. Myosin-binding protein C is a myosin-associated protein found in the cross-bridge-bearing zone (C region) of A bands in striated muscle. MYBPC3 is expressed exclusively in heart muscle and is a key regulator of cardiac contraction. Mutations in this gene are a frequent cause of familial hypertrophic cardiomyopathy. [provided by RefSeq, May 2022]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-47333968-ATGGTC-A is Pathogenic according to our data. Variant chr11-47333968-ATGGTC-A is described in ClinVar as [Pathogenic]. Clinvar id is 42672.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-47333968-ATGGTC-A is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
MYBPC3 | NM_000256.3 | c.2943_2947del | p.Gln981HisfsTer68 | frameshift_variant | 28/35 | ENST00000545968.6 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
MYBPC3 | ENST00000545968.6 | c.2943_2947del | p.Gln981HisfsTer68 | frameshift_variant | 28/35 | 5 | NM_000256.3 | P4 | |
MYBPC3 | ENST00000399249.6 | c.2943_2947del | p.Gln981HisfsTer68 | frameshift_variant | 27/34 | 5 | A2 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152208Hom.: 0 Cov.: 33
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GnomAD4 exome AF: 6.97e-7 AC: 1AN: 1433698Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 710500
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152208Hom.: 0 Cov.: 33 AF XY: 0.00 AC XY: 0AN XY: 74360
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Hypertrophic cardiomyopathy Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Mar 05, 2012 | The Gln981fs variant (MYBPC3) has not been reported in the literature but has be en identified in two probands with HCM out of over 2,000 Caucasian probands test ed by our laboratory. This frameshift variant is predicted to alter the protein? s amino acid sequence beginning at position 981 and lead to a premature terminat ion codon 68 amino acids downstream. This alteration is then predicted to lead t o a truncated or absent protein. Heterozygous loss of function of function of th e MYBPC3 gene is an established disease mechanism in HCM patients. In summary, t his variant meets our criteria to be classified as pathogenic (http://pcpgm.part ners.org/LMM). - |
Pathogenic, criteria provided, single submitter | clinical testing | Invitae | Jul 11, 2022 | This premature translational stop signal has been observed in individual(s) with hypertrophic cardiomyopathy (PMID: 25611685, 27532257). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Gln981Hisfs*68) in the MYBPC3 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in MYBPC3 are known to be pathogenic (PMID: 19574547). ClinVar contains an entry for this variant (Variation ID: 42672). For these reasons, this variant has been classified as Pathogenic. - |
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at