rs730880565

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 3P and 1B. PM1PP3BP6

The NM_000256.3(MYBPC3):​c.2381C>T​(p.Pro794Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000804 in 1,566,584 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P794T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000083 ( 1 hom. )

Consequence

MYBPC3
NM_000256.3 missense

Scores

9
6
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:3B:6

Conservation

PhyloP100: 6.54

Publications

7 publications found
Variant links:
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]
MYBPC3 Gene-Disease associations (from GenCC):
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • hypertrophic cardiomyopathy 4
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • left ventricular noncompaction 10
    Inheritance: AR, AD Classification: DEFINITIVE, MODERATE, LIMITED Submitted by: Ambry Genetics
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • arrhythmogenic right ventricular cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • atrial fibrillation
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • dilated cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 13 uncertain in NM_000256.3
PP3
MetaRNN computational evidence supports a deleterious effect, 0.773
BP6
Variant 11-47337722-G-A is Benign according to our data. Variant chr11-47337722-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 180968.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000256.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYBPC3
NM_000256.3
MANE Select
c.2381C>Tp.Pro794Leu
missense
Exon 24 of 35NP_000247.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYBPC3
ENST00000545968.6
TSL:5 MANE Select
c.2381C>Tp.Pro794Leu
missense
Exon 24 of 35ENSP00000442795.1
MYBPC3
ENST00000399249.6
TSL:5
c.2381C>Tp.Pro794Leu
missense
Exon 23 of 34ENSP00000382193.2
MYBPC3
ENST00000544791.1
TSL:5
n.2381C>T
non_coding_transcript_exon
Exon 24 of 27ENSP00000444259.1

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152076
Hom.:
0
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:
0.000415
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000144
AC:
25
AN:
173856
AF XY:
0.000172
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000382
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000703
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000834
AC:
118
AN:
1414508
Hom.:
1
Cov.:
33
AF XY:
0.000107
AC XY:
75
AN XY:
699368
show subpopulations
African (AFR)
AF:
0.0000310
AC:
1
AN:
32214
American (AMR)
AF:
0.0000535
AC:
2
AN:
37384
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25322
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36850
South Asian (SAS)
AF:
0.000990
AC:
80
AN:
80826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49866
Middle Eastern (MID)
AF:
0.000350
AC:
2
AN:
5710
European-Non Finnish (NFE)
AF:
0.0000221
AC:
24
AN:
1087684
Other (OTH)
AF:
0.000153
AC:
9
AN:
58652
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
9
18
26
35
44
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000526
AC:
8
AN:
152076
Hom.:
0
Cov.:
31
AF XY:
0.0000538
AC XY:
4
AN XY:
74288
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41420
American (AMR)
AF:
0.00
AC:
0
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.000415
AC:
2
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10600
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000882
AC:
6
AN:
68016
Other (OTH)
AF:
0.00
AC:
0
AN:
2084
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000554
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.0000938
AC:
11

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
Cardiomyopathy (2)
-
1
1
Cardiovascular phenotype (2)
-
2
-
not provided (2)
-
-
2
not specified (2)
-
-
1
Hypertrophic cardiomyopathy (1)
1
-
-
Hypertrophic cardiomyopathy 4 (1)
1
-
-
Primary familial hypertrophic cardiomyopathy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
CardioboostCm
Benign
0.024
BayesDel_addAF
Benign
-0.030
T
BayesDel_noAF
Uncertain
0.10
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.41
T
Eigen
Pathogenic
0.85
Eigen_PC
Pathogenic
0.76
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Pathogenic
0.99
D
M_CAP
Pathogenic
0.43
D
MetaRNN
Pathogenic
0.77
D
MetaSVM
Uncertain
0.0042
D
MutationAssessor
Pathogenic
3.4
M
PhyloP100
6.5
PrimateAI
Uncertain
0.49
T
PROVEAN
Pathogenic
-7.8
D
REVEL
Uncertain
0.48
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0010
D
Vest4
0.78
MVP
0.92
MPC
0.83
ClinPred
0.95
D
GERP RS
4.3
Varity_R
0.51
gMVP
0.78
Mutation Taster
=79/21
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs730880565; hg19: chr11-47359273; API