rs754173025

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_000540.3(RYR1):​c.12842G>A​(p.Gly4281Glu) variant causes a missense change. The variant allele was found at a frequency of 0.0000686 in 1,195,928 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G4281R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00025 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000043 ( 0 hom. )

Consequence

RYR1
NM_000540.3 missense

Scores

2
15

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:6

Conservation

PhyloP100: 3.75

Publications

0 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: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.11541).

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.12842G>Ap.Gly4281Glu
missense
Exon 91 of 106NP_000531.2
RYR1
NM_001042723.2
c.12827G>Ap.Gly4276Glu
missense
Exon 90 of 105NP_001036188.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RYR1
ENST00000359596.8
TSL:5 MANE Select
c.12842G>Ap.Gly4281Glu
missense
Exon 91 of 106ENSP00000352608.2
RYR1
ENST00000355481.8
TSL:1
c.12827G>Ap.Gly4276Glu
missense
Exon 90 of 105ENSP00000347667.3
RYR1
ENST00000594335.6
TSL:1
n.*3552G>A
non_coding_transcript_exon
Exon 88 of 103ENSP00000470927.2

Frequencies

GnomAD3 genomes
AF:
0.000250
AC:
37
AN:
147816
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000857
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000300
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000145
AC:
2
AN:
13818
AF XY:
0.000110
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00127
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000429
AC:
45
AN:
1048006
Hom.:
0
Cov.:
30
AF XY:
0.0000500
AC XY:
25
AN XY:
499826
show subpopulations
African (AFR)
AF:
0.00124
AC:
26
AN:
20950
American (AMR)
AF:
0.000133
AC:
1
AN:
7512
Ashkenazi Jewish (ASJ)
AF:
0.0000802
AC:
1
AN:
12474
East Asian (EAS)
AF:
0.00
AC:
0
AN:
21184
South Asian (SAS)
AF:
0.000319
AC:
9
AN:
28198
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
19546
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2720
European-Non Finnish (NFE)
AF:
0.00000447
AC:
4
AN:
895490
Other (OTH)
AF:
0.000100
AC:
4
AN:
39932
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
3
6
9
12
15
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:
0.000250
AC:
37
AN:
147922
Hom.:
0
Cov.:
32
AF XY:
0.000194
AC XY:
14
AN XY:
72132
show subpopulations
African (AFR)
AF:
0.000854
AC:
35
AN:
40960
American (AMR)
AF:
0.00
AC:
0
AN:
14900
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3418
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5090
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4814
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8920
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
288
European-Non Finnish (NFE)
AF:
0.0000300
AC:
2
AN:
66566
Other (OTH)
AF:
0.00
AC:
0
AN:
2058
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
2
4
7
9
11
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:
0.0000540
Hom.:
0
Bravo
AF:
0.000393
ExAC
AF:
0.0000964
AC:
1

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not provided (2)
-
2
-
RYR1-related disorder (2)
-
1
-
Congenital myopathy with fiber type disproportion;C1840365:King Denborough syndrome;C1850674:Congenital multicore myopathy with external ophthalmoplegia;C2930980:Malignant hyperthermia, susceptibility to, 1;C5830701:Central core myopathy (1)
-
1
-
Limb-girdle muscular dystrophy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
17
DANN
Benign
0.90
DEOGEN2
Benign
0.28
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-0.94
FATHMM_MKL
Benign
0.080
N
LIST_S2
Benign
0.40
T
M_CAP
Pathogenic
0.99
D
MetaRNN
Benign
0.12
T
MetaSVM
Benign
-0.41
T
MutationAssessor
Benign
0.69
N
PhyloP100
3.8
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
0.40
N
REVEL
Benign
0.29
Sift
Benign
1.0
T
Polyphen
0.0070
B
Vest4
0.60
MutPred
0.14
Loss of loop (P = 0.0073)
MVP
0.83
MPC
0.92
ClinPred
0.039
T
GERP RS
3.2
PromoterAI
0.037
Neutral
Varity_R
0.072
gMVP
0.25
Mutation Taster
=70/30
polymorphism

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: rs754173025; hg19: chr19-39055816; API