rs766238876

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_002471.4(MYH6):​c.4016G>A​(p.Arg1339Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000412 in 1,506,516 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts 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. R1339W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000075 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000038 ( 0 hom. )

Consequence

MYH6
NM_002471.4 missense

Scores

1
11
6

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 5.97

Publications

3 publications found
Variant links:
Genes affected
MYH6 (HGNC:7576): (myosin heavy chain 6) Cardiac muscle myosin is a hexamer consisting of two heavy chain subunits, two light chain subunits, and two regulatory subunits. This gene encodes the alpha heavy chain subunit of cardiac myosin. The gene is located approximately 4kb downstream of the gene encoding the beta heavy chain subunit of cardiac myosin. Mutations in this gene cause familial hypertrophic cardiomyopathy and atrial septal defect 3. [provided by RefSeq, Feb 2017]
MYH6 Gene-Disease associations (from GenCC):
  • MYH-6 related congenital heart defects
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • hypertrophic cardiomyopathy 14
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
  • Keppen-Lubinsky syndrome
    Inheritance: AD Classification: MODERATE Submitted by: Illumina
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • atrial septal defect 3
    Inheritance: AD Classification: LIMITED Submitted by: G2P
  • dilated cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.41455308).
BS2
High AC in GnomAd4 at 11 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002471.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYH6
NM_002471.4
MANE Select
c.4016G>Ap.Arg1339Gln
missense
Exon 29 of 39NP_002462.2P13533

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MYH6
ENST00000405093.9
TSL:5 MANE Select
c.4016G>Ap.Arg1339Gln
missense
Exon 29 of 39ENSP00000386041.3P13533
MYH6
ENST00000968262.1
c.4049G>Ap.Arg1350Gln
missense
Exon 29 of 39ENSP00000638321.1
MYH6
ENST00000968257.1
c.4016G>Ap.Arg1339Gln
missense
Exon 29 of 39ENSP00000638316.1

Frequencies

GnomAD3 genomes
AF:
0.0000749
AC:
11
AN:
146924
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000219
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000684
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:
0.00
Gnomad OTH
AF:
0.000487
GnomAD2 exomes
AF:
0.0000481
AC:
12
AN:
249586
AF XY:
0.0000592
show subpopulations
Gnomad AFR exome
AF:
0.0000619
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000545
Gnomad FIN exome
AF:
0.000141
Gnomad NFE exome
AF:
0.0000355
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000375
AC:
51
AN:
1359442
Hom.:
0
Cov.:
33
AF XY:
0.0000459
AC XY:
31
AN XY:
675094
show subpopulations
African (AFR)
AF:
0.000153
AC:
5
AN:
32680
American (AMR)
AF:
0.000145
AC:
6
AN:
41420
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23046
East Asian (EAS)
AF:
0.000110
AC:
3
AN:
27200
South Asian (SAS)
AF:
0.000153
AC:
13
AN:
85178
European-Finnish (FIN)
AF:
0.0000954
AC:
4
AN:
41946
Middle Eastern (MID)
AF:
0.000193
AC:
1
AN:
5182
European-Non Finnish (NFE)
AF:
0.0000172
AC:
18
AN:
1048348
Other (OTH)
AF:
0.0000184
AC:
1
AN:
54442
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
4
8
11
15
19
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:
0.0000748
AC:
11
AN:
147074
Hom.:
0
Cov.:
32
AF XY:
0.0000977
AC XY:
7
AN XY:
71652
show subpopulations
African (AFR)
AF:
0.000218
AC:
9
AN:
41226
American (AMR)
AF:
0.0000683
AC:
1
AN:
14648
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3412
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4338
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4200
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9430
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
280
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
66576
Other (OTH)
AF:
0.000482
AC:
1
AN:
2074
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.534
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:
0.0000331
Hom.:
0
Bravo
AF:
0.0000567
ExAC
AF:
0.0000165
AC:
2

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Cardiovascular phenotype (1)
-
1
-
Dilated cardiomyopathy 1EE;C2750467:Hypertrophic cardiomyopathy 14;C3279790:Atrial septal defect 3;C3279791:Sick sinus syndrome 3, susceptibility to;C3495498:Hypertrophic cardiomyopathy 1 (1)
-
1
-
Hypertrophic cardiomyopathy 14 (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Uncertain
0.038
T
BayesDel_noAF
Uncertain
0.0
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.64
D
Eigen
Uncertain
0.29
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.060
D
MetaRNN
Benign
0.41
T
MetaSVM
Uncertain
-0.11
T
MutationAssessor
Benign
1.8
L
PhyloP100
6.0
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-2.6
D
REVEL
Uncertain
0.63
Sift
Benign
0.066
T
Sift4G
Benign
0.18
T
Polyphen
0.56
P
Vest4
0.54
MVP
0.91
MPC
0.43
ClinPred
0.56
D
GERP RS
4.7
Varity_R
0.21
gMVP
0.33
Mutation Taster
=58/42
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs766238876; hg19: chr14-23858227; COSMIC: COSV62450161; COSMIC: COSV62450161; API