rs772164452

Variant summary

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

The NM_000540.3(RYR1):​c.6274C>T​(p.Arg2092Trp) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000026 in 1,423,890 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 18/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. 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. R2092L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000027 ( 0 hom. )

Consequence

RYR1
NM_000540.3 missense, splice_region

Scores

3
14
Splicing: ADA: 0.001129
2

Clinical Significance

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

Conservation

PhyloP100: 0.830

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), PanelApp Australia, Genomics England PanelApp, Ambry Genetics, ClinGen
  • RYR1-related myopathy
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, PanelApp Australia
  • congenital multicore myopathy with external ophthalmoplegia
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp
  • central core myopathy
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), 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=0.2347539).

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

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RYR1
NM_000540.3
MANE Select
c.6274C>Tp.Arg2092Trp
missense splice_region
Exon 38 of 106NP_000531.2P21817-1
RYR1
NM_001042723.2
c.6274C>Tp.Arg2092Trp
missense splice_region
Exon 38 of 105NP_001036188.1P21817-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RYR1
ENST00000359596.8
TSL:5 MANE Select
c.6274C>Tp.Arg2092Trp
missense splice_region
Exon 38 of 106ENSP00000352608.2P21817-1
RYR1
ENST00000355481.8
TSL:1
c.6274C>Tp.Arg2092Trp
missense splice_region
Exon 38 of 105ENSP00000347667.3P21817-2
RYR1
ENST00000594335.6
TSL:1
n.6274C>T
splice_region non_coding_transcript_exon
Exon 38 of 103ENSP00000470927.2M0R014

Frequencies

GnomAD3 genomes
AF:
0.0000203
AC:
3
AN:
147504
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000674
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:
0.0000299
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000334
AC:
8
AN:
239776
AF XY:
0.0000231
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000597
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000467
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000266
AC:
34
AN:
1276386
Hom.:
0
Cov.:
34
AF XY:
0.0000332
AC XY:
21
AN XY:
633446
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
28208
American (AMR)
AF:
0.0000517
AC:
2
AN:
38722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19636
East Asian (EAS)
AF:
0.0000811
AC:
2
AN:
24648
South Asian (SAS)
AF:
0.0000358
AC:
3
AN:
83866
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
36738
Middle Eastern (MID)
AF:
0.000221
AC:
1
AN:
4524
European-Non Finnish (NFE)
AF:
0.0000262
AC:
26
AN:
991658
Other (OTH)
AF:
0.00
AC:
0
AN:
48386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
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

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:
0.0000203
AC:
3
AN:
147504
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
71994
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40632
American (AMR)
AF:
0.0000674
AC:
1
AN:
14834
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3426
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4530
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4218
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9810
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000299
AC:
2
AN:
66794
Other (OTH)
AF:
0.00
AC:
0
AN:
2056
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
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:
0.00
Hom.:
0
Bravo
AF:
0.0000340
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.0000330
AC:
4

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
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
-
Malignant hyperthermia, susceptibility to, 1 (1)
-
1
-
not provided (1)
-
1
-
RYR1-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
20
DANN
Benign
0.97
DEOGEN2
Uncertain
0.48
T
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.12
FATHMM_MKL
Benign
0.72
D
LIST_S2
Benign
0.83
T
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.23
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
1.1
L
PhyloP100
0.83
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-1.9
N
REVEL
Benign
0.15
Sift
Uncertain
0.0040
D
Polyphen
0.83
P
Vest4
0.19
MutPred
0.23
Loss of MoRF binding (P = 0.0578)
MVP
0.86
MPC
0.32
ClinPred
0.22
T
GERP RS
-0.13
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.14
gMVP
0.16
Mutation Taster
=73/27
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0011
dbscSNV1_RF
Benign
0.11
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: rs772164452; hg19: chr19-38983276; API