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rs779042240

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_005592.4(MUSK):c.2014C>T(p.Pro672Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000889 in 1,461,708 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

MUSK
NM_005592.4 missense

Scores

3
8
8

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 6.09
Variant links:
Genes affected
MUSK (HGNC:7525): (muscle associated receptor tyrosine kinase) This gene encodes a muscle-specific tyrosine kinase receptor. The encoded protein may play a role in clustering of the acetylcholine receptor in the postsynaptic neuromuscular junction. Mutations in this gene have been associated with congenital myasthenic syndrome. Alternatively spliced transcript variants have been described.[provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MUSKNM_005592.4 linkuse as main transcriptc.2014C>T p.Pro672Ser missense_variant 15/15 ENST00000374448.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MUSKENST00000374448.9 linkuse as main transcriptc.2014C>T p.Pro672Ser missense_variant 15/155 NM_005592.4 P4O15146-1
MUSKENST00000416899.7 linkuse as main transcriptc.1990C>T p.Pro664Ser missense_variant 14/145 A1
MUSKENST00000189978.10 linkuse as main transcriptc.1756C>T p.Pro586Ser missense_variant 14/145 O15146-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000241
AC:
6
AN:
249258
Hom.:
0
AF XY:
0.0000296
AC XY:
4
AN XY:
135212
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000196
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000889
AC:
13
AN:
1461708
Hom.:
0
Cov.:
32
AF XY:
0.0000138
AC XY:
10
AN XY:
727136
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000151
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.0000248
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityNov 03, 2019- -
Fetal akinesia deformation sequence 1;C4225368:Congenital myasthenic syndrome 9 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeAug 03, 2022This sequence change replaces proline, which is neutral and non-polar, with serine, which is neutral and polar, at codon 672 of the MUSK protein (p.Pro672Ser). This variant is present in population databases (rs779042240, gnomAD 0.02%). This variant has not been reported in the literature in individuals affected with MUSK-related conditions. ClinVar contains an entry for this variant (Variation ID: 542741). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt MUSK protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.34
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.32
Cadd
Uncertain
25
Dann
Pathogenic
1.0
DEOGEN2
Uncertain
0.49
T;.;.;.
Eigen
Uncertain
0.56
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.92
D;D;D;D
M_CAP
Benign
0.033
D
MetaRNN
Uncertain
0.52
D;D;D;D
MetaSVM
Benign
-0.65
T
MutationAssessor
Benign
1.7
L;.;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Benign
0.38
T
PROVEAN
Pathogenic
-6.2
D;.;.;.
REVEL
Benign
0.26
Sift
Uncertain
0.0030
D;.;.;.
Sift4G
Uncertain
0.0060
D;D;D;D
Polyphen
0.87
P;.;.;.
Vest4
0.63
MutPred
0.52
Loss of stability (P = 0.067);.;.;.;
MVP
0.68
MPC
0.69
ClinPred
0.93
D
GERP RS
5.4
Varity_R
0.59
gMVP
0.55

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs779042240; hg19: chr9-113562672; COSMIC: COSV105049984; API