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Variant: NM_000257.4(MYH7):c.4828G>C (p.Glu1610Gln)

CA015373

181267 (ClinVar)

Gene: MYH7
Condition: dilated cardiomyopathy
Inheritance Mode: Autosomal dominant inheritance
UUID: 292a4d25-0148-4928-97f4-e6ae23409769
Approved on: 2022-07-30
Published on: 2022-07-30

HGVS expressions

NM_000257.4:c.4828G>C
NM_000257.4(MYH7):c.4828G>C (p.Glu1610Gln)
NC_000014.9:g.23416129C>G
CM000676.2:g.23416129C>G
NC_000014.8:g.23885338C>G
CM000676.1:g.23885338C>G
NC_000014.7:g.22955178C>G
NG_007884.1:g.24533G>C
ENST00000355349.4:c.4828G>C
ENST00000355349.3:c.4828G>C
NM_000257.3:c.4828G>C
NR_126491.1:n.390C>G
More

Uncertain Significance

Met criteria codes 4
PP1_Moderate PM2_Supporting PP3 PS4_Supporting
Not Met criteria codes 16
BS4 BS3 BS1 BP3 BP7 BP4 BP5 PS3 PS1 PS2 PM1 PM4 PM5 PM6 PVS1 BA1

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Cardiomyopathy VCEP
The NM_000257.4(MYH7):c.4828G>C (p.Glu1610Gln) variant has been identified in 3 individuals with DCM and 2 individuals with HCM (PS4_Supporting; Marston 2015 PMID: 26406308; Minoche 2019 PMID: 29961767; Horvat 2019 PMID: 29892087; GeneDx pers. comm.; Invitae pers. comm). It was also identified in 1 individual with atrial fibrillation (Invitae pers. comm.). This variant has been observed to segregate with DCM in 5 affected relatives of a proband with DCM as well as not segregate with DCM in an affected maternal uncle, although this discrepancy may be explained by the presence of an environmental origin of disease. (PP1_moderate; Minoche 2019 PMID: 29961767; Horvat 2019 PMID: 29892087). This variant was absent from large population studies (PM2_Supporting; http://gnomad.broadinstitute.org, v2.1.1). Following the ClinGen Sequence Variant Interpretation (SVI) working group recommendation for weight adjustment of the PM2 criterion due to concerns that rarity in the general population may not meet the relative odds of pathogenicity for moderate evidence, the PM2 criterion was downgraded to PM2_Supporting. Computational prediction tools and conservation analysis suggest that this variant may impact the protein (PP3). In summary, due to insufficient evidence, this variant meets criteria to be classified as uncertain significance for dilated cardiomyopathy in an autosomal dominant manner. MYH7-specific ACMG/AMP criteria applied (Kelly 2018 PMID:29300372): PS4_Supporting; PP1_Moderate; PM2_Supporting; PP3.
Met criteria codes
PP1_Moderate
Segregates in 5 family members affected with DCM in PMID 29961767
PM2_Supporting
Variant not in gnomAD. Good coverage
PP3
In silico analysis programs (SIFT, PolyPhen2, Mutation Taster) predict this variant to have an impact on the protein function. Revel score suggest impact
PS4_Supporting
Identified in 3 probands with DCM, 2 probands with HCM - Also identified in one patient with atrial fibrillation and possible noncompaction cardiomyopathy (not counted towards the total). - Segregated with DCM in 5 affected relatives in one family- in this same family, variant did not segregate with one family member affected with DCM.
Not Met criteria codes
BS4
Did not segregate in one family member with DCM in PMID: 29961767 (only one family member, so does not meet?)
BS3
Function studies for this variant are not available in the published literature.
BS1
Variant not in gnomAD.
BP3
This is a missense variant.
BP7
This is a missense variant.
BP4
In silico analysis programs (SIFT, PolyPhen2, Mutation Taster) predict this variant to have an impact on the protein function.
BP5
not applicable to this variant
PS3
Function studies for this variant are not available in the published literature.
PS1
Pathogenic variants at the same amino acid residue have not been previously reported.
PS2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PM1
Variant is not located in a mutational hot spot and/or critical and well-established functional domain.
PM4
This is a missense variant and is not known to change the length of the protein.
PM5
Pathogenic variants at the same amino acid residue have not been previously reported.
PM6
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PVS1
This is a missense variant.
BA1
Variant not in gnomAD.
Curation History
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