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Variant: NM_000261.2(MYOC):c.1010A>G (p.Gln337Arg)

CA119177

7953 (ClinVar)

Gene: MYOC
Condition: juvenile open angle glaucoma
Inheritance Mode: Autosomal dominant inheritance
UUID: ce8aea0f-075c-49b4-b136-09c5e425fa3f

HGVS expressions

NM_000261.2:c.1010A>G
NM_000261.2(MYOC):c.1010A>G (p.Gln337Arg)
NC_000001.11:g.171636430T>C
CM000663.2:g.171636430T>C
NC_000001.10:g.171605570T>C
CM000663.1:g.171605570T>C
NC_000001.9:g.169872193T>C
NG_008859.1:g.21204A>G
ENST00000037502.11:c.1010A>G
ENST00000637303.1:c.235-2200T>C
ENST00000638471.1:c.*348A>G
ENST00000037502.10:c.1010A>G
ENST00000614688.1:c.1009A>G
NM_000261.1:c.1010A>G

Uncertain Significance

Met criteria codes 4
PP3 PS4_Supporting PM2_Supporting PP1_Moderate
Not Met criteria codes 11
PS2 PS1 PS3 BA1 PM6 PM5 PM4 BS3 BS1 BP4 BP7

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Glaucoma VCEP
The c.1010A>G variant in MYOC is a missense variant predicted to cause substitution of Glutamine by Arginine at amino acid 337 (p.Gln337Arg). This variant was not found in any population of gnomAD (v2.1.1), meeting the ≤ 0.0001 threshold set for PM2_Supporting in a population of at least 10,000 alleles. The REVEL score = 0.743, which met the ≥ 0.7 threshold for PP3, predicting a damaging effect on MYOC function. There was no functional evidence predicting a damaging or benign impact of this variant on MYOC function. 6 segregations in 2 families, with juvenile or primary open angle glaucoma (JOAG or POAG), have been reported (PMIDs: 34923728, 9361308), which fulfilled PP1_Moderate (≥5 meioses). 4 probands with JOAG or POAG have been reported carrying this variant (PMIDs: 34923728, 32300215, 9361308), which met PS4_Supporting (≥ 2 probands). In summary, this variant met the criteria to receive a score of 5 and to be classified as a variant of uncertain significance (uncertain significance classification range -1 to 5) for juvenile open angle glaucoma based on the ACMG/AMP criteria met, as specified by the ClinGen Glaucoma VCEP (v1, 12 Oct 2021): PP1_Moderate, PP3, PS4_Supporting, PM2_Supporting
Met criteria codes
PP3
The REVEL score = 0.743, which met the ≥ 0.7 threshold for PP3, predicting a damaging effect on MYOC function.
PS4_Supporting
4 probands with JOAG or POAG have been reported carrying this variant (PMIDs: 34923728, 32300215, 9361308), which met PS4_Supporting (≥ 2 probands).
PM2_Supporting
This variant was not found in any population of gnomAD (v2.1.1), meeting the ≤ 0.0001 threshold set for PM2_Supporting in a population of at least 10,000 alleles.
PP1_Moderate
6 segregations in 2 families, with juvenile or primary open angle glaucoma (JOAG or POAG), have been reported (PMIDs: 34923728, 9361308), which fulfilled PP1_Moderate (≥5 meioses).
Not Met criteria codes
PS2
This variant has not been identified de novo.
PS1
An established pathogenic variant causing this same amino acid change has not been identified.
PS3
No functional evidence has been found for this variant.
BA1
This criterion was not met as PM2_Supporting has been met.
PM6
This variant has not been identified de novo.
PM5
PM5_Supporting could not be applied to this variant as the other missense variants at the same amino acid residue (c.1009C>G, p.Gln337Glu and c.1011G>T, p.Gln337His) were not classified as likely pathogenic or pathogenic.
PM4
This variant does not cause a protein length change.
BS3
No functional evidence has been found for this variant.
BS1
This criterion was not met as PM2_Supporting has been met.
BP4
This criterion was not met as PP3 has been met.
BP7
This is not a synonymous or non-coding variant.
Approved on: 2023-08-08
Published on: 2023-08-08
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