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Variant: NM_000261.2(MYOC):c.477A>G (p.Leu159=)

CA1244271

293717 (ClinVar)

Gene: MYOC
Condition: juvenile open angle glaucoma
Inheritance Mode: Autosomal dominant inheritance
UUID: a850514d-d70f-4e82-a441-eff1039ef137

HGVS expressions

NM_000261.2:c.477A>G
NM_000261.2(MYOC):c.477A>G (p.Leu159=)
NC_000001.11:g.171652135T>C
CM000663.2:g.171652135T>C
NC_000001.10:g.171621275T>C
CM000663.1:g.171621275T>C
NC_000001.9:g.169887898T>C
NG_008859.1:g.5499A>G
ENST00000037502.11:c.477A>G
ENST00000638471.1:c.130+347A>G
ENST00000037502.10:c.477A>G
ENST00000614688.1:c.477A>G
NM_000261.1:c.477A>G

Benign

Met criteria codes 2
BA1 BP4
Not Met criteria codes 13
BS3 BS1 BP7 PS2 PS1 PS3 PS4 PP3 PP1 PM6 PM2 PM5 PM4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Glaucoma Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 1.1

PDF
Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Glaucoma VCEP
The c.477A>G variant in MYOC is a synonymous variant (p.Leu159=). The highest minor allele frequency of this variant was in the African/African-American population of gnomAD (v2.1.1) = 0.07458, which met the ≥ 0.01 threshold set for BA1 (1,860 alleles out of 24,938, meeting the threshold of ≥ 5 of at least 2,000 observed alleles). The CADD score (v1.6) = 6.353, which met the ≤ 10 threshold for BP4 and this variant was not predicted to affect splicing, as assessed with SpliceAI (≤ 0.2), suggesting that the variant does not impact MYOC function. However, BP7 was not met as this variant had a GERP score = 4.49 (threshold <0), indicating conservation at this site. As BA1 was met, PP1 did not apply and segregations were not counted. Although probands with juvenile or primary open angle glaucoma have been reported carrying this variant, PM2_Supporting was not met, therefore PS4 did not apply. In summary, this variant was classified as benign (BA1 is a stand-alone criterion for a benign level of pathogenicity) for juvenile open angle glaucoma based on the ACMG/AMP criteria met, as specified by the ClinGen Glaucoma VCEP (v1, 12 Oct 2021): BA1, BP4.
Met criteria codes
BA1
The highest minor allele frequency of this variant was in the African/African-American population of gnomAD (v2.1.1) = 0.07458, which met the ≥ 0.01 threshold set for BA1 (1,860 alleles out of 24,938, meeting the threshold of ≥ 5 of at least 2,000 observed alleles).
BP4
The CADD score (v1.6) = 6.353, which met the ≤ 10 threshold for BP4 and this variant was not predicted to affect splicing, as assessed with SpliceAI (≤ 0.2), suggesting that the variant does not impact MYOC function.
Not Met criteria codes
BS3
No functional evidence has been found for this variant.
BS1
This criterion was not met as BA1 has been met.
BP7
Although this synonymous variant was not predicted to affect splicing, as assessed with SpliceAI (≤ 0.2), it had a GERP score = 4.49 (threshold <0), indicating conservation at this site.
PS2
This variant has not been identified de novo.
PS1
This variant does not involve an amino acid change.
PS3
No functional evidence has been found for this variant.
PS4
Although probands with JOAG or POAG have been reported carrying this variant, PM2_Supporting was not met, therefore PS4 did not apply.
PP3
This is not a missense variant.
PP1
As BA1 was met, PP1 did not apply and segregations were not counted.
PM6
This variant has not been identified de novo.
PM2
This criterion was not met as BA1 has been met.
PM5
This is not a missense variant.
PM4
This variant does not cause a protein length change.
Approved on: 2022-02-07
Published on: 2022-07-11
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