ClinVar Miner

Submissions for variant NM_000540.3(RYR1):c.11518G>A (p.Val3840Ile)

gnomAD frequency: 0.00008  dbSNP: rs140616359
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Total submissions: 7
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
ClinGen Malignant Hyperthermia Susceptibility Variant Curation Expert Panel, ClinGen RCV000148790 SCV001653535 uncertain significance Malignant hyperthermia, susceptibility to, 1 2023-04-06 reviewed by expert panel curation This pathogenicity assessment is relevant only for malignant hyperthermia susceptibility (MHS) inherited in an autosomal dominant pattern. Variants in RYR1 can also cause other myopathies inherited in an autosomal dominant pattern or in an autosomal recessive pattern. Some of these disorders may predispose individuals to malignant hyperthermia. RYR1 variants may also contribute to a malignant hyperthermia reaction in combination with other genetic and non-genetic factors and the clinician needs to consider such factors in making management decisions. This sequence variant predicts a substitution of valine with isoleucine at codon 3840 of the RYR1 protein, p.(Val3840Ile). The maximum allele frequency for this variant among the six major gnomAD populations is EAS: 0.00040, a frequency consistent with pathogenicity for MHS. This variant has been reported in an individual with a personal or family history of an MH episode without an in vitro contracture test (IVCT) or caffeine halothane contracture test (CHCT) result (PMID:16732084). No functional studies were identified for this variant. This variant does not reside in a hotspot for pathogenic variants that contribute to MHS. A REVEL score of 0.648 supports neither a pathogenic nor a benign status for this variant. This variant has been classified as a Variant of Unknown Significance. No criteria implemented.
Labcorp Genetics (formerly Invitae), Labcorp RCV000545953 SCV000659766 uncertain significance RYR1-related disorder 2022-04-02 criteria provided, single submitter clinical testing This sequence change replaces valine, which is neutral and non-polar, with isoleucine, which is neutral and non-polar, at codon 3840 of the RYR1 protein (p.Val3840Ile). This variant is present in population databases (rs140616359, gnomAD 0.03%). This missense change has been observed in individual(s) with a family history of malignant hyperthermia and malignant hyperthermia (PMID: 16732084, 16917943). ClinVar contains an entry for this variant (Variation ID: 133013). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. 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.
Mendelics RCV000148790 SCV001141072 uncertain significance Malignant hyperthermia, susceptibility to, 1 2023-06-02 criteria provided, single submitter clinical testing
GeneDx RCV000119433 SCV001785200 uncertain significance not provided 2024-08-22 criteria provided, single submitter clinical testing In silico analysis indicates that this missense variant does not alter protein structure/function; Reported previously in the heterozygous state in an individual with malignant hyperthermia; however parental studies were not performed (PMID: 16732084); This variant is associated with the following publications: (PMID: 25637381, 16917943, 34535181, 35538921, 16732084)
Juno Genomics, Hangzhou Juno Genomics, Inc RCV004796023 SCV005417061 uncertain significance Central core myopathy; Malignant hyperthermia, susceptibility to, 1; Congenital multicore myopathy with external ophthalmoplegia; King Denborough syndrome criteria provided, single submitter clinical testing PM2_Supporting+PP3+PP2
Leiden Muscular Dystrophy (RYR1) RCV000119433 SCV000154340 not provided not provided no assertion provided not provided
CSER _CC_NCGL, University of Washington RCV000148790 SCV000190528 likely benign Malignant hyperthermia, susceptibility to, 1 2014-06-01 no assertion criteria provided research

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