MYLK

Chr 3ADAR

myosin light chain kinase

Also known as: AAT7, KRP, MLCK, MLCK1, MLCK108, MLCK210, MMIHS, MMIHS1

Myosin light chain kinase is a calcium/calmodulin-dependent enzyme that phosphorylates myosin regulatory light chains to enable smooth muscle contraction and regulate gastrointestinal motility. Mutations cause megacystis-microcolon-intestinal hypoperistalsis syndrome with severe gastrointestinal dysmotility and familial thoracic aortic aneurysms, with both autosomal dominant and autosomal recessive inheritance patterns reported. The gene is highly constrained against loss-of-function variation (LOEUF 0.528), reflecting its essential role in smooth muscle function.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismAD/ARLOEUF 0.532 OMIM phenotypes
Clinical SummaryMYLK
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Gene-Disease Validity (ClinGen)
familial thoracic aortic aneurysm and aortic dissection · ADStrong

Strong evidence — appropriate for clinical testing

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
2 unique Pathogenic / Likely Pathogenic· 70 VUS of 100 total submissions
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GeneReview available — MYLK
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.53LOEUF
pLI 0.000
Z-score 5.23
OE 0.40 (0.300.53)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.13Z-score
OE missense 0.90 (0.850.95)
967 obs / 1071.2 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.40 (0.300.53)
00.351.4
Missense OE0.90 (0.850.95)
00.61.4
Synonymous OE1.02
01.21.6
LoF obs/exp: 35 / 87.9Missense obs/exp: 967 / 1071.2Syn Z: -0.26
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongMYLK-related megacystis microcolon intestinal hypoperistalsis syndromeLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.6648th %ile
GOF
0.6932th %ile
LOF
0.3745th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Literature Evidence

LOFThus, genetic and functional studies support the conclusion that heterozygous loss-of-function mutations in MYLK are associated with aortic dissections.PMID:21055718

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

100 submitted variants in ClinVar

Classification Summary

Pathogenic2
VUS70
Likely Benign27
Conflicting1
2
Pathogenic
70
VUS
27
Likely Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
2
0
0
0
2
Likely Pathogenic
0
0
0
0
0
VUS
5
63
2
0
70
Likely Benign
0
0
6
21
27
Benign
0
0
0
0
0
Conflicting
1
Total763821100

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

MYLK · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →