1-1043249-G-A
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Variant summary
Our verdict is Benign. Variant got -11 ACMG points: 2P and 13B. PM2BP4_StrongBP6_Very_StrongBP7
The NM_198576.4(AGRN):c.1395G>A(p.Pro465=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000191 in 1,606,212 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Genomes: 𝑓 0.00015 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00019 ( 0 hom. )
Consequence
AGRN
NM_198576.4 synonymous
NM_198576.4 synonymous
Scores
2
Clinical Significance
Conservation
PhyloP100: -2.95
Genes affected
AGRN (HGNC:329): (agrin) This gene encodes one of several proteins that are critical in the development of the neuromuscular junction (NMJ), as identified in mouse knock-out studies. The encoded protein contains several laminin G, Kazal type serine protease inhibitor, and epidermal growth factor domains. Additional post-translational modifications occur to add glycosaminoglycans and disulfide bonds. In one family with congenital myasthenic syndrome affecting limb-girdle muscles, a mutation in this gene was found. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Mar 2015]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -11 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.86).
BP6
Variant 1-1043249-G-A is Benign according to our data. Variant chr1-1043249-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 474099.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-2.95 with no splicing effect.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
AGRN | NM_198576.4 | c.1395G>A | p.Pro465= | synonymous_variant | 8/36 | ENST00000379370.7 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
AGRN | ENST00000379370.7 | c.1395G>A | p.Pro465= | synonymous_variant | 8/36 | 1 | NM_198576.4 | P1 | |
AGRN | ENST00000651234.1 | c.1080G>A | p.Pro360= | synonymous_variant | 7/38 | ||||
AGRN | ENST00000652369.1 | c.1080G>A | p.Pro360= | synonymous_variant | 7/35 | ||||
AGRN | ENST00000620552.4 | c.981G>A | p.Pro327= | synonymous_variant | 8/39 | 5 |
Frequencies
GnomAD3 genomes AF: 0.000151 AC: 23AN: 152138Hom.: 1 Cov.: 33
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GnomAD3 exomes AF: 0.0000554 AC: 13AN: 234820Hom.: 0 AF XY: 0.0000787 AC XY: 10AN XY: 127116
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GnomAD4 exome AF: 0.000195 AC: 283AN: 1453956Hom.: 0 Cov.: 35 AF XY: 0.000167 AC XY: 121AN XY: 722518
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GnomAD4 genome AF: 0.000151 AC: 23AN: 152256Hom.: 1 Cov.: 33 AF XY: 0.000107 AC XY: 8AN XY: 74452
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ClinVar
Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Benign:2
Likely benign, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Aug 01, 2023 | AGRN: BP4, BP7 - |
Likely benign, criteria provided, single submitter | not provided | Breakthrough Genomics, Breakthrough Genomics | - | - - |
Congenital myasthenic syndrome 8 Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Dec 02, 2023 | - - |
Computational scores
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
RBP_binding_hub_radar
RBP_regulation_power_radar
Splicing
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at