1-1049979-C-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_198576.4(AGRN):​c.4821C>T​(p.Pro1607Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000878 in 1,607,568 control chromosomes in the GnomAD database, including 15 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0017 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00080 ( 14 hom. )

Consequence

AGRN
NM_198576.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -5.77
Variant links:
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.65).
BP6
Variant 1-1049979-C-T is Benign according to our data. Variant chr1-1049979-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 474138.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-5.77 with no splicing effect.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00166 (251/150986) while in subpopulation SAS AF= 0.0115 (54/4710). AF 95% confidence interval is 0.00902. There are 1 homozygotes in gnomad4. There are 131 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 14 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AGRNNM_198576.4 linkuse as main transcriptc.4821C>T p.Pro1607Pro synonymous_variant 27/36 ENST00000379370.7 NP_940978.2 O00468-6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AGRNENST00000379370.7 linkuse as main transcriptc.4821C>T p.Pro1607Pro synonymous_variant 27/361 NM_198576.4 ENSP00000368678.2 O00468-6
AGRNENST00000651234.1 linkuse as main transcriptc.4506C>T p.Pro1502Pro synonymous_variant 26/38 ENSP00000499046.1 A0A494C1I6
AGRNENST00000652369.1 linkuse as main transcriptc.4506C>T p.Pro1502Pro synonymous_variant 26/35 ENSP00000498543.1 A0A494C0G5
AGRNENST00000620552.4 linkuse as main transcriptc.4407C>T p.Pro1469Pro synonymous_variant 27/395 ENSP00000484607.1 A0A087X208

Frequencies

GnomAD3 genomes
AF:
0.00166
AC:
251
AN:
150876
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00438
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000658
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0115
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000591
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.00170
AC:
409
AN:
239982
Hom.:
4
AF XY:
0.00208
AC XY:
275
AN XY:
131942
show subpopulations
Gnomad AFR exome
AF:
0.00477
Gnomad AMR exome
AF:
0.000292
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000112
Gnomad SAS exome
AF:
0.00999
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000170
Gnomad OTH exome
AF:
0.000677
GnomAD4 exome
AF:
0.000797
AC:
1161
AN:
1456582
Hom.:
14
Cov.:
72
AF XY:
0.00103
AC XY:
747
AN XY:
724636
show subpopulations
Gnomad4 AFR exome
AF:
0.00399
Gnomad4 AMR exome
AF:
0.000314
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000257
Gnomad4 SAS exome
AF:
0.0103
Gnomad4 FIN exome
AF:
0.0000194
Gnomad4 NFE exome
AF:
0.0000757
Gnomad4 OTH exome
AF:
0.000682
GnomAD4 genome
AF:
0.00166
AC:
251
AN:
150986
Hom.:
1
Cov.:
33
AF XY:
0.00178
AC XY:
131
AN XY:
73780
show subpopulations
Gnomad4 AFR
AF:
0.00437
Gnomad4 AMR
AF:
0.000657
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.0115
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000591
Gnomad4 OTH
AF:
0.00143
Alfa
AF:
0.000769
Hom.:
0
Bravo
AF:
0.00145
Asia WGS
AF:
0.00549
AC:
19
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000119

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxJun 18, 2020- -
Congenital myasthenic syndrome 8 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.65
CADD
Benign
0.14
DANN
Benign
0.46
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs149543827; hg19: chr1-985359; API