1-156860950-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_002529.4(NTRK1):​c.16C>T​(p.Arg6Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00434 in 1,495,226 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 Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R6R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0036 ( 2 hom., cov: 33)
Exomes 𝑓: 0.0044 ( 13 hom. )

Consequence

NTRK1
NM_002529.4 missense

Scores

1
7
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:11

Conservation

PhyloP100: 0.668
Variant links:
Genes affected
NTRK1 (HGNC:8031): (neurotrophic receptor tyrosine kinase 1) This gene encodes a member of the neurotrophic tyrosine kinase receptor (NTKR) family. This kinase is a membrane-bound receptor that, upon neurotrophin binding, phosphorylates itself and members of the MAPK pathway. The presence of this kinase leads to cell differentiation and may play a role in specifying sensory neuron subtypes. Mutations in this gene have been associated with congenital insensitivity to pain, anhidrosis, self-mutilating behavior, cognitive disability and cancer. Alternate transcriptional splice variants of this gene have been found, but only three have been characterized to date. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01958999).
BP6
Variant 1-156860950-C-T is Benign according to our data. Variant chr1-156860950-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 234386.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=7, Uncertain_significance=1, Benign=1}. Variant chr1-156860950-C-T is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NTRK1NM_002529.4 linkuse as main transcriptc.16C>T p.Arg6Trp missense_variant 1/17 ENST00000524377.7 NP_002520.2 P04629-1
NTRK1NM_001012331.2 linkuse as main transcriptc.16C>T p.Arg6Trp missense_variant 1/16 NP_001012331.1 P04629-2X5DR71
NTRK1NM_001007792.1 linkuse as main transcriptc.123-3404C>T intron_variant NP_001007793.1 P04629-3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NTRK1ENST00000524377.7 linkuse as main transcriptc.16C>T p.Arg6Trp missense_variant 1/171 NM_002529.4 ENSP00000431418.1 P04629-1

Frequencies

GnomAD3 genomes
AF:
0.00358
AC:
544
AN:
151958
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000677
Gnomad AMI
AF:
0.0209
Gnomad AMR
AF:
0.00242
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.00737
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00544
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.00325
AC:
308
AN:
94852
Hom.:
0
AF XY:
0.00318
AC XY:
169
AN XY:
53160
show subpopulations
Gnomad AFR exome
AF:
0.00196
Gnomad AMR exome
AF:
0.000941
Gnomad ASJ exome
AF:
0.000928
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00154
Gnomad FIN exome
AF:
0.00613
Gnomad NFE exome
AF:
0.00586
Gnomad OTH exome
AF:
0.00411
GnomAD4 exome
AF:
0.00443
AC:
5946
AN:
1343160
Hom.:
13
Cov.:
32
AF XY:
0.00436
AC XY:
2886
AN XY:
661604
show subpopulations
Gnomad4 AFR exome
AF:
0.000587
Gnomad4 AMR exome
AF:
0.00121
Gnomad4 ASJ exome
AF:
0.00123
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00150
Gnomad4 FIN exome
AF:
0.00507
Gnomad4 NFE exome
AF:
0.00509
Gnomad4 OTH exome
AF:
0.00302
GnomAD4 genome
AF:
0.00358
AC:
544
AN:
152066
Hom.:
2
Cov.:
33
AF XY:
0.00355
AC XY:
264
AN XY:
74340
show subpopulations
Gnomad4 AFR
AF:
0.000675
Gnomad4 AMR
AF:
0.00242
Gnomad4 ASJ
AF:
0.00202
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00737
Gnomad4 NFE
AF:
0.00545
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00274
Hom.:
0
Bravo
AF:
0.00283
ExAC
AF:
0.00150
AC:
84
Asia WGS
AF:
0.000578
AC:
2
AN:
3472

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:11
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hereditary insensitivity to pain with anhidrosis Uncertain:2Benign:4
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Likely benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
Likely benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 22, 2023- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Uncertain significance, no assertion criteria providedclinical testingNatera, Inc.Jan 06, 2020- -
Likely benign, criteria provided, single submittercurationSIB Swiss Institute of BioinformaticsMay 31, 2018This variant is interpreted as a Likely Benign, for Insensitivity to pain, congenital, with anhidrosis, in Autosomal Recessive manner. The following ACMG Tag(s) were applied: BP5 =>Variant found in a case with an alternate molecular basis for disease (PMID:22302274). BS1-Supporting => BS1 downgraded in strength to supporting. -
not provided Benign:4
Likely benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024NTRK1: BS2 -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Likely benign, criteria provided, single submitterclinical testingGeneDxJun 04, 2021This variant is associated with the following publications: (PMID: 27527004, 22302274, 26215504, 27535533, 32707200) -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Sep 13, 2017- -
NTRK1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 25, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsAug 28, 2019This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.32
.;T;T
Eigen
Uncertain
0.34
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.82
T;T;T
M_CAP
Pathogenic
0.91
D
MetaRNN
Benign
0.020
T;T;T
MetaSVM
Benign
-0.60
T
MutationAssessor
Benign
1.6
L;L;.
PrimateAI
Uncertain
0.77
T
PROVEAN
Benign
-0.57
N;N;N
REVEL
Uncertain
0.35
Sift
Uncertain
0.0080
D;D;D
Sift4G
Uncertain
0.0090
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.42
MVP
0.92
MPC
0.45
ClinPred
0.021
T
GERP RS
4.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.12
gMVP
0.46

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs201472270; hg19: chr1-156830742; COSMIC: COSV62328787; COSMIC: COSV62328787; API