1-183284754-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_015039.4(NMNAT2):​c.485G>A​(p.Arg162Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000235 in 1,614,142 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R162W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00025 ( 0 hom. )

Consequence

NMNAT2
NM_015039.4 missense

Scores

1
10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.39
Variant links:
Genes affected
NMNAT2 (HGNC:16789): (nicotinamide nucleotide adenylyltransferase 2) This gene product belongs to the nicotinamide mononucleotide adenylyltransferase (NMNAT) enzyme family, members of which catalyze an essential step in NAD (NADP) biosynthetic pathway. Unlike the other human family member, which is localized to the nucleus, and is ubiquitously expressed; this enzyme is cytoplasmic, and is predominantly expressed in the brain. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NMNAT2NM_015039.4 linkuse as main transcriptc.485G>A p.Arg162Gln missense_variant 6/11 ENST00000287713.7 NP_055854.1 Q9BZQ4-1
NMNAT2NM_170706.4 linkuse as main transcriptc.470G>A p.Arg157Gln missense_variant 6/11 NP_733820.1 Q9BZQ4-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NMNAT2ENST00000287713.7 linkuse as main transcriptc.485G>A p.Arg162Gln missense_variant 6/111 NM_015039.4 ENSP00000287713.6 Q9BZQ4-1
NMNAT2ENST00000294868.8 linkuse as main transcriptc.470G>A p.Arg157Gln missense_variant 6/111 ENSP00000294868.4 Q9BZQ4-2
NMNAT2ENST00000473046.1 linkuse as main transcriptn.355G>A non_coding_transcript_exon_variant 4/51

Frequencies

GnomAD3 genomes
AF:
0.000125
AC:
19
AN:
152182
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000235
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000116
AC:
29
AN:
250590
Hom.:
0
AF XY:
0.0000959
AC XY:
13
AN XY:
135614
show subpopulations
Gnomad AFR exome
AF:
0.0000619
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000230
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000247
AC:
361
AN:
1461842
Hom.:
0
Cov.:
31
AF XY:
0.000241
AC XY:
175
AN XY:
727220
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000308
Gnomad4 OTH exome
AF:
0.000215
GnomAD4 genome
AF:
0.000118
AC:
18
AN:
152300
Hom.:
0
Cov.:
33
AF XY:
0.000107
AC XY:
8
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000235
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000132
Hom.:
0
Bravo
AF:
0.000121
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000115
AC:
14
EpiCase
AF:
0.000382
EpiControl
AF:
0.000593

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 06, 2023The c.485G>A (p.R162Q) alteration is located in exon 6 (coding exon 6) of the NMNAT2 gene. This alteration results from a G to A substitution at nucleotide position 485, causing the arginine (R) at amino acid position 162 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.022
T
BayesDel_noAF
Uncertain
0.020
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
.;T
Eigen
Uncertain
0.27
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.97
D;D
M_CAP
Uncertain
0.10
D
MetaRNN
Uncertain
0.49
T;T
MetaSVM
Pathogenic
0.92
D
MutationAssessor
Benign
0.27
.;N
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
0.21
N;N
REVEL
Uncertain
0.48
Sift
Benign
0.29
T;T
Sift4G
Benign
0.11
T;T
Polyphen
0.88
P;P
Vest4
0.58
MVP
0.84
MPC
1.1
ClinPred
0.085
T
GERP RS
5.3
Varity_R
0.12
gMVP
0.63

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs137936356; hg19: chr1-183253889; API