1-21227989-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PP3_ModerateBS2_Supporting

The NM_001397.3(ECE1):​c.1723G>A​(p.Glu575Lys) variant causes a missense change. The variant allele was found at a frequency of 0.0000109 in 1,565,210 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000078 ( 0 hom. )

Consequence

ECE1
NM_001397.3 missense

Scores

10
6
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.82
Variant links:
Genes affected
ECE1 (HGNC:3146): (endothelin converting enzyme 1) The protein encoded by this gene is involved in proteolytic processing of endothelin precursors to biologically active peptides. Mutations in this gene are associated with Hirschsprung disease, cardiac defects and autonomic dysfunction. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene.[provided by RefSeq, Sep 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.865
BS2
High AC in GnomAd4 at 6 AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ECE1NM_001397.3 linkc.1723G>A p.Glu575Lys missense_variant 15/19 ENST00000374893.11 NP_001388.1 P42892-1A1PUP8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ECE1ENST00000374893.11 linkc.1723G>A p.Glu575Lys missense_variant 15/191 NM_001397.3 ENSP00000364028.6 P42892-1

Frequencies

GnomAD3 genomes
AF:
0.0000395
AC:
6
AN:
151952
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000736
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000778
AC:
11
AN:
1413258
Hom.:
0
Cov.:
31
AF XY:
0.00000573
AC XY:
4
AN XY:
698358
show subpopulations
Gnomad4 AFR exome
AF:
0.0000309
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000921
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000395
AC:
6
AN:
151952
Hom.:
0
Cov.:
31
AF XY:
0.0000135
AC XY:
1
AN XY:
74238
show subpopulations
Gnomad4 AFR
AF:
0.0000242
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000736
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000676
Hom.:
0
ExAC
AF:
0.00000847
AC:
1

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 GeneticsJul 30, 2024The c.1723G>A (p.E575K) alteration is located in exon 15 (coding exon 15) of the ECE1 gene. This alteration results from a G to A substitution at nucleotide position 1723, causing the glutamic acid (E) at amino acid position 575 to be replaced by a lysine (K). 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
Pathogenic
0.94
BayesDel_addAF
Pathogenic
0.28
D
BayesDel_noAF
Pathogenic
0.16
CADD
Pathogenic
26
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.58
.;.;.;D;T;.
Eigen
Uncertain
0.59
Eigen_PC
Uncertain
0.59
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D;D;D;D;D
M_CAP
Uncertain
0.12
D
MetaRNN
Pathogenic
0.86
D;D;D;D;D;D
MetaSVM
Pathogenic
0.79
D
MutationAssessor
Uncertain
2.3
.;.;.;M;.;.
PrimateAI
Pathogenic
0.90
D
PROVEAN
Benign
-1.7
N;.;N;N;N;N
REVEL
Pathogenic
0.74
Sift
Uncertain
0.012
D;.;D;D;D;D
Sift4G
Benign
0.13
T;.;T;T;T;T
Polyphen
0.99, 0.78, 0.42
.;.;D;P;B;D
Vest4
0.65
MutPred
0.64
.;.;.;Gain of methylation at E575 (P = 0.0163);Gain of methylation at E575 (P = 0.0163);.;
MVP
0.90
MPC
1.6
ClinPred
0.72
D
GERP RS
5.0
Varity_R
0.75
gMVP
0.89

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: rs779304634; hg19: chr1-21554482; COSMIC: COSV99942379; API