1-215741484-T-C

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_206933.4(USH2A):​c.11602A>G​(p.Met3868Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.216 in 1,613,586 control chromosomes in the GnomAD database, including 38,998 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M3868L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.21 ( 3492 hom., cov: 31)
Exomes 𝑓: 0.22 ( 35506 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -2.26

Publications

40 publications found
Variant links:
Genes affected
USH2A (HGNC:12601): (usherin) This gene encodes a protein that contains laminin EGF motifs, a pentaxin domain, and many fibronectin type III motifs. The protein is found in the basement membrane, and may be important in development and homeostasis of the inner ear and retina. Mutations within this gene have been associated with Usher syndrome type IIa and retinitis pigmentosa. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]
USH2A Gene-Disease associations (from GenCC):
  • Usher syndrome type 2
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • Usher syndrome type 2A
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • retinitis pigmentosa 39
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • retinitis pigmentosa
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0016642809).
BP6
Variant 1-215741484-T-C is Benign according to our data. Variant chr1-215741484-T-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 48378.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.229 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_206933.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
USH2A
NM_206933.4
MANE Select
c.11602A>Gp.Met3868Val
missense
Exon 60 of 72NP_996816.3

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
USH2A
ENST00000307340.8
TSL:1 MANE Select
c.11602A>Gp.Met3868Val
missense
Exon 60 of 72ENSP00000305941.3
USH2A
ENST00000674083.1
c.11602A>Gp.Met3868Val
missense
Exon 60 of 73ENSP00000501296.1

Frequencies

GnomAD3 genomes
AF:
0.210
AC:
31814
AN:
151834
Hom.:
3494
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.190
Gnomad AMI
AF:
0.230
Gnomad AMR
AF:
0.218
Gnomad ASJ
AF:
0.197
Gnomad EAS
AF:
0.107
Gnomad SAS
AF:
0.0813
Gnomad FIN
AF:
0.233
Gnomad MID
AF:
0.228
Gnomad NFE
AF:
0.232
Gnomad OTH
AF:
0.235
GnomAD2 exomes
AF:
0.196
AC:
49194
AN:
251298
AF XY:
0.194
show subpopulations
Gnomad AFR exome
AF:
0.190
Gnomad AMR exome
AF:
0.199
Gnomad ASJ exome
AF:
0.200
Gnomad EAS exome
AF:
0.0936
Gnomad FIN exome
AF:
0.237
Gnomad NFE exome
AF:
0.229
Gnomad OTH exome
AF:
0.214
GnomAD4 exome
AF:
0.217
AC:
317029
AN:
1461636
Hom.:
35506
Cov.:
35
AF XY:
0.213
AC XY:
155180
AN XY:
727104
show subpopulations
African (AFR)
AF:
0.192
AC:
6425
AN:
33478
American (AMR)
AF:
0.203
AC:
9060
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.201
AC:
5244
AN:
26128
East Asian (EAS)
AF:
0.136
AC:
5382
AN:
39680
South Asian (SAS)
AF:
0.100
AC:
8661
AN:
86226
European-Finnish (FIN)
AF:
0.241
AC:
12852
AN:
53354
Middle Eastern (MID)
AF:
0.211
AC:
1215
AN:
5768
European-Non Finnish (NFE)
AF:
0.230
AC:
255565
AN:
1111900
Other (OTH)
AF:
0.209
AC:
12625
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
13434
26869
40303
53738
67172
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
8640
17280
25920
34560
43200
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.209
AC:
31826
AN:
151950
Hom.:
3492
Cov.:
31
AF XY:
0.207
AC XY:
15354
AN XY:
74290
show subpopulations
African (AFR)
AF:
0.190
AC:
7855
AN:
41434
American (AMR)
AF:
0.218
AC:
3330
AN:
15264
Ashkenazi Jewish (ASJ)
AF:
0.197
AC:
685
AN:
3470
East Asian (EAS)
AF:
0.107
AC:
553
AN:
5150
South Asian (SAS)
AF:
0.0817
AC:
394
AN:
4820
European-Finnish (FIN)
AF:
0.233
AC:
2455
AN:
10556
Middle Eastern (MID)
AF:
0.231
AC:
68
AN:
294
European-Non Finnish (NFE)
AF:
0.232
AC:
15788
AN:
67944
Other (OTH)
AF:
0.232
AC:
488
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1266
2533
3799
5066
6332
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
320
640
960
1280
1600
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.211
Hom.:
6684
Bravo
AF:
0.207
TwinsUK
AF:
0.231
AC:
855
ALSPAC
AF:
0.236
AC:
911
ESP6500AA
AF:
0.190
AC:
835
ESP6500EA
AF:
0.233
AC:
2006
ExAC
AF:
0.196
AC:
23802
Asia WGS
AF:
0.108
AC:
376
AN:
3478
EpiCase
AF:
0.230
EpiControl
AF:
0.230

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 26, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 20, 2008
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Aug 19, 2013
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease.

Apr 16, 2023
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:2
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Usher syndrome type 2A Benign:2
Jul 01, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Usher syndrome type 2A;C3151138:Retinitis pigmentosa 39 Benign:1
Oct 25, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Retinal dystrophy Benign:1
Oct 01, 2023
Dept Of Ophthalmology, Nagoya University
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.84
T
BayesDel_noAF
Benign
-0.84
CADD
Benign
0.0020
DANN
Benign
0.52
DEOGEN2
Benign
0.037
T
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.020
N
LIST_S2
Benign
0.33
T
MetaRNN
Benign
0.0017
T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
0.20
N
PhyloP100
-2.3
PrimateAI
Benign
0.20
T
PROVEAN
Benign
-0.33
N
REVEL
Benign
0.017
Sift
Benign
1.0
T
Sift4G
Benign
0.71
T
Polyphen
0.0
B
Vest4
0.028
MPC
0.030
ClinPred
0.014
T
GERP RS
-9.7
Varity_R
0.050
gMVP
0.30
Mutation Taster
=95/5
polymorphism (auto)

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

Other links and lift over

dbSNP: rs35309576; hg19: chr1-215914826; COSMIC: COSV56342893; API