1-216199854-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM1PM2PP3

The NM_206933.4(USH2A):​c.3584G>C​(p.Cys1195Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 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. C1195F) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)

Consequence

USH2A
NM_206933.4 missense

Scores

2
6
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.74
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]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM1
In a domain Fibronectin type-III 2 (size 96) in uniprot entity USH2A_HUMAN there are 24 pathogenic changes around while only 7 benign (77%) in NM_206933.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.777

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
USH2ANM_206933.4 linkuse as main transcriptc.3584G>C p.Cys1195Ser missense_variant 17/72 ENST00000307340.8 NP_996816.3 O75445-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkuse as main transcriptc.3584G>C p.Cys1195Ser missense_variant 17/721 NM_206933.4 ENSP00000305941.3 O75445-1
USH2AENST00000366942.3 linkuse as main transcriptc.3584G>C p.Cys1195Ser missense_variant 17/211 ENSP00000355909.3 O75445-2
USH2AENST00000674083.1 linkuse as main transcriptc.3584G>C p.Cys1195Ser missense_variant 17/73 ENSP00000501296.1 O75445-3
USH2A-AS1ENST00000420867.1 linkuse as main transcriptn.362+3929C>G intron_variant 3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
32

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 testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineAug 16, 2018The p.Cys1195Ser variant in USH2A has not been previously reported in individual s with hearing loss or Usher syndrome and was absent from large population studi es. Computational prediction tools and conservation analysis do not provide stro ng support for or against an impact to the protein. In summary, the clinical sig nificance of the p.Cys1195Ser variant is uncertain. ACMG/AMP Criteria applied: P M2. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.57
BayesDel_addAF
Uncertain
0.018
T
BayesDel_noAF
Benign
-0.21
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.19
T;.
Eigen
Benign
0.12
Eigen_PC
Benign
0.054
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.63
T;T
M_CAP
Benign
0.037
D
MetaRNN
Pathogenic
0.78
D;D
MetaSVM
Benign
-0.84
T
MutationAssessor
Uncertain
2.5
M;M
PrimateAI
Benign
0.42
T
PROVEAN
Uncertain
-2.7
D;D
REVEL
Uncertain
0.36
Sift
Benign
0.32
T;T
Sift4G
Benign
0.14
T;D
Polyphen
0.99
D;D
Vest4
0.79
MutPred
0.54
Gain of disorder (P = 3e-04);Gain of disorder (P = 3e-04);
MVP
0.89
MPC
0.057
ClinPred
0.92
D
GERP RS
4.3
Varity_R
0.28
gMVP
0.59

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: rs727504652; hg19: chr1-216373196; API