1-216418661-T-C

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_206933.4(USH2A):​c.504A>G​(p.Thr168Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.648 in 1,612,398 control chromosomes in the GnomAD database, including 341,363 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.62 ( 29448 hom., cov: 31)
Exomes 𝑓: 0.65 ( 311915 hom. )

Consequence

USH2A
NM_206933.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: -0.565

Publications

41 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 -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.9).
BP6
Variant 1-216418661-T-C is Benign according to our data. Variant chr1-216418661-T-C is described in CliVar as Benign. Clinvar id is 48528.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-216418661-T-C is described in CliVar as Benign. Clinvar id is 48528.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-216418661-T-C is described in CliVar as Benign. Clinvar id is 48528.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-216418661-T-C is described in CliVar as Benign. Clinvar id is 48528.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-216418661-T-C is described in CliVar as Benign. Clinvar id is 48528.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.565 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.812 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
USH2ANM_206933.4 linkc.504A>G p.Thr168Thr synonymous_variant Exon 3 of 72 ENST00000307340.8 NP_996816.3 O75445-1
USH2ANM_007123.6 linkc.504A>G p.Thr168Thr synonymous_variant Exon 3 of 21 NP_009054.6 O75445-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkc.504A>G p.Thr168Thr synonymous_variant Exon 3 of 72 1 NM_206933.4 ENSP00000305941.3 O75445-1
USH2AENST00000366942.3 linkc.504A>G p.Thr168Thr synonymous_variant Exon 3 of 21 1 ENSP00000355909.3 O75445-2
USH2AENST00000674083.1 linkc.504A>G p.Thr168Thr synonymous_variant Exon 3 of 73 ENSP00000501296.1 O75445-3

Frequencies

GnomAD3 genomes
AF:
0.617
AC:
93643
AN:
151692
Hom.:
29431
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.501
Gnomad AMI
AF:
0.733
Gnomad AMR
AF:
0.657
Gnomad ASJ
AF:
0.573
Gnomad EAS
AF:
0.833
Gnomad SAS
AF:
0.623
Gnomad FIN
AF:
0.702
Gnomad MID
AF:
0.468
Gnomad NFE
AF:
0.651
Gnomad OTH
AF:
0.610
GnomAD2 exomes
AF:
0.653
AC:
163677
AN:
250764
AF XY:
0.648
show subpopulations
Gnomad AFR exome
AF:
0.493
Gnomad AMR exome
AF:
0.694
Gnomad ASJ exome
AF:
0.569
Gnomad EAS exome
AF:
0.839
Gnomad FIN exome
AF:
0.694
Gnomad NFE exome
AF:
0.647
Gnomad OTH exome
AF:
0.630
GnomAD4 exome
AF:
0.651
AC:
951291
AN:
1460588
Hom.:
311915
Cov.:
55
AF XY:
0.648
AC XY:
471157
AN XY:
726636
show subpopulations
African (AFR)
AF:
0.492
AC:
16440
AN:
33394
American (AMR)
AF:
0.692
AC:
30921
AN:
44652
Ashkenazi Jewish (ASJ)
AF:
0.569
AC:
14831
AN:
26084
East Asian (EAS)
AF:
0.851
AC:
33714
AN:
39626
South Asian (SAS)
AF:
0.602
AC:
51933
AN:
86232
European-Finnish (FIN)
AF:
0.693
AC:
36984
AN:
53348
Middle Eastern (MID)
AF:
0.515
AC:
2967
AN:
5758
European-Non Finnish (NFE)
AF:
0.653
AC:
725249
AN:
1111182
Other (OTH)
AF:
0.634
AC:
38252
AN:
60312
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
17883
35766
53649
71532
89415
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19010
38020
57030
76040
95050
<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:
0.617
AC:
93701
AN:
151810
Hom.:
29448
Cov.:
31
AF XY:
0.621
AC XY:
46074
AN XY:
74156
show subpopulations
African (AFR)
AF:
0.501
AC:
20746
AN:
41402
American (AMR)
AF:
0.657
AC:
10001
AN:
15222
Ashkenazi Jewish (ASJ)
AF:
0.573
AC:
1988
AN:
3468
East Asian (EAS)
AF:
0.833
AC:
4253
AN:
5106
South Asian (SAS)
AF:
0.624
AC:
3013
AN:
4828
European-Finnish (FIN)
AF:
0.702
AC:
7416
AN:
10562
Middle Eastern (MID)
AF:
0.469
AC:
138
AN:
294
European-Non Finnish (NFE)
AF:
0.651
AC:
44193
AN:
67914
Other (OTH)
AF:
0.611
AC:
1286
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
1799
3599
5398
7198
8997
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
776
1552
2328
3104
3880
<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:
0.629
Hom.:
28842
Bravo
AF:
0.610
Asia WGS
AF:
0.691
AC:
2402
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Apr 10, 2023
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 08, 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. -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 19, 2008
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Nov 29, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Usher syndrome type 2A Benign:3
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Jul 01, 2021
Genome-Nilou Lab
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

- -

Retinitis pigmentosa Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.90
CADD
Benign
0.71
DANN
Benign
0.41
PhyloP100
-0.56
Mutation Taster
=100/0
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: rs4253963; hg19: chr1-216592003; API