1-216421964-C-T

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.373G>A​(p.Ala125Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.719 in 1,613,698 control chromosomes in the GnomAD database, including 418,913 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.73 ( 40885 hom., cov: 32)
Exomes 𝑓: 0.72 ( 378028 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:16

Conservation

PhyloP100: 0.358

Publications

55 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=1.3263331E-6).
BP6
Variant 1-216421964-C-T is Benign according to our data. Variant chr1-216421964-C-T is described in ClinVar as Benign. ClinVar VariationId is 48507.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
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.373G>A p.Ala125Thr missense_variant Exon 2 of 72 ENST00000307340.8 NP_996816.3 O75445-1
USH2ANM_007123.6 linkc.373G>A p.Ala125Thr missense_variant Exon 2 of 21 NP_009054.6 O75445-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkc.373G>A p.Ala125Thr missense_variant Exon 2 of 72 1 NM_206933.4 ENSP00000305941.3 O75445-1
USH2AENST00000366942.3 linkc.373G>A p.Ala125Thr missense_variant Exon 2 of 21 1 ENSP00000355909.3 O75445-2
USH2AENST00000674083.1 linkc.373G>A p.Ala125Thr missense_variant Exon 2 of 73 ENSP00000501296.1 O75445-3

Frequencies

GnomAD3 genomes
AF:
0.732
AC:
111235
AN:
151902
Hom.:
40838
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.756
Gnomad AMI
AF:
0.792
Gnomad AMR
AF:
0.723
Gnomad ASJ
AF:
0.657
Gnomad EAS
AF:
0.832
Gnomad SAS
AF:
0.760
Gnomad FIN
AF:
0.779
Gnomad MID
AF:
0.598
Gnomad NFE
AF:
0.708
Gnomad OTH
AF:
0.695
GnomAD2 exomes
AF:
0.729
AC:
182834
AN:
250924
AF XY:
0.725
show subpopulations
Gnomad AFR exome
AF:
0.757
Gnomad AMR exome
AF:
0.730
Gnomad ASJ exome
AF:
0.658
Gnomad EAS exome
AF:
0.836
Gnomad FIN exome
AF:
0.774
Gnomad NFE exome
AF:
0.705
Gnomad OTH exome
AF:
0.700
GnomAD4 exome
AF:
0.718
AC:
1049721
AN:
1461678
Hom.:
378028
Cov.:
86
AF XY:
0.717
AC XY:
521325
AN XY:
727130
show subpopulations
African (AFR)
AF:
0.757
AC:
25343
AN:
33470
American (AMR)
AF:
0.731
AC:
32673
AN:
44682
Ashkenazi Jewish (ASJ)
AF:
0.654
AC:
17085
AN:
26128
East Asian (EAS)
AF:
0.845
AC:
33561
AN:
39694
South Asian (SAS)
AF:
0.728
AC:
62821
AN:
86256
European-Finnish (FIN)
AF:
0.768
AC:
41027
AN:
53406
Middle Eastern (MID)
AF:
0.648
AC:
3735
AN:
5766
European-Non Finnish (NFE)
AF:
0.711
AC:
790289
AN:
1111896
Other (OTH)
AF:
0.715
AC:
43187
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
20932
41864
62795
83727
104659
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19884
39768
59652
79536
99420
<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:
0.732
AC:
111334
AN:
152020
Hom.:
40885
Cov.:
32
AF XY:
0.737
AC XY:
54765
AN XY:
74290
show subpopulations
African (AFR)
AF:
0.756
AC:
31324
AN:
41454
American (AMR)
AF:
0.723
AC:
11024
AN:
15254
Ashkenazi Jewish (ASJ)
AF:
0.657
AC:
2278
AN:
3466
East Asian (EAS)
AF:
0.833
AC:
4296
AN:
5158
South Asian (SAS)
AF:
0.760
AC:
3668
AN:
4824
European-Finnish (FIN)
AF:
0.779
AC:
8223
AN:
10560
Middle Eastern (MID)
AF:
0.595
AC:
175
AN:
294
European-Non Finnish (NFE)
AF:
0.708
AC:
48151
AN:
67986
Other (OTH)
AF:
0.697
AC:
1473
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1544
3088
4631
6175
7719
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
846
1692
2538
3384
4230
<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:
0.711
Hom.:
188724
Bravo
AF:
0.727
TwinsUK
AF:
0.718
AC:
2661
ALSPAC
AF:
0.710
AC:
2736
ESP6500AA
AF:
0.758
AC:
3339
ESP6500EA
AF:
0.699
AC:
6012
ExAC
AF:
0.729
AC:
88518
Asia WGS
AF:
0.788
AC:
2742
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:16
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Feb 19, 2008
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 12, 2015
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

- -

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

- -

Sep 03, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
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

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Usher syndrome type 2A Benign:4
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 13, 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

- -

Dec 19, 2024
Genomic Medicine Center of Excellence, King Faisal Specialist Hospital and Research Centre
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:3
Nov 29, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

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 13, 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
AlphaMissense
Benign
0.058
BayesDel_addAF
Benign
-0.76
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
10
DANN
Benign
0.30
DEOGEN2
Benign
0.019
T;.
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.0065
N
LIST_S2
Benign
0.22
T;T
MetaRNN
Benign
0.0000013
T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
-1.9
N;N
PhyloP100
0.36
PrimateAI
Benign
0.31
T
PROVEAN
Benign
0.59
N;N
REVEL
Benign
0.084
Sift
Benign
1.0
T;T
Sift4G
Benign
1.0
T;T
Polyphen
0.0
B;B
Vest4
0.0030
MPC
0.030
ClinPred
0.0021
T
GERP RS
-1.4
Varity_R
0.041
gMVP
0.24
Mutation Taster
=99/1
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: rs10779261; hg19: chr1-216595306; COSMIC: COSV107316657; API