1-247429697-G-C

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PS1PM1PM2PM5PP2PP3_ModeratePP5

The NM_001243133.2(NLRP3):​c.2263G>C​(p.Gly755Arg) variant causes a missense change involving the alteration of a 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 Likely pathogenic (no stars). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Pathogenic in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G755A) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)

Consequence

NLRP3
NM_001243133.2 missense

Scores

9
8
1

Clinical Significance

Likely pathogenic no assertion criteria provided P:1O:1

Conservation

PhyloP100: 8.25
Variant links:
Genes affected
NLRP3 (HGNC:16400): (NLR family pyrin domain containing 3) This gene encodes a pyrin-like protein containing a pyrin domain, a nucleotide-binding site (NBS) domain, and a leucine-rich repeat (LRR) motif. This protein interacts with the apoptosis-associated speck-like protein PYCARD/ASC, which contains a caspase recruitment domain, and is a member of the NLRP3 inflammasome complex. This complex functions as an upstream activator of NF-kappaB signaling, and it plays a role in the regulation of inflammation, the immune response, and apoptosis. The SARS-CoV 3a protein, a transmembrane pore-forming viroporin, has been shown to activate the NLRP3 inflammasome via the formation of ion channels in macrophages. Mutations in this gene are associated with familial cold autoinflammatory syndrome (FCAS), Muckle-Wells syndrome (MWS), chronic infantile neurological cutaneous and articular (CINCA) syndrome, neonatal-onset multisystem inflammatory disease (NOMID), keratoendotheliitis fugax hereditarian, and deafness, autosomal dominant 34, with or without inflammation. Multiple alternatively spliced transcript variants encoding distinct isoforms have been identified for this gene. Alternative 5' UTR structures are suggested by available data; however, insufficient evidence is available to determine if all of the represented 5' UTR splice patterns are biologically valid. [provided by RefSeq, Aug 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PS1
Transcript NM_001243133.2 (NLRP3) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in ClinVar as 2203018
PM1
In a helix (size 11) in uniprot entity NLRP3_HUMAN there are 7 pathogenic changes around while only 1 benign (88%) in NM_001243133.2
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr1-247429698-G-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 97959.Status of the report is criteria_provided_single_submitter, 1 stars.
PP2
Missense variant in the NLRP3 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 55 curated pathogenic missense variants (we use a threshold of 10). The gene has 10 curated benign missense variants. Gene score misZ: 2.1417 (below the threshold of 3.09). Trascript score misZ: 3.5037 (above the threshold of 3.09). GenCC associations: The gene is linked to familial cold autoinflammatory syndrome, keratitis fugax hereditaria, cryopyrin-associated periodic syndrome, Muckle-Wells syndrome, familial cold autoinflammatory syndrome 1, CINCA syndrome.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.893
PP5
Variant 1-247429697-G-C is Pathogenic according to our data. Variant chr1-247429697-G-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 97958.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-247429697-G-C is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NLRP3NM_001243133.2 linkc.2263G>C p.Gly755Arg missense_variant Exon 5 of 10 ENST00000336119.8 NP_001230062.1 Q96P20A0A7I2R3P8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NLRP3ENST00000336119.8 linkc.2263G>C p.Gly755Arg missense_variant Exon 5 of 10 1 NM_001243133.2 ENSP00000337383.4 A0A7I2R3P8

Frequencies

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

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Chronic infantile neurological, cutaneous and articular syndrome Pathogenic:1
Sep 13, 2022
University of Washington Department of Laboratory Medicine, University of Washington
Significance: Likely pathogenic
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant (also described as p.G755R in literature) has been identified in patient cohorts with cryopyrin-associated periodic syndromes (PMID:16449034, PMID:18080732). Additionally, a different amino acid change at this residue (p.G755A) has been previously reported in individual(s) with NOMID-CINCA syndrome (PMID:16871551), suggesting this residue is sensitive to variation. The p.G757R variant is absent from population databases, such as the Genome Aggregation Database (gnomad). ClinVar contains an entry for this variant (Variation ID: 97958). In silico tools predict that this variant is deleterious; however, these predictions have not been tested directly. Based on currently available evidence, we consider the p.G757R variant to be likely pathogenic. -

Familial cold autoinflammatory syndrome 1 Other:1
-
Unité médicale des maladies autoinflammatoires, CHRU Montpellier
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.67
BayesDel_addAF
Pathogenic
0.42
D
BayesDel_noAF
Pathogenic
0.36
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.42
.;T;T;.;.
Eigen
Uncertain
0.51
Eigen_PC
Uncertain
0.32
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.97
D;.;D;.;D
M_CAP
Pathogenic
0.33
D
MetaRNN
Pathogenic
0.89
D;D;D;D;D
MetaSVM
Uncertain
0.68
D
PrimateAI
Uncertain
0.55
T
PROVEAN
Pathogenic
-6.4
D;D;D;D;.
REVEL
Pathogenic
0.65
Sift
Uncertain
0.0010
D;D;D;D;.
Sift4G
Pathogenic
0.0010
D;D;D;D;.
Polyphen
0.59
P;D;D;P;.
Vest4
0.88
MutPred
0.59
Gain of methylation at G757 (P = 0.0502);Gain of methylation at G757 (P = 0.0502);Gain of methylation at G757 (P = 0.0502);Gain of methylation at G757 (P = 0.0502);Gain of methylation at G757 (P = 0.0502);
MVP
0.97
MPC
1.5
ClinPred
1.0
D
GERP RS
4.2
Varity_R
0.88
gMVP
0.78

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: rs180177469; hg19: chr1-247592999; API