1-37612888-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001242908.2(RSPO1):​c.659G>A​(p.Arg220Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000013 in 1,461,788 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R220W) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.000013 ( 0 hom. )

Consequence

RSPO1
NM_001242908.2 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.40
Variant links:
Genes affected
RSPO1 (HGNC:21679): (R-spondin 1) This gene encodes a secreted activator protein with two cysteine-rich, furin-like domains and one thrombospondin type 1 domain. The encoded protein is a ligand for leucine-rich repeat-containing G-protein coupled receptors (LGR proteins) and positively regulates the Wnt signaling pathway. In mice, the protein induces the rapid onset of crypt cell proliferation and increases intestinal epithelial healing, providing a protective effect against chemotherapy-induced adverse effects. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2014]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.12086642).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RSPO1NM_001242908.2 linkuse as main transcriptc.659G>A p.Arg220Gln missense_variant 7/7 ENST00000356545.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RSPO1ENST00000356545.7 linkuse as main transcriptc.659G>A p.Arg220Gln missense_variant 7/71 NM_001242908.2 P1Q2MKA7-1
RSPO1ENST00000401068.1 linkuse as main transcriptc.659G>A p.Arg220Gln missense_variant 8/81 P1Q2MKA7-1
RSPO1ENST00000612451.4 linkuse as main transcriptc.470G>A p.Arg157Gln missense_variant 6/61 Q2MKA7-3
RSPO1ENST00000615459.4 linkuse as main transcriptc.578G>A p.Arg193Gln missense_variant 7/72 Q2MKA7-2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000160
AC:
4
AN:
249454
Hom.:
0
AF XY:
0.0000222
AC XY:
3
AN XY:
135362
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000556
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000130
AC:
19
AN:
1461788
Hom.:
0
Cov.:
33
AF XY:
0.0000179
AC XY:
13
AN XY:
727212
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000989
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.0000312
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000827
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 13, 2022The c.659G>A (p.R220Q) alteration is located in exon 8 (coding exon 5) of the RSPO1 gene. This alteration results from a G to A substitution at nucleotide position 659, causing the arginine (R) at amino acid position 220 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.15
.;.;T;T
Eigen
Benign
-0.46
Eigen_PC
Benign
-0.30
FATHMM_MKL
Benign
0.56
D
LIST_S2
Benign
0.72
T;T;.;T
M_CAP
Benign
0.054
D
MetaRNN
Benign
0.12
T;T;T;T
MetaSVM
Uncertain
-0.27
T
MutationAssessor
Benign
1.4
.;.;L;L
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-1.5
.;.;N;N
REVEL
Benign
0.22
Sift
Benign
0.072
.;.;T;T
Sift4G
Benign
0.30
T;T;T;T
Polyphen
0.36
B;.;B;B
Vest4
0.10
MutPred
0.22
.;.;Loss of methylation at R219 (P = 0.1);Loss of methylation at R219 (P = 0.1);
MVP
0.85
MPC
0.31
ClinPred
0.35
T
GERP RS
5.0
Varity_R
0.065
gMVP
0.35

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: rs780621142; hg19: chr1-38078560; API