10-110823494-G-T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001134363.3(RBM20):​c.3331G>T​(p.Val1111Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000219 in 1,503,672 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V1111M) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000015 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000023 ( 0 hom. )

Consequence

RBM20
NM_001134363.3 missense

Scores

16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: -4.38

Publications

1 publications found
Variant links:
Genes affected
RBM20 (HGNC:27424): (RNA binding motif protein 20) This gene encodes a protein that binds RNA and regulates splicing. Mutations in this gene have been associated with familial dilated cardiomyopathy. [provided by RefSeq, Apr 2014]
RBM20 Gene-Disease associations (from GenCC):
  • dilated cardiomyopathy
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • dilated cardiomyopathy 1DD
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011396229).
BP6
Variant 10-110823494-G-T is Benign according to our data. Variant chr10-110823494-G-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 194027.We mark this variant Likely_benign, oryginal submission is: [Conflicting_classifications_of_pathogenicity].
BS1
Variant frequency is greater than expected in population amr. GnomAdExome4 allele frequency = 0.0000227 (31/1366888) while in subpopulation AMR AF = 0.000923 (31/33590). AF 95% confidence interval is 0.000668. There are 0 homozygotes in GnomAdExome4. There are 12 alleles in the male GnomAdExome4 subpopulation. Median coverage is 35. This position passed quality control check.
BS2
High AC in GnomAdExome4 at 31 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RBM20NM_001134363.3 linkc.3331G>T p.Val1111Leu missense_variant Exon 12 of 14 ENST00000369519.4 NP_001127835.2 Q5T481
RBM20XM_017016103.3 linkc.3166G>T p.Val1056Leu missense_variant Exon 12 of 14 XP_016871592.1
RBM20XM_017016104.3 linkc.2947G>T p.Val983Leu missense_variant Exon 12 of 14 XP_016871593.1
RBM20XM_047425116.1 linkc.2947G>T p.Val983Leu missense_variant Exon 12 of 14 XP_047281072.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RBM20ENST00000369519.4 linkc.3331G>T p.Val1111Leu missense_variant Exon 12 of 14 1 NM_001134363.3 ENSP00000358532.3 Q5T481
RBM20ENST00000718239.1 linkc.3331G>T p.Val1111Leu missense_variant Exon 12 of 14 ENSP00000520684.1
RBM20ENST00000471172.1 linkn.-94G>T upstream_gene_variant 5

Frequencies

GnomAD3 genomes
AF:
0.0000146
AC:
2
AN:
136738
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000168
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000181
AC:
27
AN:
149530
AF XY:
0.000127
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00117
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000227
AC:
31
AN:
1366888
Hom.:
0
Cov.:
35
AF XY:
0.0000178
AC XY:
12
AN XY:
673094
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30016
American (AMR)
AF:
0.000923
AC:
31
AN:
33590
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24436
East Asian (EAS)
AF:
0.00
AC:
0
AN:
34192
South Asian (SAS)
AF:
0.00
AC:
0
AN:
76496
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47930
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5388
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1058710
Other (OTH)
AF:
0.00
AC:
0
AN:
56130
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000146
AC:
2
AN:
136784
Hom.:
0
Cov.:
29
AF XY:
0.0000154
AC XY:
1
AN XY:
65126
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
35798
American (AMR)
AF:
0.000167
AC:
2
AN:
11942
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3408
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4676
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4332
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
7630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
220
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
66018
Other (OTH)
AF:
0.00
AC:
0
AN:
1870
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000756

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
May 04, 2015
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 26, 2018
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dilated cardiomyopathy 1DD Benign:1
Jul 18, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Mar 18, 2020
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.079
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
0.0020
DANN
Benign
0.64
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.9
FATHMM_MKL
Benign
0.0058
N
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.011
T
MetaSVM
Benign
-1.0
T
PhyloP100
-4.4
PrimateAI
Benign
0.21
T
PROVEAN
Benign
0.45
N
REVEL
Benign
0.16
Sift
Benign
1.0
T
Sift4G
Benign
0.73
T
Vest4
0.060
MutPred
0.24
Gain of sheet (P = 0.0221);
MVP
0.14
ClinPred
0.041
T
GERP RS
-12
gMVP
0.17
Mutation Taster
=93/7
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs77110978; hg19: chr10-112583252; API