11-61955726-G-A

Variant names:

Variant summary

Our verdict is Pathogenic. The variant received 19 ACMG points: 19P and 0B. PM1PM2PM5PP2PP3_StrongPP5_Very_Strong

The NM_004183.4(BEST1):c.256G>A(p.Val86Met) 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 Pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V86A) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)

Exomes 𝑓: 0.0 ( 0 hom. )

Failed GnomAD Quality Control

Consequence

BEST1
NM_004183.4 missense

Scores

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 9.83

Publications

19 publications found

Variant links:

Genes affected

BEST1 (HGNC:12703): (bestrophin 1) This gene encodes a member of the bestrophin gene family. This small gene family is characterized by proteins with a highly conserved N-terminus with four to six transmembrane domains. Bestrophins may form chloride ion channels or may regulate voltage-gated L-type calcium-ion channels. Bestrophins are generally believed to form calcium-activated chloride-ion channels in epithelial cells but they have also been shown to be highly permeable to bicarbonate ion transport in retinal tissue. Mutations in this gene are responsible for juvenile-onset vitelliform macular dystrophy (VMD2), also known as Best macular dystrophy, in addition to adult-onset vitelliform macular dystrophy (AVMD) and other retinopathies. Alternative splicing results in multiple variants encoding distinct isoforms.[provided by RefSeq, Nov 2008]

BEST1 Gene-Disease associations (from GenCC):

autosomal dominant vitreoretinochoroidopathy
Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), PanelApp Australia, G2P
inherited retinal dystrophy
Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
retinitis pigmentosa
Inheritance: AD, AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P
vitelliform macular dystrophy 2
Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
autosomal recessive bestrophinopathy
Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
retinitis pigmentosa 50
Inheritance: AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
adult-onset foveomacular vitelliform dystrophy
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
MRCS syndrome
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
nanophthalmia
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

BEST1 links:

LOC107984334 (HGNC:):

LOC107984334 links:

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ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 19 ACMG points.

PM1

In a hotspot region, there are 18 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 4 uncertain in NM_004183.4

PM2

Very rare variant in population databases, with high coverage;

PM5

Other missense variant is known to change same aminoacid residue: Variant chr11-61955727-T-C is described in CliVar as Likely_pathogenic. Clinvar id is 1484101.Status of the report is criteria_provided_single_submitter, 1 stars.

PP2

Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 209 curated pathogenic missense variants (we use a threshold of 10). The gene has 23 curated benign missense variants. Gene score misZ: 0.61695 (below the threshold of 3.09). Trascript score misZ: 0.88358 (below the threshold of 3.09). GenCC associations: The gene is linked to vitelliform macular dystrophy 2, MRCS syndrome, autosomal recessive bestrophinopathy, autosomal dominant vitreoretinochoroidopathy, retinitis pigmentosa, retinitis pigmentosa 50, inherited retinal dystrophy, adult-onset foveomacular vitelliform dystrophy, nanophthalmia.

PP3

MetaRNN computational evidence supports a deleterious effect, 0.991

PP5

Variant 11-61955726-G-A is Pathogenic according to our data. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-61955726-G-A is described in CliVar as Pathogenic. Clinvar id is 2744.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
BEST1	NM_004183.4 link	c.256G>A	p.Val86Met	missense_variant	Exon 4 of 11	ENST00000378043.9	NP_004174.1	O76090-1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
BEST1	ENST00000378043.9 link	c.256G>A	p.Val86Met	missense_variant	Exon 4 of 11	1	NM_004183.4	ENSP00000367282.4		O76090-1

Frequencies

GnomAD3 genomes

Cov.:

GnomAD2 exomes

AF:

0.00

AC:

AN:

144018

AF XY:

0.00

Gnomad AFR exome

AF:

0.00

Gnomad AMR exome

AF:

0.00

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

Data not reliable, filtered out with message: AC0

AF:

0.00

AC:

AN:

1388074

Hom.:

Cov.:

AF XY:

0.00

AC XY:

AN XY:

684784

African (AFR)

AF:

0.00

AC:

AN:

31356

American (AMR)

AF:

0.00

AC:

AN:

35568

Ashkenazi Jewish (ASJ)

AF:

0.00

AC:

AN:

24986

East Asian (EAS)

AF:

0.00

AC:

AN:

35474

South Asian (SAS)

AF:

0.00

AC:

AN:

78982

European-Finnish (FIN)

AF:

0.00

AC:

AN:

47004

Middle Eastern (MID)

AF:

0.00

AC:

AN:

4178

European-Non Finnish (NFE)

AF:

0.00

AC:

AN:

1073122

Other (OTH)

AF:

0.00

AC:

AN:

57404

GnomAD4 genome

Cov.:

Alfa

AF:

0.00

Hom.:

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:4

Revision: criteria provided, multiple submitters, no conflicts

LINK: link

Submissions by phenotype

Retinal dystrophy

Pathogenic:2

Dec 14, 2018

Blueprint Genetics

Significance:Pathogenic

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Jan 01, 2022

Institute of Human Genetics, Univ. Regensburg, Univ. Regensburg

Significance:Pathogenic

Review Status:criteria provided, single submitter

Collection Method:clinical testing

- -

Autosomal dominant vitreoretinochoroidopathy

Pathogenic:1

Oct 01, 2004

OMIM

Significance:Pathogenic

Review Status:no assertion criteria provided

Collection Method:literature only

- -

not provided

Pathogenic:1

Aug 29, 2024

Labcorp Genetics (formerly Invitae), Labcorp

Significance:Pathogenic

Review Status:criteria provided, single submitter

Collection Method:clinical testing

This sequence change replaces valine, which is neutral and non-polar, with methionine, which is neutral and non-polar, at codon 86 of the BEST1 protein (p.Val86Met). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individuals with autosomal dominant vitreoretinochoroidopathy (PMID: 15452077, 21072067, 26771239). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 2744). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt BEST1 protein function with a positive predictive value of 95%. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on BEST1 function (PMID: 15452077). This variant disrupts the p.Val86 amino acid residue in BEST1. Other variant(s) that disrupt this residue have been determined to be pathogenic (internal data). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name

Calibrated prediction

Score

Prediction

AlphaMissense

Pathogenic

0.95

BayesDel_addAF

Pathogenic

0.57

BayesDel_noAF

Pathogenic

0.59

CADD

Pathogenic

(source)

DANN

Uncertain

1.0

DEOGEN2

Pathogenic

0.98

D;.

Eigen

Pathogenic

1.0

Eigen_PC

Pathogenic

0.93

FATHMM_MKL

Uncertain

0.97

LIST_S2

Pathogenic

1.0

D;D

M_CAP

Pathogenic

0.87

MetaRNN

Pathogenic

0.99

D;D

MetaSVM

Pathogenic

1.0

MutationAssessor

Pathogenic

3.9

H;.

PhyloP100

9.8

PrimateAI

Uncertain

0.76

PROVEAN

Uncertain

-2.9

D;D

REVEL

Pathogenic

0.97

Sift

Pathogenic

0.0

D;D

Sift4G

Pathogenic

0.0

D;D

Polyphen

1.0

D;D

Vest4

0.95

MutPred

0.93

Loss of catalytic residue at V86 (P = 0.085);.;

MVP

0.99

MPC

1.0

ClinPred

1.0

GERP RS

5.0

Varity_R

0.93

gMVP

0.91

Mutation Taster

=155/145

disease causing (ClinVar)

(source)

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

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Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

Publications

ACMG classification

Transcripts

RefSeq

Ensembl

Frequencies

ClinVar

Submissions by phenotype

Computational scores

Splicing

Publications

Other links and lift over