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GeneBe

12-101914209-C-A

Variant summary

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

The NM_018370.3(DRAM1):c.556C>A(p.Leu186Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000242 in 1,608,806 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000013 ( 0 hom. )

Consequence

DRAM1
NM_018370.3 missense

Scores

7
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.586
Variant links:
Genes affected
DRAM1 (HGNC:25645): (DNA damage regulated autophagy modulator 1) This gene is regulated as part of the p53 tumor suppressor pathway. The gene encodes a lysosomal membrane protein that is required for the induction of autophagy by the pathway. Decreased transcriptional expression of this gene is associated with various tumors. This gene has a pseudogene on chromosome 4. [provided by RefSeq, Jul 2008]

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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=0.13811907).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DRAM1NM_018370.3 linkuse as main transcriptc.556C>A p.Leu186Met missense_variant 5/7 ENST00000258534.13
DRAM1XM_005269004.3 linkuse as main transcriptc.556C>A p.Leu186Met missense_variant 5/6
DRAM1XM_047429098.1 linkuse as main transcriptc.382C>A p.Leu128Met missense_variant 5/7
DRAM1XM_005269005.3 linkuse as main transcriptc.343-5900C>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DRAM1ENST00000258534.13 linkuse as main transcriptc.556C>A p.Leu186Met missense_variant 5/71 NM_018370.3 P1Q8N682-1
DRAM1ENST00000549066.1 linkuse as main transcriptc.88C>A p.Leu30Met missense_variant 2/33
DRAM1ENST00000544152.5 linkuse as main transcriptc.343-7007C>A intron_variant 2 Q8N682-2
DRAM1ENST00000551403.1 linkuse as main transcriptc.*33C>A 3_prime_UTR_variant, NMD_transcript_variant 4/65

Frequencies

GnomAD3 genomes
AF:
0.000131
AC:
20
AN:
152108
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00118
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:
0.000478
GnomAD3 exomes
AF:
0.0000327
AC:
8
AN:
244588
Hom.:
0
AF XY:
0.0000150
AC XY:
2
AN XY:
133024
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000246
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
0.0000130
AC:
19
AN:
1456580
Hom.:
0
Cov.:
29
AF XY:
0.00000966
AC XY:
7
AN XY:
724754
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000350
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.0000499
GnomAD4 genome
AF:
0.000131
AC:
20
AN:
152226
Hom.:
0
Cov.:
32
AF XY:
0.000134
AC XY:
10
AN XY:
74422
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00118
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.000291
ExAC
AF:
0.0000414
AC:
5

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 15, 2023The c.556C>A (p.L186M) alteration is located in exon 5 (coding exon 5) of the DRAM1 gene. This alteration results from a C to A substitution at nucleotide position 556, causing the leucine (L) at amino acid position 186 to be replaced by a methionine (M). 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
0.20
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.31
Cadd
Benign
22
Dann
Uncertain
1.0
DEOGEN2
Benign
0.27
T
Eigen
Uncertain
0.39
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Benign
0.61
D
LIST_S2
Benign
0.71
T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-0.62
T
MutationAssessor
Uncertain
2.5
M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.18
Sift
Uncertain
0.0060
D
Sift4G
Uncertain
0.021
D
Polyphen
1.0
D
Vest4
0.37
MVP
0.50
MPC
1.8
ClinPred
0.44
T
GERP RS
3.6
Varity_R
0.18
gMVP
0.28

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.080
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: rs200817899; hg19: chr12-102307987; API