12-112418825-G-A

Variant names:

• chr12-112418825-G-A
• rs377496292
• NM_001320141.2:c.-326C>T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2 BP4_Strong

The NM_001320141.2(RPL6):​c.-326C>T variant causes a 5 prime UTR premature start codon gain change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000611 in 327,500 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: not found (cov: 33)
  • Exomes 𝑓: 0.0000061 (0 hom.)
• Consequence: RPL6 NM_001320141.2 5_prime_UTR_premature_start_codon_gain
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -2.35
• Publications: 0 publications found

Genes affected

RPL6 (HGNC:10362): (ribosomal protein L6) This gene encodes a protein component of the 60S ribosomal subunit. This protein can bind specifically to domain C of the tax-responsive enhancer element of human T-cell leukemia virus type 1, and may participate in tax-mediated transactivation of transcription. As is typical for genes encoding ribosomal proteins, there are multiple processed pseudogenes of this gene dispersed throughout the genome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2016]

PTPN11 (HGNC:9644): (protein tyrosine phosphatase non-receptor type 11) The protein encoded by this gene is a member of the protein tyrosine phosphatase (PTP) family. PTPs are known to be signaling molecules that regulate a variety of cellular processes including cell growth, differentiation, mitotic cycle, and oncogenic transformation. This PTP contains two tandem Src homology-2 domains, which function as phospho-tyrosine binding domains and mediate the interaction of this PTP with its substrates. This PTP is widely expressed in most tissues and plays a regulatory role in various cell signaling events that are important for a diversity of cell functions, such as mitogenic activation, metabolic control, transcription regulation, and cell migration. Mutations in this gene are a cause of Noonan syndrome as well as acute myeloid leukemia. [provided by RefSeq, Aug 2016]

PTPN11 Gene-Disease associations (from GenCC):

• LEOPARD syndrome 1

  Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae)
• Noonan syndrome

  Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
• Noonan syndrome 1

  Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, Genomics England PanelApp
• Noonan syndrome with multiple lentigines

  Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
• metachondromatosis

  Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
• cardiofaciocutaneous syndrome

  Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
• Costello syndrome

  Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
• Noonan syndrome-like disorder with loose anagen hair

  Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

ACMG classification

Our verdict: Likely_benign. The variant received -2 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.83).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001320141.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	RPL6	NM_001320141.2		c.-326C>T		5_prime_UTR_premature_start_codon_gain	Exon 1 of 9	NP_001307070.1	Q02878
	RPL6	NM_001320141.2		c.-326C>T		5_prime_UTR	Exon 1 of 9	NP_001307070.1	Q02878
	PTPN11	NM_002834.5	MANE Select	c.-287G>A		upstream_gene	N/A	NP_002825.3

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	RPL6	ENST00000895614.1		c.-489C>T		5_prime_UTR_premature_start_codon_gain	Exon 1 of 9	ENSP00000565673.1
	RPL6	ENST00000955984.1		c.-1354C>T		5_prime_UTR_premature_start_codon_gain	Exon 1 of 9	ENSP00000626043.1
	RPL6	ENST00000551291.6	TSL:3	c.-326C>T		5_prime_UTR_premature_start_codon_gain	Exon 1 of 6	ENSP00000448067.2	F8VU16

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome AF: 0.00000611 AC: 2 AN: 327500 Hom.: 0 Cov.: 0 AF XY: 0.0000116 AC XY: 2 AN XY: 172164

African (AFR) AF: 0.00 AC: 0 AN: 7124

American (AMR) AF: 0.00 AC: 0 AN: 7146

Ashkenazi Jewish (ASJ) AF: 0.00 AC: 0 AN: 10626

East Asian (EAS) AF: 0.00 AC: 0 AN: 21604

South Asian (SAS) AF: 0.00 AC: 0 AN: 32046

European-Finnish (FIN) AF: 0.00 AC: 0 AN: 24614

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 1558

European-Non Finnish (NFE) AF: 0.00000987 AC: 2 AN: 202726

Other (OTH) AF: 0.00 AC: 0 AN: 20056

GnomAD4 genome Cov.: 33

Alfa AF: 0.00 Hom.: 0

Bravo AF: 0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.83
CADD	Benign	5.7
DANN	Benign	0.85
PhyloP100		-2.3
PromoterAI		-0.0097	Neutral

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Other links and lift over

dbSNP: rs377496292; hg19: chr12-112856629;