12-117220188-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 1P and 9B. PP2BP4_StrongBP6BS2

The NM_000620.5(NOS1):​c.4057G>A​(p.Val1353Ile) variant causes a missense change. The variant allele was found at a frequency of 0.00129 in 1,613,978 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.00087 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0013 ( 3 hom. )

Consequence

NOS1
NM_000620.5 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1B:1

Conservation

PhyloP100: 6.15
Variant links:
Genes affected
NOS1 (HGNC:7872): (nitric oxide synthase 1) The protein encoded by this gene belongs to the family of nitric oxide synthases, which synthesize nitric oxide from L-arginine. Nitric oxide is a reactive free radical, which acts as a biologic mediator in several processes, including neurotransmission, and antimicrobial and antitumoral activities. In the brain and peripheral nervous system, nitric oxide displays many properties of a neurotransmitter, and has been implicated in neurotoxicity associated with stroke and neurodegenerative diseases, neural regulation of smooth muscle, including peristalsis, and penile erection. This protein is ubiquitously expressed, with high level of expression in skeletal muscle. Multiple transcript variants that differ in the 5' UTR have been described for this gene but the full-length nature of these transcripts is not known. Additionally, alternatively spliced transcript variants encoding different isoforms (some testis-specific) have been found for this gene.[provided by RefSeq, Feb 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), NOS1. . Gene score misZ 3.6832 (greater than the threshold 3.09). Trascript score misZ 4.7179 (greater than threshold 3.09). GenCC has associacion of gene with idiopathic achalasia.
BP4
Computational evidence support a benign effect (MetaRNN=0.027145267).
BP6
Variant 12-117220188-C-T is Benign according to our data. Variant chr12-117220188-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 3050294.Status of the report is no_assertion_criteria_provided, 0 stars.
BS2
High AC in GnomAd4 at 132 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOS1NM_000620.5 linkuse as main transcriptc.4057G>A p.Val1353Ile missense_variant 27/29 ENST00000317775.11 NP_000611.1 P29475-1B3VK56A0PJJ7B4DG68
NOS1NM_001204218.2 linkuse as main transcriptc.4159G>A p.Val1387Ile missense_variant 28/30 NP_001191147.1 P29475-5A0PJJ7B4DG68
NOS1NM_001204213.2 linkuse as main transcriptc.3049G>A p.Val1017Ile missense_variant 26/28 NP_001191142.1 P29475-3A0PJJ7B4DG68
NOS1NM_001204214.2 linkuse as main transcriptc.3049G>A p.Val1017Ile missense_variant 26/28 NP_001191143.1 P29475-3A0PJJ7B4DG68

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOS1ENST00000317775.11 linkuse as main transcriptc.4057G>A p.Val1353Ile missense_variant 27/291 NM_000620.5 ENSP00000320758.6 P29475-1
NOS1ENST00000338101.8 linkuse as main transcriptc.4159G>A p.Val1387Ile missense_variant 27/295 ENSP00000337459.4 P29475-5
NOS1ENST00000618760.4 linkuse as main transcriptc.4159G>A p.Val1387Ile missense_variant 28/305 ENSP00000477999.1 P29475-5

Frequencies

GnomAD3 genomes
AF:
0.000874
AC:
133
AN:
152224
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000386
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.000565
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00147
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000977
AC:
244
AN:
249704
Hom.:
1
AF XY:
0.00104
AC XY:
141
AN XY:
135262
show subpopulations
Gnomad AFR exome
AF:
0.000442
Gnomad AMR exome
AF:
0.000261
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000167
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.000608
Gnomad NFE exome
AF:
0.00182
Gnomad OTH exome
AF:
0.000821
GnomAD4 exome
AF:
0.00134
AC:
1957
AN:
1461636
Hom.:
3
Cov.:
31
AF XY:
0.00137
AC XY:
998
AN XY:
727140
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.000246
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.000151
Gnomad4 FIN exome
AF:
0.000902
Gnomad4 NFE exome
AF:
0.00165
Gnomad4 OTH exome
AF:
0.000745
GnomAD4 genome
AF:
0.000866
AC:
132
AN:
152342
Hom.:
0
Cov.:
32
AF XY:
0.000859
AC XY:
64
AN XY:
74494
show subpopulations
Gnomad4 AFR
AF:
0.000385
Gnomad4 AMR
AF:
0.000261
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.000565
Gnomad4 NFE
AF:
0.00147
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00118
Hom.:
1
Bravo
AF:
0.000718
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00110
AC:
134
EpiCase
AF:
0.00125
EpiControl
AF:
0.00148

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 30, 2024The c.4159G>A (p.V1387I) alteration is located in exon 28 (coding exon 27) of the NOS1 gene. This alteration results from a G to A substitution at nucleotide position 4159, causing the valine (V) at amino acid position 1387 to be replaced by an isoleucine (I). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
NOS1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 19, 2022This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.45
T;.;.;T
Eigen
Benign
-0.067
Eigen_PC
Benign
0.058
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.94
D;D;.;D
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.027
T;T;T;T
MetaSVM
Benign
-0.55
T
MutationAssessor
Benign
1.1
L;.;.;.
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-0.81
N;.;N;.
REVEL
Benign
0.23
Sift
Benign
0.069
T;.;T;.
Sift4G
Benign
0.075
T;T;T;T
Polyphen
0.14
B;.;.;.
Vest4
0.43
MVP
0.75
MPC
0.55
ClinPred
0.017
T
GERP RS
4.4
Varity_R
0.091
gMVP
0.56

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: rs74427117; hg19: chr12-117657993; API