13-48360067-C-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_ModeratePP5_Moderate

The NM_000321.3(RB1):​c.658C>G​(p.Leu220Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L220I) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)

Consequence

RB1
NM_000321.3 missense

Scores

1
6
12

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 0.342
Variant links:
Genes affected
RB1 (HGNC:9884): (RB transcriptional corepressor 1) The protein encoded by this gene is a negative regulator of the cell cycle and was the first tumor suppressor gene found. The encoded protein also stabilizes constitutive heterochromatin to maintain the overall chromatin structure. The active, hypophosphorylated form of the protein binds transcription factor E2F1. Defects in this gene are a cause of childhood cancer retinoblastoma (RB), bladder cancer, and osteogenic sarcoma. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 13-48360067-C-G is Pathogenic according to our data. Variant chr13-48360067-C-G is described in ClinVar as [Pathogenic]. Clinvar id is 1678695.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RB1NM_000321.3 linkuse as main transcriptc.658C>G p.Leu220Val missense_variant 7/27 ENST00000267163.6
RB1NM_001407165.1 linkuse as main transcriptc.658C>G p.Leu220Val missense_variant 7/27
RB1NM_001407166.1 linkuse as main transcriptc.658C>G p.Leu220Val missense_variant 7/17

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RB1ENST00000267163.6 linkuse as main transcriptc.658C>G p.Leu220Val missense_variant 7/271 NM_000321.3 P1
RB1ENST00000467505.5 linkuse as main transcriptc.*26C>G 3_prime_UTR_variant, NMD_transcript_variant 2/31
RB1ENST00000650461.1 linkuse as main transcriptc.658C>G p.Leu220Val missense_variant 7/27
RB1ENST00000525036.1 linkuse as main transcriptn.820C>G non_coding_transcript_exon_variant 7/73

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingGeneDxMar 05, 2022Not observed in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 19339519, 21654082, 25151137, 18181215, 18449911, 17996702, 30031154, 28575107, 31997559, 23516486) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Uncertain
0.068
T
BayesDel_noAF
Benign
-0.14
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.48
T;.
Eigen
Benign
-0.036
Eigen_PC
Benign
-0.11
FATHMM_MKL
Benign
0.67
D
LIST_S2
Benign
0.85
D;D
M_CAP
Benign
0.051
D
MetaRNN
Uncertain
0.51
D;D
MetaSVM
Benign
-0.46
T
MutationAssessor
Uncertain
2.1
M;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.7
N;.
REVEL
Pathogenic
0.74
Sift
Benign
0.042
D;.
Sift4G
Benign
0.072
T;.
Polyphen
0.98
D;.
Vest4
0.73
MutPred
0.38
Gain of catalytic residue at M219 (P = 0);Gain of catalytic residue at M219 (P = 0);
MVP
0.77
MPC
1.3
ClinPred
0.93
D
GERP RS
-1.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.38
gMVP
0.46

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.99
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.99
Position offset: -1

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

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr13-48934203; API