13-48380073-T-G

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM1BP4_ModerateBS2

The NM_000321.3(RB1):ā€‹c.1410T>Gā€‹(p.Ile470Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000793 in 1,386,580 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.000020 ( 0 hom., cov: 30)
Exomes š‘“: 0.0000065 ( 0 hom. )

Consequence

RB1
NM_000321.3 missense

Scores

5
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: 1.18
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM1
In a region_of_interest Domain A (size 206) in uniprot entity RB_HUMAN there are 18 pathogenic changes around while only 0 benign (100%) in NM_000321.3
BP4
Computational evidence support a benign effect (MetaRNN=0.17707056).
BS2
High AC in GnomAdExome4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RB1NM_000321.3 linkuse as main transcriptc.1410T>G p.Ile470Met missense_variant 15/27 ENST00000267163.6 NP_000312.2 P06400A0A024RDV3
RB1NM_001407165.1 linkuse as main transcriptc.1410T>G p.Ile470Met missense_variant 15/27 NP_001394094.1
RB1NM_001407166.1 linkuse as main transcriptc.1410T>G p.Ile470Met missense_variant 15/17 NP_001394095.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RB1ENST00000267163.6 linkuse as main transcriptc.1410T>G p.Ile470Met missense_variant 15/271 NM_000321.3 ENSP00000267163.4 P06400
RB1ENST00000650461.1 linkuse as main transcriptc.1410T>G p.Ile470Met missense_variant 15/27 ENSP00000497193.1 A0A3B3IS71

Frequencies

GnomAD3 genomes
AF:
0.0000199
AC:
3
AN:
150578
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000728
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
GnomAD3 exomes
AF:
0.00000745
AC:
1
AN:
134210
Hom.:
0
AF XY:
0.0000136
AC XY:
1
AN XY:
73508
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00
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:
0.00000647
AC:
8
AN:
1236002
Hom.:
0
Cov.:
22
AF XY:
0.00000650
AC XY:
4
AN XY:
615652
show subpopulations
Gnomad4 AFR exome
AF:
0.000263
Gnomad4 AMR exome
AF:
0.00
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:
0.00000104
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000199
AC:
3
AN:
150578
Hom.:
0
Cov.:
30
AF XY:
0.0000136
AC XY:
1
AN XY:
73502
show subpopulations
Gnomad4 AFR
AF:
0.0000728
Gnomad4 AMR
AF:
0.00
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:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:4Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hereditary cancer-predisposing syndrome Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 15, 2024The p.I470M variant (also known as c.1410T>G), located in coding exon 15 of the RB1 gene, results from a T to G substitution at nucleotide position 1410. The isoleucine at codon 470 is replaced by methionine, an amino acid with highly similar properties. Although this particular variant has not been reported in the literature, a different amino acid change at this same position (p.Ile470Phe) has been reported in two Chinese patients with unilateral retinoblastoma (Li T et al. Int J Clin Exp Pathol 2016;9(2):2120-2126). This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Uncertain significance, criteria provided, single submittercurationSema4, Sema4May 20, 2021- -
Retinoblastoma Uncertain:1Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 12, 2024- -
Uncertain significance, criteria provided, single submitterclinical testingAll of Us Research Program, National Institutes of HealthSep 27, 2024This missense variant replaces isoleucine with methionine at codon 470 of the RB1 protein. Computational prediction suggests that this variant may not impact protein structure and function (internally defined REVEL score threshold <= 0.5, PMID: 27666373). To our knowledge, functional studies have not been reported for this variant. This variant has not been reported in individuals affected with RB1-related disorders in the literature. This variant has been identified in 2/163858 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance. -
Malignant tumor of urinary bladder Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingBaylor GeneticsJul 28, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.0042
T
BayesDel_noAF
Benign
-0.24
CADD
Uncertain
23
DANN
Benign
0.96
DEOGEN2
Benign
0.39
T;.
Eigen
Benign
0.012
Eigen_PC
Benign
0.12
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Uncertain
0.93
D;D
M_CAP
Benign
0.054
D
MetaRNN
Benign
0.18
T;T
MetaSVM
Uncertain
-0.17
T
MutationAssessor
Benign
0.76
N;.
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-0.50
N;.
REVEL
Benign
0.26
Sift
Benign
0.060
T;.
Sift4G
Uncertain
0.0040
D;.
Polyphen
0.68
P;.
Vest4
0.20
MutPred
0.51
Gain of disorder (P = 0.0349);Gain of disorder (P = 0.0349);
MVP
0.81
MPC
0.87
ClinPred
0.18
T
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.36
gMVP
0.16

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs578226820; hg19: chr13-48954209; COSMIC: COSV99924044; COSMIC: COSV99924044; API