14-49789264-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 4P and 1B. PM2PP5_ModerateBP4

The NM_004713.6(NEMF):​c.2777C>T​(p.Pro926Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000116 in 1,461,852 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

NEMF
NM_004713.6 missense

Scores

6
13

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 2.97
Variant links:
Genes affected
NEMF (HGNC:10663): (nuclear export mediator factor) This gene encodes a component of the ribosome quality control complex. The encoded protein facilitates the recognition and ubiquitination of stalled 60S subunits by the ubiquitin ligase listerin. A similar protein in fly functions as a tumor suppressor. [provided by RefSeq, Jul 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 14-49789264-G-A is Pathogenic according to our data. Variant chr14-49789264-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 973823.Status of the report is criteria_provided_single_submitter, 1 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.17376289). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NEMFNM_004713.6 linkuse as main transcriptc.2777C>T p.Pro926Leu missense_variant 28/33 ENST00000298310.10 NP_004704.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NEMFENST00000298310.10 linkuse as main transcriptc.2777C>T p.Pro926Leu missense_variant 28/335 NM_004713.6 ENSP00000298310 P1O60524-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251468
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135906
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.00000879
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000116
AC:
17
AN:
1461852
Hom.:
0
Cov.:
32
AF XY:
0.0000110
AC XY:
8
AN XY:
727224
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.0000153
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGeneDxJul 12, 2020• Observed in cis with another NEMF variant and with a pathogenic variant on the opposite allele (in trans) in internal GeneDx whole exome sequencing data in association with global developmental delay, hypotonia, and abnormal brain imaging • In silico analysis supports that this missense variant has a deleterious effect on protein structure/function • Not observed at a significant frequency in large population cohorts (Lek et al., 2016) • We interpret P926L as a likely pathogenic variant -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.065
BayesDel_addAF
Benign
-0.089
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
19
DANN
Uncertain
0.98
DEOGEN2
Benign
0.23
T;.
Eigen
Benign
0.13
Eigen_PC
Uncertain
0.25
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.91
D;D
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.17
T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.69
N;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Benign
0.46
T
PROVEAN
Uncertain
-2.6
D;D
REVEL
Benign
0.055
Sift
Uncertain
0.019
D;D
Sift4G
Benign
0.23
T;.
Polyphen
0.0030
B;.
Vest4
0.26
MutPred
0.25
Gain of stability (P = 0.0765);.;
MVP
0.082
MPC
0.22
ClinPred
0.53
D
GERP RS
4.9
RBP_binding_hub_radar
1.1
RBP_regulation_power_radar
2.8
Varity_R
0.091
gMVP
0.16

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: rs1239857520; hg19: chr14-50255982; API