15-48428455-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_000138.5(FBN1):​c.6888G>A​(p.Gln2296=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0229 in 1,614,014 control chromosomes in the GnomAD database, including 772 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.029 ( 94 hom., cov: 32)
Exomes 𝑓: 0.022 ( 678 hom. )

Consequence

FBN1
NM_000138.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:18

Conservation

PhyloP100: -0.00300
Variant links:
Genes affected
FBN1 (HGNC:3603): (fibrillin 1) This gene encodes a member of the fibrillin family of proteins. The encoded preproprotein is proteolytically processed to generate two proteins including the extracellular matrix component fibrillin-1 and the protein hormone asprosin. Fibrillin-1 is an extracellular matrix glycoprotein that serves as a structural component of calcium-binding microfibrils. These microfibrils provide force-bearing structural support in elastic and nonelastic connective tissue throughout the body. Asprosin, secreted by white adipose tissue, has been shown to regulate glucose homeostasis. Mutations in this gene are associated with Marfan syndrome and the related MASS phenotype, as well as ectopia lentis syndrome, Weill-Marchesani syndrome, Shprintzen-Goldberg syndrome and neonatal progeroid syndrome. [provided by RefSeq, Apr 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.31).
BP6
Variant 15-48428455-C-T is Benign according to our data. Variant chr15-48428455-C-T is described in ClinVar as [Benign]. Clinvar id is 42413.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr15-48428455-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.003 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0739 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FBN1NM_000138.5 linkuse as main transcriptc.6888G>A p.Gln2296= synonymous_variant 57/66 ENST00000316623.10
FBN1NM_001406716.1 linkuse as main transcriptc.6888G>A p.Gln2296= synonymous_variant 56/65

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FBN1ENST00000316623.10 linkuse as main transcriptc.6888G>A p.Gln2296= synonymous_variant 57/661 NM_000138.5 P1

Frequencies

GnomAD3 genomes
AF:
0.0288
AC:
4374
AN:
152130
Hom.:
93
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0401
Gnomad AMI
AF:
0.0976
Gnomad AMR
AF:
0.0382
Gnomad ASJ
AF:
0.0138
Gnomad EAS
AF:
0.0801
Gnomad SAS
AF:
0.0470
Gnomad FIN
AF:
0.0172
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0162
Gnomad OTH
AF:
0.0287
GnomAD3 exomes
AF:
0.0298
AC:
7494
AN:
251298
Hom.:
209
AF XY:
0.0280
AC XY:
3804
AN XY:
135806
show subpopulations
Gnomad AFR exome
AF:
0.0400
Gnomad AMR exome
AF:
0.0540
Gnomad ASJ exome
AF:
0.0144
Gnomad EAS exome
AF:
0.0738
Gnomad SAS exome
AF:
0.0402
Gnomad FIN exome
AF:
0.0135
Gnomad NFE exome
AF:
0.0155
Gnomad OTH exome
AF:
0.0315
GnomAD4 exome
AF:
0.0223
AC:
32547
AN:
1461766
Hom.:
678
Cov.:
35
AF XY:
0.0223
AC XY:
16239
AN XY:
727182
show subpopulations
Gnomad4 AFR exome
AF:
0.0399
Gnomad4 AMR exome
AF:
0.0537
Gnomad4 ASJ exome
AF:
0.0159
Gnomad4 EAS exome
AF:
0.107
Gnomad4 SAS exome
AF:
0.0357
Gnomad4 FIN exome
AF:
0.0146
Gnomad4 NFE exome
AF:
0.0166
Gnomad4 OTH exome
AF:
0.0284
GnomAD4 genome
AF:
0.0288
AC:
4386
AN:
152248
Hom.:
94
Cov.:
32
AF XY:
0.0298
AC XY:
2217
AN XY:
74436
show subpopulations
Gnomad4 AFR
AF:
0.0402
Gnomad4 AMR
AF:
0.0384
Gnomad4 ASJ
AF:
0.0138
Gnomad4 EAS
AF:
0.0803
Gnomad4 SAS
AF:
0.0475
Gnomad4 FIN
AF:
0.0172
Gnomad4 NFE
AF:
0.0162
Gnomad4 OTH
AF:
0.0284
Alfa
AF:
0.0181
Hom.:
46
Bravo
AF:
0.0315
Asia WGS
AF:
0.0710
AC:
248
AN:
3478
EpiCase
AF:
0.0158
EpiControl
AF:
0.0190

ClinVar

Significance: Benign
Submissions summary: Benign:18
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxOct 11, 2013This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineJan 11, 2008- -
Familial thoracic aortic aneurysm and aortic dissection Benign:3
Benign, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthMar 16, 2018- -
Benign, criteria provided, single submitterclinical testingAmbry GeneticsDec 30, 2014This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Marfan syndrome Benign:2
Likely benign, no assertion criteria providedclinical testingCohesion PhenomicsSep 23, 2022- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 30, 2023- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Stiff skin syndrome Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Weill-Marchesani syndrome Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Geleophysic dysplasia Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Acromicric dysplasia Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Marfan syndrome;C4707243:Familial thoracic aortic aneurysm and aortic dissection Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Ectopia lentis 1, isolated, autosomal dominant Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Marfan syndrome;C0265287:Acromicric dysplasia;C1858556:MASS syndrome;C1861456:Stiff skin syndrome;C1869115:Weill-Marchesani syndrome 2, dominant;C3280054:Geleophysic dysplasia 2;C3541518:Ectopia lentis 1, isolated, autosomal dominant;C4310796:Progeroid and marfanoid aspect-lipodystrophy syndrome Benign:1
Benign, criteria provided, single submitterclinical testingCenter for Genomics, Ann and Robert H. Lurie Children's Hospital of ChicagoApr 14, 2022FBN1:NM_000138.4:c.6888G>A:p.Gln2296=: KCNT1 NM_020822.2 exon 11 p.Gly288Ser (c.862G>A): This variant has been reported in the literature in multiple individuals affected with epilepsy including MMPSI, ADNFLE and hypomyelinating leukodystrophy, several of whom were reported to be de novo (Selected publications: Ishii 2013 PMID:24029708, Kim 2014 PMID:25482562, Arai Ichinoi 2016 PMID:26597493, Rizzo 2016 PMID:26784557, Liu 2018 PMID:30185235, Routier 2019 PMID:31170314).This variant is not present in large control database but is present in ClinVar, with several labs classifying this variant as pathogenic (Variation ID:126421). Evolutionary conservation supports that this variant may impact the protein; computational predictive tools are unclear. Additionally, in vitro functional studies also suggest that this variant will impact the protein's activity (Kim 2014 PMID:25482562, Rizzo 2016 PMID:26784557). In summary, this variant is classified as pathogenic based on the data above. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.31
CADD
Benign
12
DANN
Benign
0.82

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: rs363830; hg19: chr15-48720652; COSMIC: COSV57318293; COSMIC: COSV57318293; API