16-15039970-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_173474.4(NTAN1):​c.638C>A​(p.Pro213Gln) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000071 in 1,408,492 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P213R) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.1e-7 ( 0 hom. )

Consequence

NTAN1
NM_173474.4 missense, splice_region

Scores

2
16
Splicing: ADA: 0.001682
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.40

Publications

0 publications found
Variant links:
Genes affected
NTAN1 (HGNC:29909): (N-terminal asparagine amidase) The protein encoded by this gene functions in a step-wise process of protein degradation through the N-end rule pathway. This protein acts as a tertiary destabilizing enzyme that deamidates N-terminal L-Asn residues on proteins to produce N-terminal L-Asp. L-Asp substrates are subsequently conjugated to L-Arg, which is recognized by specific E3 ubiquitin ligases and targeted to the proteasome. Pseudogenes of this gene are located on the long arms of chromosomes 8, 10 and 12. Alternative splicing results in multiple transcript variants that encode different protein isoforms. [provided by RefSeq, Jul 2012]
PDXDC1 (HGNC:28995): (pyridoxal dependent decarboxylase domain containing 1) Enables cadherin binding activity. Predicted to be involved in carboxylic acid metabolic process. Located in Golgi apparatus. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.09881541).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_173474.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NTAN1
NM_173474.4
MANE Select
c.638C>Ap.Pro213Gln
missense splice_region
Exon 8 of 10NP_775745.1Q96AB6
NTAN1
NM_001270766.2
c.323C>Ap.Pro108Gln
missense splice_region
Exon 7 of 9NP_001257695.1A0A087X0T5
NTAN1
NM_001270767.2
c.323C>Ap.Pro108Gln
missense splice_region
Exon 6 of 8NP_001257696.1A0A087X0T5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NTAN1
ENST00000287706.8
TSL:1 MANE Select
c.638C>Ap.Pro213Gln
missense splice_region
Exon 8 of 10ENSP00000287706.3Q96AB6
PDXDC1
ENST00000535621.6
TSL:1
c.1399+9914G>T
intron
N/AENSP00000437835.2Q86XE2
NTAN1
ENST00000566419.1
TSL:3
c.557C>Ap.Pro186Gln
missense splice_region
Exon 8 of 9ENSP00000454883.1H3BNJ5

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
7.10e-7
AC:
1
AN:
1408492
Hom.:
0
Cov.:
25
AF XY:
0.00
AC XY:
0
AN XY:
703796
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
32342
American (AMR)
AF:
0.00
AC:
0
AN:
42922
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25672
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39226
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83768
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53132
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5666
European-Non Finnish (NFE)
AF:
9.37e-7
AC:
1
AN:
1067276
Other (OTH)
AF:
0.00
AC:
0
AN:
58488
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
20
DANN
Benign
0.89
DEOGEN2
Benign
0.015
T
Eigen
Benign
-0.17
Eigen_PC
Benign
0.048
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.0075
T
MetaRNN
Benign
0.099
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.2
L
PhyloP100
2.4
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
0.32
N
REVEL
Benign
0.085
Sift
Benign
0.89
T
Sift4G
Benign
0.60
T
Polyphen
0.053
B
Vest4
0.61
MutPred
0.22
Gain of catalytic residue at P213 (P = 0.0596)
MVP
0.36
MPC
0.19
ClinPred
0.49
T
GERP RS
5.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.16
gMVP
0.56

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0017
dbscSNV1_RF
Benign
0.092
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

Other links and lift over

dbSNP: rs777400530; hg19: chr16-15133827; API