16-31185081-TGGCGGCGGCGGCGGC-TGGCGGCGGCGGCGGCGGC

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP3BP6_Very_StrongBS1BS2

The NM_004960.4(FUS):​c.684_686dupCGG​(p.Gly229dup) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00144 in 1,607,566 control chromosomes in the GnomAD database, including 12 homozygotes. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. G229G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0047 ( 4 hom., cov: 32)
Exomes 𝑓: 0.0011 ( 8 hom. )

Consequence

FUS
NM_004960.4 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 2.17

Publications

2 publications found
Variant links:
Genes affected
FUS (HGNC:4010): (FUS RNA binding protein) This gene encodes a multifunctional protein component of the heterogeneous nuclear ribonucleoprotein (hnRNP) complex. The hnRNP complex is involved in pre-mRNA splicing and the export of fully processed mRNA to the cytoplasm. This protein belongs to the FET family of RNA-binding proteins which have been implicated in cellular processes that include regulation of gene expression, maintenance of genomic integrity and mRNA/microRNA processing. Alternative splicing results in multiple transcript variants. Defects in this gene result in amyotrophic lateral sclerosis type 6. [provided by RefSeq, Sep 2009]
FUS Gene-Disease associations (from GenCC):
  • amyotrophic lateral sclerosis
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Illumina
  • amyotrophic lateral sclerosis type 6
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, ClinGen
  • juvenile amyotrophic lateral sclerosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • tremor, hereditary essential, 4
    Inheritance: AD, Unknown Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_004960.4
BP6
Variant 16-31185081-T-TGGC is Benign according to our data. Variant chr16-31185081-T-TGGC is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 318986.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00466 (707/151644) while in subpopulation AFR AF = 0.0143 (589/41326). AF 95% confidence interval is 0.0133. There are 4 homozygotes in GnomAd4. There are 346 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 4 AD,AR,Unknown gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FUSNM_004960.4 linkc.684_686dupCGG p.Gly229dup disruptive_inframe_insertion Exon 6 of 15 ENST00000254108.12 NP_004951.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FUSENST00000254108.12 linkc.684_686dupCGG p.Gly229dup disruptive_inframe_insertion Exon 6 of 15 1 NM_004960.4 ENSP00000254108.8

Frequencies

GnomAD3 genomes
AF:
0.00464
AC:
703
AN:
151526
Hom.:
4
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0142
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00250
Gnomad ASJ
AF:
0.00116
Gnomad EAS
AF:
0.00368
Gnomad SAS
AF:
0.00188
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000575
Gnomad OTH
AF:
0.00336
GnomAD2 exomes
AF:
0.00164
AC:
382
AN:
232882
AF XY:
0.00150
show subpopulations
Gnomad AFR exome
AF:
0.0102
Gnomad AMR exome
AF:
0.00124
Gnomad ASJ exome
AF:
0.000716
Gnomad EAS exome
AF:
0.00317
Gnomad FIN exome
AF:
0.000195
Gnomad NFE exome
AF:
0.000547
Gnomad OTH exome
AF:
0.00241
GnomAD4 exome
AF:
0.00111
AC:
1612
AN:
1455922
Hom.:
8
Cov.:
32
AF XY:
0.00104
AC XY:
752
AN XY:
723972
show subpopulations
African (AFR)
AF:
0.0143
AC:
476
AN:
33388
American (AMR)
AF:
0.00136
AC:
59
AN:
43236
Ashkenazi Jewish (ASJ)
AF:
0.000422
AC:
11
AN:
26042
East Asian (EAS)
AF:
0.00175
AC:
69
AN:
39538
South Asian (SAS)
AF:
0.00204
AC:
175
AN:
85976
European-Finnish (FIN)
AF:
0.000209
AC:
11
AN:
52562
Middle Eastern (MID)
AF:
0.000868
AC:
5
AN:
5758
European-Non Finnish (NFE)
AF:
0.000559
AC:
620
AN:
1109310
Other (OTH)
AF:
0.00309
AC:
186
AN:
60112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
96
191
287
382
478
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
36
72
108
144
180
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00466
AC:
707
AN:
151644
Hom.:
4
Cov.:
32
AF XY:
0.00467
AC XY:
346
AN XY:
74094
show subpopulations
African (AFR)
AF:
0.0143
AC:
589
AN:
41326
American (AMR)
AF:
0.00250
AC:
38
AN:
15218
Ashkenazi Jewish (ASJ)
AF:
0.00116
AC:
4
AN:
3460
East Asian (EAS)
AF:
0.00369
AC:
19
AN:
5148
South Asian (SAS)
AF:
0.00188
AC:
9
AN:
4784
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10522
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000575
AC:
39
AN:
67876
Other (OTH)
AF:
0.00380
AC:
8
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.509
Heterozygous variant carriers
0
31
61
92
122
153
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000401
Hom.:
0

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

FUS: BS1 -

-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:2
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Feb 10, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

FUS-related disorder Benign:1
May 26, 2022
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Amyotrophic Lateral Sclerosis, Dominant Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Amyotrophic lateral sclerosis type 6;C3539195:Tremor, hereditary essential, 4 Benign:1
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
2.2
Mutation Taster
=81/19
polymorphism

Splicing

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

Publications

Other links and lift over

dbSNP: rs72550890; hg19: chr16-31196402; COSMIC: COSV99568501; COSMIC: COSV99568501; API