17-17793217-G-C

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_030665.4(RAI1):​c.269G>C​(p.Gly90Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.376 in 1,611,184 control chromosomes in the GnomAD database, including 134,628 homozygotes. 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 Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G90V) has been classified as Benign.

Frequency

Genomes: 𝑓 0.45 ( 17645 hom., cov: 32)
Exomes 𝑓: 0.37 ( 116983 hom. )

Consequence

RAI1
NM_030665.4 missense

Scores

1
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -0.227

Publications

43 publications found
Variant links:
Genes affected
RAI1 (HGNC:9834): (retinoic acid induced 1) This gene is located within the Smith-Magenis syndrome region on chromosome 17. It is highly similar to its mouse counterpart and is expressed at high levels mainly in neuronal tissues. The protein encoded by this gene includes a polymorphic polyglutamine tract in the N-terminal domain. Expression of the mouse counterpart in neurons is induced by retinoic acid. This gene is associated with both the severity of the phenotype and the response to medication in schizophrenic patients. [provided by RefSeq, Jul 2008]
RAI1 Gene-Disease associations (from GenCC):
  • Smith-Magenis syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae), G2P
  • Potocki-Lupski syndrome
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=5.835128E-7).
BP6
Variant 17-17793217-G-C is Benign according to our data. Variant chr17-17793217-G-C is described in ClinVar as Benign. ClinVar VariationId is 96183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.895 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_030665.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RAI1
NM_030665.4
MANE Select
c.269G>Cp.Gly90Ala
missense
Exon 3 of 6NP_109590.3

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RAI1
ENST00000353383.6
TSL:1 MANE Select
c.269G>Cp.Gly90Ala
missense
Exon 3 of 6ENSP00000323074.4
RAI1
ENST00000395774.1
TSL:2
c.269G>Cp.Gly90Ala
missense
Exon 2 of 2ENSP00000379120.1
RAI1
ENST00000471135.2
TSL:3
c.*74G>C
downstream_gene
N/AENSP00000463607.1

Frequencies

GnomAD3 genomes
AF:
0.452
AC:
68553
AN:
151762
Hom.:
17624
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.608
Gnomad AMI
AF:
0.398
Gnomad AMR
AF:
0.509
Gnomad ASJ
AF:
0.357
Gnomad EAS
AF:
0.917
Gnomad SAS
AF:
0.757
Gnomad FIN
AF:
0.349
Gnomad MID
AF:
0.373
Gnomad NFE
AF:
0.309
Gnomad OTH
AF:
0.438
GnomAD2 exomes
AF:
0.480
AC:
116099
AN:
242094
AF XY:
0.479
show subpopulations
Gnomad AFR exome
AF:
0.627
Gnomad AMR exome
AF:
0.603
Gnomad ASJ exome
AF:
0.369
Gnomad EAS exome
AF:
0.923
Gnomad FIN exome
AF:
0.336
Gnomad NFE exome
AF:
0.312
Gnomad OTH exome
AF:
0.428
GnomAD4 exome
AF:
0.368
AC:
536943
AN:
1459304
Hom.:
116983
Cov.:
84
AF XY:
0.378
AC XY:
274420
AN XY:
725830
show subpopulations
African (AFR)
AF:
0.626
AC:
20926
AN:
33452
American (AMR)
AF:
0.592
AC:
26339
AN:
44522
Ashkenazi Jewish (ASJ)
AF:
0.363
AC:
9459
AN:
26070
East Asian (EAS)
AF:
0.920
AC:
36491
AN:
39666
South Asian (SAS)
AF:
0.745
AC:
64157
AN:
86120
European-Finnish (FIN)
AF:
0.337
AC:
17636
AN:
52374
Middle Eastern (MID)
AF:
0.440
AC:
2527
AN:
5740
European-Non Finnish (NFE)
AF:
0.301
AC:
334822
AN:
1111092
Other (OTH)
AF:
0.408
AC:
24586
AN:
60268
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
21818
43636
65455
87273
109091
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
11476
22952
34428
45904
57380
<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:
0.452
AC:
68612
AN:
151880
Hom.:
17645
Cov.:
32
AF XY:
0.463
AC XY:
34388
AN XY:
74206
show subpopulations
African (AFR)
AF:
0.608
AC:
25184
AN:
41420
American (AMR)
AF:
0.510
AC:
7784
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.357
AC:
1241
AN:
3472
East Asian (EAS)
AF:
0.917
AC:
4690
AN:
5116
South Asian (SAS)
AF:
0.756
AC:
3632
AN:
4806
European-Finnish (FIN)
AF:
0.349
AC:
3693
AN:
10568
Middle Eastern (MID)
AF:
0.367
AC:
108
AN:
294
European-Non Finnish (NFE)
AF:
0.309
AC:
20998
AN:
67906
Other (OTH)
AF:
0.436
AC:
920
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1751
3502
5253
7004
8755
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
616
1232
1848
2464
3080
<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:
0.347
Hom.:
3233
Bravo
AF:
0.469
TwinsUK
AF:
0.290
AC:
1077
ALSPAC
AF:
0.302
AC:
1165
ESP6500AA
AF:
0.608
AC:
2664
ESP6500EA
AF:
0.312
AC:
2677
ExAC
AF:
0.474
AC:
57345
Asia WGS
AF:
0.760
AC:
2640
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed.

Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Aug 15, 2013
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:3
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Smith-Magenis syndrome Benign:2
May 05, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Inborn genetic diseases Benign:1
Mar 11, 2016
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
2.2
DANN
Benign
0.68
DEOGEN2
Benign
0.044
T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.023
N
LIST_S2
Benign
0.16
T
MetaRNN
Benign
5.8e-7
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.6
N
PhyloP100
-0.23
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
0.38
N
REVEL
Benign
0.071
Sift
Benign
1.0
T
Sift4G
Benign
0.79
T
Polyphen
0.0
B
Vest4
0.011
MPC
0.29
ClinPred
0.0031
T
GERP RS
1.1
Varity_R
0.036
gMVP
0.10
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs3803763; hg19: chr17-17696531; COSMIC: COSV55398218; COSMIC: COSV55398218; API