17-17793779-C-CCAGCAA

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_030665.4(RAI1):​c.836_837insACAGCA​(p.Gln279_Gln280insGlnGln) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000133 in 1,357,644 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. Q279Q) has been classified as Benign.

Frequency

Genomes: 𝑓 0.000038 ( 0 hom., cov: 0)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

RAI1
NM_030665.4 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.36
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]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAdExome4 at 15 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RAI1NM_030665.4 linkuse as main transcriptc.836_837insACAGCA p.Gln279_Gln280insGlnGln disruptive_inframe_insertion 3/6 ENST00000353383.6 NP_109590.3 Q7Z5J4-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RAI1ENST00000353383.6 linkuse as main transcriptc.836_837insACAGCA p.Gln279_Gln280insGlnGln disruptive_inframe_insertion 3/61 NM_030665.4 ENSP00000323074.4 Q7Z5J4-1
RAI1ENST00000395774.1 linkuse as main transcriptc.836_837insACAGCA p.Gln279_Gln280insGlnGln disruptive_inframe_insertion 2/22 ENSP00000379120.1 A8MXE8

Frequencies

GnomAD3 genomes
AF:
0.0000381
AC:
3
AN:
78832
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.0000421
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000170
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000263
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000117
AC:
15
AN:
1278812
Hom.:
0
Cov.:
38
AF XY:
0.0000158
AC XY:
10
AN XY:
632490
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000631
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000107
Gnomad4 SAS exome
AF:
0.0000896
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000295
Gnomad4 OTH exome
AF:
0.0000385
GnomAD4 genome
AF:
0.0000381
AC:
3
AN:
78832
Hom.:
0
Cov.:
0
AF XY:
0.00
AC XY:
0
AN XY:
37424
show subpopulations
Gnomad4 AFR
AF:
0.0000421
Gnomad4 AMR
AF:
0.000170
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000263
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000189

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

RAI1-related disorder Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesAug 21, 2023The RAI1 c.836_837insACAGCA variant is predicted to result in an in-frame amino acid insertion (p.Gln290_Gln291dup). This variant results in the duplication of two glutamine residues within a polyglutamine track of RAI1. To our knowledge, this variant has not been reported in the literature or in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 08, 2022ClinVar contains an entry for this variant (Variation ID: 1399005). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. This variant has not been reported in the literature in individuals affected with RAI1-related conditions. This variant is not present in population databases (gnomAD no frequency). This variant, c.836_837insACAGCA, results in the insertion of 2 amino acid(s) of the RAI1 protein (p.Gln290_Gln291dup), but otherwise preserves the integrity of the reading frame. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs587780428; hg19: chr17-17697093; API