17-31330830-A-G
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Variant summary
Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM2PP3PP5_Very_Strong
The NM_001042492.3(NF1):c.5812+332A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,238 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Consequence
NF1
NM_001042492.3 intron
NM_001042492.3 intron
Scores
2
Clinical Significance
Conservation
PhyloP100: 0.582
Genes affected
NF1 (HGNC:7765): (neurofibromin 1) This gene product appears to function as a negative regulator of the ras signal transduction pathway. Mutations in this gene have been linked to neurofibromatosis type 1, juvenile myelomonocytic leukemia and Watson syndrome. The mRNA for this gene is subject to RNA editing (CGA>UGA->Arg1306Term) resulting in premature translation termination. Alternatively spliced transcript variants encoding different isoforms have also been described for this gene. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 11 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 17-31330830-A-G is Pathogenic according to our data. Variant chr17-31330830-A-G is described in ClinVar as [Pathogenic]. Clinvar id is 216065.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-31330830-A-G is described in Lovd as [Pathogenic]. Variant chr17-31330830-A-G is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
NF1 | NM_001042492.3 | c.5812+332A>G | intron_variant | ENST00000358273.9 | NP_001035957.1 | |||
NF1 | NM_000267.3 | c.5749+332A>G | intron_variant | NP_000258.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
NF1 | ENST00000358273.9 | c.5812+332A>G | intron_variant | 1 | NM_001042492.3 | ENSP00000351015 | P1 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152238Hom.: 0 Cov.: 32
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152238Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74390
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:7Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Neurofibromatosis, type 1 Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | Genome-Nilou Lab | Mar 15, 2022 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 03, 2024 | This sequence change falls in intron 38 of the NF1 gene. It does not directly change the encoded amino acid sequence of the NF1 protein. RNA analysis indicates that this variant induces altered splicing and may result in an absent or disrupted protein product. This variant is not present in population databases (gnomAD no frequency). This variant has been observed in individual(s) with neurofibromatosis type I (PMID: 8829638, 18546366). In at least one individual the variant was observed to be de novo. ClinVar contains an entry for this variant (Variation ID: 216065). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Studies have shown that this variant results in creation of a new donor splice site in intron 38 that results in two aberrant splice products and introduces a premature termination codon (PMID: 8829638; Invitae). The resulting mRNA is expected to undergo nonsense-mediated decay. For these reasons, this variant has been classified as Pathogenic. - |
not provided Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Apr 11, 2023 | Published functional studies demonstrate inclusion of intronic sequence which is predicted to lead to a premature termination codon and truncated protein (Perrin et al., 1996; Pros, et al., 2009; Evans et al., 2016; Douben et al., 2022); No data available from control populations to assess the frequency of this variant; Also known as IVS30+332A>G; This variant is associated with the following publications: (PMID: 18546366, 9180088, 32408052, 19823873, 8829638, 24506781, 19241459, 27322474, 17311297, 12807981, 22155606, 34308366, 34782607, 36251260, 35433111, 34945792) - |
Pathogenic, criteria provided, single submitter | clinical testing | Institute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU Dresden | Dec 21, 2022 | PP3_STR, PS3_MOD, PS4_MOD, PM6_SUP, PM2_SUP - |
Hereditary cancer-predisposing syndrome;CN230736:Cardiovascular phenotype Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | Apr 21, 2022 | The c.5749+332A>G intronic pathogenic mutation results from an A to G substitution 332 nucleotides after coding exon 38 in the NF1 gene. This mutation has been reported in multiple individuals with a clinical diagnosis or suspicion of neurofibromatosis type 1, including at least one de novo case (Perrin G et al. Hum. Mutat., 1996;7:172-5; Pros E et al. Hum Mutat, 2008 Sep;29:E173-93; Evans DG et al. EBioMedicine, 2016 May;7:212-20). In silico splice site analysis predicts that this alteration will result in the creation or strengthening of a novel splice donor site. RNA studies have demonstrated that this alteration results in insertion of a pseudoexon containing 177 nucleotides, thereby creating a premature stop codon (Perrin G et al. Hum. Mutat., 1996;7:172-5; Pros E et al. Hum Mutat, 2008 Sep;29:E173-93; Evans DG et al. EBioMedicine, 2016 May;7:212-20; Ambry internal data). This variant is considered to be rare based on population cohorts in the Genome Aggregation Database (gnomAD). Based on the supporting evidence, this alteration is interpreted as a disease-causing mutation. - |
Hereditary cancer-predisposing syndrome Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | Jul 29, 2014 | <span data-redactor="verified" style="background-color: initial;">The c.5812+332A>G pathogenic mutation, located in intron 39 the NF1 gene, results from an A to G substitution 332 nucleotides after coding exon 39. In one study, this mutation was confirmed de novo in an affected female with classical NF1, but was not present in 120 unaffected individuals tested in the same study. This study also showed that the mutation resulted in aberrant splicing and truncated protein products (Perrin et al. Hum. Mutat. 1996; 7(2):172-5). In another study, this mutation was reported in three unrelated individuals with either a diagnosis or a clinical suspicion of NF1.This mutation was shown to cause the insertion of a cryptic, 177 nucleotide long exon, between coding exons 39 and 40, causing a translational frameshift with a predicted alternate stop codon (Pros et al. Hum. Mutat. 2008 Sep; 29(9):E173-93). In addition to the clinical data presented in the literature, since frameshifts are typically deleterious in nature, this alteration is interpreted as a disease-causing mutation (ACMG Recommendations for Standards for Interpretation and Reporting of Sequence Variations. Revision 2007. Genet Med. 2008;10:294). This mutation is also known as c.5749+332A>G in published literature. - |
Neurofibroma Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen | Apr 24, 2024 | - - |
Neoplasm Other:1
-, criteria provided, single submitter | clinical testing | Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital | Jul 31, 2024 | - - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
DS_DG_spliceai
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at