17-31330830-A-G

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

Scores

2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:7O:1

Conservation

PhyloP100: 0.582
Variant links:
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
NF1NM_001042492.3 linkuse as main transcriptc.5812+332A>G intron_variant ENST00000358273.9 NP_001035957.1
NF1NM_000267.3 linkuse as main transcriptc.5749+332A>G intron_variant NP_000258.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NF1ENST00000358273.9 linkuse as main transcriptc.5812+332A>G intron_variant 1 NM_001042492.3 ENSP00000351015 P1P21359-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152238
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
0
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152238
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74390
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

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 submitterclinical testingGenome-Nilou LabMar 15, 2022- -
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 03, 2024This 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 submitterclinical testingGeneDxApr 11, 2023Published 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 submitterclinical testingInstitute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU DresdenDec 21, 2022PP3_STR, PS3_MOD, PS4_MOD, PM6_SUP, PM2_SUP -
Hereditary cancer-predisposing syndrome;CN230736:Cardiovascular phenotype Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingAmbry GeneticsApr 21, 2022The 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 submitterclinical testingAmbry GeneticsJul 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 submitterclinical testingInstitute of Medical Genetics and Applied Genomics, University Hospital TübingenApr 24, 2024- -
Neoplasm Other:1
-, criteria provided, single submitterclinical testingCenter for Genomic Medicine, Rigshospitalet, Copenhagen University HospitalJul 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.83
CADD
Uncertain
24
DANN
Benign
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.75
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.75
Position offset: -1

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: rs863224491; hg19: chr17-29657848; API