17-39669643-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_002686.4(PNMT):​c.217C>T​(p.Arg73Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000731 in 1,613,946 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000072 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000073 ( 1 hom. )

Consequence

PNMT
NM_002686.4 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.19
Variant links:
Genes affected
PNMT (HGNC:9160): (phenylethanolamine N-methyltransferase) The product of this gene catalyzes the last step of the catecholamine biosynthesis pathway, which methylates norepinephrine to form epinephrine (adrenaline). The enzyme also has beta-carboline 2N-methyltransferase activity. This gene is thought to play a key step in regulating epinephrine production. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Nov 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.17090279).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PNMTNM_002686.4 linkuse as main transcriptc.217C>T p.Arg73Cys missense_variant 2/3 ENST00000269582.3 NP_002677.1 P11086
PNMTXM_011524909.3 linkuse as main transcriptc.-78C>T 5_prime_UTR_premature_start_codon_gain_variant 2/3 XP_011523211.1 A8MT87
PNMTXM_011524909.3 linkuse as main transcriptc.-78C>T 5_prime_UTR_variant 2/3 XP_011523211.1 A8MT87
PNMTNR_073461.2 linkuse as main transcriptn.67C>T non_coding_transcript_exon_variant 2/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PNMTENST00000269582.3 linkuse as main transcriptc.217C>T p.Arg73Cys missense_variant 2/31 NM_002686.4 ENSP00000269582.2 P11086
PNMTENST00000394246.1 linkuse as main transcriptc.-78C>T 5_prime_UTR_premature_start_codon_gain_variant 2/32 ENSP00000377791.1 A8MT87
PNMTENST00000581428.1 linkuse as main transcriptc.217C>T p.Arg73Cys missense_variant 2/22 ENSP00000464234.1 J3QRI3
PNMTENST00000394246.1 linkuse as main transcriptc.-78C>T 5_prime_UTR_variant 2/32 ENSP00000377791.1 A8MT87

Frequencies

GnomAD3 genomes
AF:
0.0000723
AC:
11
AN:
152140
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000836
AC:
21
AN:
251064
Hom.:
0
AF XY:
0.0000957
AC XY:
13
AN XY:
135858
show subpopulations
Gnomad AFR exome
AF:
0.0000617
Gnomad AMR exome
AF:
0.0000868
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000229
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.0000793
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000732
AC:
107
AN:
1461688
Hom.:
1
Cov.:
32
AF XY:
0.0000894
AC XY:
65
AN XY:
727162
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000209
Gnomad4 FIN exome
AF:
0.0000562
Gnomad4 NFE exome
AF:
0.0000684
Gnomad4 OTH exome
AF:
0.0000828
GnomAD4 genome
AF:
0.0000722
AC:
11
AN:
152258
Hom.:
0
Cov.:
32
AF XY:
0.0000672
AC XY:
5
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.0000722
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000494
Hom.:
0
Bravo
AF:
0.0000567
ExAC
AF:
0.0000824
AC:
10
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000164
EpiControl
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 27, 2022The c.217C>T (p.R73C) alteration is located in exon 2 (coding exon 2) of the PNMT gene. This alteration results from a C to T substitution at nucleotide position 217, causing the arginine (R) at amino acid position 73 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.52
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.17
T;.
Eigen
Benign
-0.058
Eigen_PC
Benign
-0.15
FATHMM_MKL
Benign
0.27
N
LIST_S2
Benign
0.75
T;T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.17
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.2
M;.
PrimateAI
Benign
0.22
T
PROVEAN
Uncertain
-3.0
D;.
REVEL
Benign
0.11
Sift
Uncertain
0.010
D;.
Sift4G
Uncertain
0.015
D;D
Polyphen
1.0
D;.
Vest4
0.16
MVP
0.36
MPC
0.33
ClinPred
0.10
T
GERP RS
3.7
Varity_R
0.37
gMVP
0.55

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

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: rs202144149; hg19: chr17-37825896; API