17-75834107-C-T

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_199242.3(UNC13D):​c.2335G>A​(p.Val779Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00416 in 1,613,834 control chromosomes in the GnomAD database, including 22 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0035 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0042 ( 22 hom. )

Consequence

UNC13D
NM_199242.3 missense

Scores

1
18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:6

Conservation

PhyloP100: 0.738
Variant links:
Genes affected
UNC13D (HGNC:23147): (unc-13 homolog D) This gene encodes a protein that is a member of the UNC13 family, containing similar domain structure as other family members but lacking an N-terminal phorbol ester-binding C1 domain present in other Munc13 proteins. The protein appears to play a role in vesicle maturation during exocytosis and is involved in regulation of cytolytic granules secretion. Mutations in this gene are associated with familial hemophagocytic lymphohistiocytosis type 3, a genetically heterogeneous, rare autosomal recessive disorder. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0039931834).
BP6
Variant 17-75834107-C-T is Benign according to our data. Variant chr17-75834107-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 403593.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Benign=1, Uncertain_significance=3}. Variant chr17-75834107-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00349 (531/152354) while in subpopulation NFE AF= 0.00569 (387/68028). AF 95% confidence interval is 0.00522. There are 0 homozygotes in gnomad4. There are 256 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 22 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
UNC13DNM_199242.3 linkc.2335G>A p.Val779Met missense_variant Exon 24 of 32 ENST00000207549.9 NP_954712.1 Q70J99-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
UNC13DENST00000207549.9 linkc.2335G>A p.Val779Met missense_variant Exon 24 of 32 1 NM_199242.3 ENSP00000207549.3 Q70J99-1

Frequencies

GnomAD3 genomes
AF:
0.00349
AC:
531
AN:
152236
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000796
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00340
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00166
Gnomad FIN
AF:
0.00329
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00569
Gnomad OTH
AF:
0.00430
GnomAD3 exomes
AF:
0.00297
AC:
744
AN:
250866
Hom.:
1
AF XY:
0.00321
AC XY:
435
AN XY:
135718
show subpopulations
Gnomad AFR exome
AF:
0.000740
Gnomad AMR exome
AF:
0.00171
Gnomad ASJ exome
AF:
0.00298
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00131
Gnomad FIN exome
AF:
0.00315
Gnomad NFE exome
AF:
0.00455
Gnomad OTH exome
AF:
0.00310
GnomAD4 exome
AF:
0.00423
AC:
6179
AN:
1461480
Hom.:
22
Cov.:
33
AF XY:
0.00411
AC XY:
2986
AN XY:
727040
show subpopulations
Gnomad4 AFR exome
AF:
0.000717
Gnomad4 AMR exome
AF:
0.00188
Gnomad4 ASJ exome
AF:
0.00241
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00146
Gnomad4 FIN exome
AF:
0.00332
Gnomad4 NFE exome
AF:
0.00490
Gnomad4 OTH exome
AF:
0.00421
GnomAD4 genome
AF:
0.00349
AC:
531
AN:
152354
Hom.:
0
Cov.:
33
AF XY:
0.00344
AC XY:
256
AN XY:
74502
show subpopulations
Gnomad4 AFR
AF:
0.000793
Gnomad4 AMR
AF:
0.00340
Gnomad4 ASJ
AF:
0.00173
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00166
Gnomad4 FIN
AF:
0.00329
Gnomad4 NFE
AF:
0.00569
Gnomad4 OTH
AF:
0.00425
Alfa
AF:
0.00433
Hom.:
1
Bravo
AF:
0.00310
TwinsUK
AF:
0.00485
AC:
18
ALSPAC
AF:
0.00649
AC:
25
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00430
AC:
37
ExAC
AF:
0.00292
AC:
354
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00485
EpiControl
AF:
0.00462

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:6
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:3
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Dec 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

UNC13D: BP4, BS2 -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not specified Uncertain:1Benign:1
Mar 29, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Gene associated with Haemophagocytic lymphohistiocytosis. This variant has been identified in the compound het state with a potential LOF in an individual with reduced levels of B-lymphocytes and IgGs (PMID 25502423). -

Dec 01, 2021
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Familial hemophagocytic lymphohistiocytosis 3 Uncertain:1Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Autoinflammatory syndrome Uncertain:1
Apr 13, 2021
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

UNC13D-related disorder Benign:1
Jul 28, 2022
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
16
DANN
Uncertain
0.99
DEOGEN2
Benign
0.10
T;.
Eigen
Benign
-0.58
Eigen_PC
Benign
-0.57
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.73
T;T
M_CAP
Benign
0.049
D
MetaRNN
Benign
0.0040
T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.0
N;N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.15
N;N
REVEL
Benign
0.021
Sift
Benign
0.076
T;T
Sift4G
Benign
0.087
T;T
Polyphen
0.031
B;P
Vest4
0.14
MVP
0.65
MPC
0.10
ClinPred
0.0047
T
GERP RS
2.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.033
gMVP
0.19

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs113861754; hg19: chr17-73830188; COSMIC: COSV99257762; COSMIC: COSV99257762; API