17-75840065-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_199242.3(UNC13D):​c.904C>T​(p.Leu302Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0019 in 1,613,592 control chromosomes in the GnomAD database, including 53 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0098 ( 24 hom., cov: 32)
Exomes 𝑓: 0.0011 ( 29 hom. )

Consequence

UNC13D
NM_199242.3 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 2.05
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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.002488196).
BP6
Variant 17-75840065-G-A is Benign according to our data. Variant chr17-75840065-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 325269.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-75840065-G-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0098 (1492/152310) while in subpopulation AFR AF= 0.0339 (1408/41564). AF 95% confidence interval is 0.0324. There are 24 homozygotes in gnomad4. There are 720 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 24 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
UNC13DNM_199242.3 linkuse as main transcriptc.904C>T p.Leu302Phe missense_variant 11/32 ENST00000207549.9 NP_954712.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
UNC13DENST00000207549.9 linkuse as main transcriptc.904C>T p.Leu302Phe missense_variant 11/321 NM_199242.3 ENSP00000207549 P1Q70J99-1

Frequencies

GnomAD3 genomes
AF:
0.00976
AC:
1485
AN:
152192
Hom.:
24
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0338
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00308
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.0100
GnomAD3 exomes
AF:
0.00271
AC:
677
AN:
249460
Hom.:
7
AF XY:
0.00213
AC XY:
288
AN XY:
135290
show subpopulations
Gnomad AFR exome
AF:
0.0356
Gnomad AMR exome
AF:
0.00203
Gnomad ASJ exome
AF:
0.000701
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000196
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000978
Gnomad OTH exome
AF:
0.00164
GnomAD4 exome
AF:
0.00108
AC:
1573
AN:
1461282
Hom.:
29
Cov.:
33
AF XY:
0.000896
AC XY:
651
AN XY:
726966
show subpopulations
Gnomad4 AFR exome
AF:
0.0358
Gnomad4 AMR exome
AF:
0.00237
Gnomad4 ASJ exome
AF:
0.000536
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000800
Gnomad4 OTH exome
AF:
0.00257
GnomAD4 genome
AF:
0.00980
AC:
1492
AN:
152310
Hom.:
24
Cov.:
32
AF XY:
0.00967
AC XY:
720
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.0339
Gnomad4 AMR
AF:
0.00307
Gnomad4 ASJ
AF:
0.00173
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000147
Gnomad4 OTH
AF:
0.00994
Alfa
AF:
0.00248
Hom.:
7
Bravo
AF:
0.0118
ESP6500AA
AF:
0.0352
AC:
155
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00325
AC:
394
Asia WGS
AF:
0.00231
AC:
8
AN:
3478
EpiCase
AF:
0.000273
EpiControl
AF:
0.000178

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Familial hemophagocytic lymphohistiocytosis 3 Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJan 05, 2022- -
UNC13D-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 21, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Autoinflammatory syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenJan 19, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.56
T
BayesDel_noAF
Benign
-0.56
CADD
Benign
17
DANN
Benign
0.89
DEOGEN2
Benign
0.11
T;.;T
Eigen
Benign
-0.55
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.47
N
LIST_S2
Benign
0.76
T;T;T
MetaRNN
Benign
0.0025
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.28
N;N;.
MutationTaster
Benign
0.98
N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.39
N;N;.
REVEL
Benign
0.062
Sift
Benign
0.58
T;T;.
Sift4G
Benign
0.69
T;T;T
Polyphen
0.0010
B;.;.
Vest4
0.083
MVP
0.60
MPC
0.11
ClinPred
0.00071
T
GERP RS
3.4
Varity_R
0.039
gMVP
0.15

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs55661958; hg19: chr17-73836146; COSMIC: COSV104392535; COSMIC: COSV104392535; API