19-15185016-C-T

Variant summary

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

The NM_000435.3(NOTCH3):​c.2300G>A​(p.Arg767His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000386 in 1,485,080 control chromosomes in the GnomAD database, including 2 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 0.0020 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00020 ( 1 hom. )

Consequence

NOTCH3
NM_000435.3 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.527
Variant links:
Genes affected
NOTCH3 (HGNC:7883): (notch receptor 3) This gene encodes the third discovered human homologue of the Drosophilia melanogaster type I membrane protein notch. In Drosophilia, notch interaction with its cell-bound ligands (delta, serrate) establishes an intercellular signalling pathway that plays a key role in neural development. Homologues of the notch-ligands have also been identified in human, but precise interactions between these ligands and the human notch homologues remains to be determined. Mutations in NOTCH3 have been identified as the underlying cause of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). [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=0.004593849).
BP6
Variant 19-15185016-C-T is Benign according to our data. Variant chr19-15185016-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 256127.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00198 (301/152128) while in subpopulation AFR AF= 0.00665 (276/41512). AF 95% confidence interval is 0.006. There are 1 homozygotes in gnomad4. There are 134 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 301 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOTCH3NM_000435.3 linkuse as main transcriptc.2300G>A p.Arg767His missense_variant 15/33 ENST00000263388.7 NP_000426.2 Q9UM47
NOTCH3XM_005259924.5 linkuse as main transcriptc.2300G>A p.Arg767His missense_variant 15/32 XP_005259981.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOTCH3ENST00000263388.7 linkuse as main transcriptc.2300G>A p.Arg767His missense_variant 15/331 NM_000435.3 ENSP00000263388.1 Q9UM47
NOTCH3ENST00000601011.1 linkuse as main transcriptc.2297G>A p.Arg766His missense_variant 15/235 ENSP00000473138.1 M0R3C9

Frequencies

GnomAD3 genomes
AF:
0.00195
AC:
296
AN:
152010
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00655
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00138
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:
0.0000147
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000591
AC:
76
AN:
128500
Hom.:
0
AF XY:
0.000419
AC XY:
28
AN XY:
66754
show subpopulations
Gnomad AFR exome
AF:
0.00909
Gnomad AMR exome
AF:
0.000311
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000204
AC:
272
AN:
1332952
Hom.:
1
Cov.:
26
AF XY:
0.000161
AC XY:
105
AN XY:
653618
show subpopulations
Gnomad4 AFR exome
AF:
0.00705
Gnomad4 AMR exome
AF:
0.000328
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000406
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000972
Gnomad4 OTH exome
AF:
0.000505
GnomAD4 genome
AF:
0.00198
AC:
301
AN:
152128
Hom.:
1
Cov.:
32
AF XY:
0.00180
AC XY:
134
AN XY:
74348
show subpopulations
Gnomad4 AFR
AF:
0.00665
Gnomad4 AMR
AF:
0.00138
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.000330
Hom.:
0
Bravo
AF:
0.00216
ESP6500AA
AF:
0.00639
AC:
26
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000479
AC:
37
Asia WGS
AF:
0.00115
AC:
4
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsNov 22, 2024- -
not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesOct 16, 2023- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024- -
Lateral meningocele syndrome;C3809084:Myofibromatosis, infantile, 2;C4551768:Cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsSep 01, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
11
DANN
Benign
0.67
DEOGEN2
Benign
0.16
T;T
Eigen
Benign
-0.75
Eigen_PC
Benign
-0.71
FATHMM_MKL
Benign
0.062
N
LIST_S2
Benign
0.59
T;T
MetaRNN
Benign
0.0046
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
2.0
M;.
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.54
N;.
REVEL
Benign
0.099
Sift
Benign
0.54
T;.
Sift4G
Benign
0.47
T;T
Polyphen
0.0
B;.
Vest4
0.041
MVP
0.60
MPC
0.52
ClinPred
0.013
T
GERP RS
1.1
Varity_R
0.017
gMVP
0.27

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: rs75291244; hg19: chr19-15295827; API