19-49636675-C-T

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_006270.5(RRAS):​c.397G>A​(p.Asp133Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00594 in 1,614,112 control chromosomes in the GnomAD database, including 33 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0038 ( 1 hom., cov: 31)
Exomes 𝑓: 0.0062 ( 32 hom. )

Consequence

RRAS
NM_006270.5 missense

Scores

9
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 7.27
Variant links:
Genes affected
RRAS (HGNC:10447): (RAS related) The protein encoded by this gene is a small GTPase involved in diverse processes including angiogenesis, vascular homeostasis and regeneration, cell adhesion, and neuronal axon guidance. Mutations in this gene are found in many invasive cancers. [provided by RefSeq, Jul 2015]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014026105).
BP6
Variant 19-49636675-C-T is Benign according to our data. Variant chr19-49636675-C-T is described in ClinVar as [Benign]. Clinvar id is 457987.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-49636675-C-T is described in Lovd as [Benign].
BS2
High Homozygotes in GnomAdExome4 at 32 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RRASNM_006270.5 linkc.397G>A p.Asp133Asn missense_variant Exon 4 of 6 ENST00000246792.4 NP_006261.1 P10301A0A024QZF2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RRASENST00000246792.4 linkc.397G>A p.Asp133Asn missense_variant Exon 4 of 6 1 NM_006270.5 ENSP00000246792.2 P10301
RRASENST00000601532.1 linkn.537G>A non_coding_transcript_exon_variant Exon 3 of 4 5

Frequencies

GnomAD3 genomes
AF:
0.00381
AC:
580
AN:
152176
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000820
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000851
Gnomad ASJ
AF:
0.00375
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00226
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00716
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00431
AC:
1082
AN:
251222
Hom.:
1
AF XY:
0.00449
AC XY:
610
AN XY:
135818
show subpopulations
Gnomad AFR exome
AF:
0.000493
Gnomad AMR exome
AF:
0.000578
Gnomad ASJ exome
AF:
0.00228
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000425
Gnomad FIN exome
AF:
0.00425
Gnomad NFE exome
AF:
0.00798
Gnomad OTH exome
AF:
0.00326
GnomAD4 exome
AF:
0.00616
AC:
9003
AN:
1461818
Hom.:
32
Cov.:
32
AF XY:
0.00598
AC XY:
4352
AN XY:
727208
show subpopulations
Gnomad4 AFR exome
AF:
0.000657
Gnomad4 AMR exome
AF:
0.000671
Gnomad4 ASJ exome
AF:
0.00298
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000568
Gnomad4 FIN exome
AF:
0.00474
Gnomad4 NFE exome
AF:
0.00746
Gnomad4 OTH exome
AF:
0.00442
GnomAD4 genome
AF:
0.00381
AC:
580
AN:
152294
Hom.:
1
Cov.:
31
AF XY:
0.00360
AC XY:
268
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.000818
Gnomad4 AMR
AF:
0.000850
Gnomad4 ASJ
AF:
0.00375
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00226
Gnomad4 NFE
AF:
0.00716
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00539
Hom.:
2
Bravo
AF:
0.00342
TwinsUK
AF:
0.00809
AC:
30
ALSPAC
AF:
0.00752
AC:
29
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00640
AC:
55
ExAC
AF:
0.00498
AC:
605
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00698
EpiControl
AF:
0.00676

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

RRAS: BS2 -

Apr 11, 2017
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: The RRAS c.397G>A (p.Asp133Asn) variant involves the alteration of a conserved nucleotide, resulting in missense change. 2/4 in silico tools predict a benign outcome for this variant (SNPs&GO not captured due to low reliability index). This variant was found in 605/121088 control chromosomes (including one homozygote) from ExAC at a frequency of 0.0049964, which is approximately 1999 times the estimated maximal expected allele frequency of a pathogenic RRAS variant (0.0000025), suggesting this variant is likely a benign polymorphism. Taken together, this variant is classified as Benign. -

Jun 01, 2020
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

RRAS-related disorder Benign:1
May 30, 2019
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

This 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 specified Benign:1
Dec 28, 2018
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

p.Asp133Asn in exon 4 of RRAS: This variant is not expected to have clinical significance because it has been identified in 0.84% (558/66576) of European chromosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.org; dbSNP rs61760904). -

Noonan syndrome Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.31
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.36
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.77
D
Eigen
Benign
0.12
Eigen_PC
Benign
0.016
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.94
D
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.014
T
MetaSVM
Benign
-0.35
T
MutationAssessor
Benign
1.0
L
PrimateAI
Uncertain
0.76
T
PROVEAN
Uncertain
-3.9
D
REVEL
Uncertain
0.41
Sift
Benign
0.060
T
Sift4G
Uncertain
0.038
D
Polyphen
0.98
D
Vest4
0.51
MVP
0.81
MPC
0.67
ClinPred
0.036
T
GERP RS
3.1
Varity_R
0.66
gMVP
0.51

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: rs61760904; hg19: chr19-50139932; COSMIC: COSV99882160; API