19-56003724-C-T

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBS1_Supporting

The NM_153447.4(NLRP5):​c.71C>T​(p.Thr24Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000189 in 1,596,342 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00029 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00018 ( 1 hom. )

Consequence

NLRP5
NM_153447.4 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.446
Variant links:
Genes affected
NLRP5 (HGNC:21269): (NLR family pyrin domain containing 5) The protein encoded by this gene belongs to the NALP protein family. Members of the NALP protein family typically contain a NACHT domain, a NACHT-associated domain (NAD), a C-terminal leucine-rich repeat (LRR) region, and an N-terminal pyrin domain (PYD). Expression of this gene is restricted to the oocyte. A mouse gene that encodes a maternal oocyte protein, similar to this encoded protein, is required for normal early embryogenesis. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.039095312).
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000289 (44/152190) while in subpopulation AMR AF= 0.0017 (26/15268). AF 95% confidence interval is 0.00119. There are 0 homozygotes in gnomad4. There are 28 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NLRP5NM_153447.4 linkc.71C>T p.Thr24Ile missense_variant 2/15 ENST00000390649.8 NP_703148.4 P59047

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NLRP5ENST00000390649.8 linkc.71C>T p.Thr24Ile missense_variant 2/151 NM_153447.4 ENSP00000375063.3 P59047
NLRP5ENST00000597673.1 linkn.-11C>T upstream_gene_variant 5 ENSP00000471494.1 M0R0W4

Frequencies

GnomAD3 genomes
AF:
0.000289
AC:
44
AN:
152190
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00170
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:
0.000235
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000289
AC:
68
AN:
235690
Hom.:
1
AF XY:
0.000290
AC XY:
37
AN XY:
127790
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000513
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000572
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000414
Gnomad OTH exome
AF:
0.00106
GnomAD4 exome
AF:
0.000179
AC:
258
AN:
1444152
Hom.:
1
Cov.:
31
AF XY:
0.000171
AC XY:
123
AN XY:
717288
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000367
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000253
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000214
Gnomad4 OTH exome
AF:
0.0000672
GnomAD4 genome
AF:
0.000289
AC:
44
AN:
152190
Hom.:
0
Cov.:
32
AF XY:
0.000377
AC XY:
28
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.0000483
Gnomad4 AMR
AF:
0.00170
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000235
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000263
Hom.:
1
Bravo
AF:
0.000280
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000268
AC:
1
ESP6500EA
AF:
0.000487
AC:
4
ExAC
AF:
0.000232
AC:
28

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 GeneticsDec 27, 2023The c.71C>T (p.T24I) alteration is located in exon 2 (coding exon 2) of the NLRP5 gene. This alteration results from a C to T substitution at nucleotide position 71, causing the threonine (T) at amino acid position 24 to be replaced by an isoleucine (I). 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
0.12
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
1.7
DANN
Benign
0.84
DEOGEN2
Benign
0.035
.;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.015
N
LIST_S2
Benign
0.41
T;T
M_CAP
Benign
0.0078
T
MetaRNN
Benign
0.039
T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
-0.34
.;N
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-0.16
.;N
REVEL
Benign
0.055
Sift
Pathogenic
0.0
.;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.51
.;P
Vest4
0.27
MVP
0.49
MPC
0.022
ClinPred
0.032
T
GERP RS
0.27
Varity_R
0.049
gMVP
0.12

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: rs202104062; hg19: chr19-56515090; COSMIC: COSV101173854; COSMIC: COSV101173854; API