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GeneBe

19-5827793-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_004558.5(NRTN):​c.214G>A​(p.Glu72Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000093 in 1,204,688 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000090 ( 0 hom. )

Consequence

NRTN
NM_004558.5 missense

Scores

2
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.17
Variant links:
Genes affected
NRTN (HGNC:8007): (neurturin) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. The encoded preproprotein is proteolytically processed to generate the mature protein. This protein signals through the RET receptor tyrosine kinase and a GPI-linked coreceptor, and promotes survival of neuronal populations. A neurturin mutation has been described in a family with Hirschsprung Disease. [provided by RefSeq, Aug 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.06813496).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NRTNNM_004558.5 linkuse as main transcriptc.214G>A p.Glu72Lys missense_variant 3/3 ENST00000303212.3
NRTNXM_047438890.1 linkuse as main transcriptc.214G>A p.Glu72Lys missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NRTNENST00000303212.3 linkuse as main transcriptc.214G>A p.Glu72Lys missense_variant 3/31 NM_004558.5 P1

Frequencies

GnomAD3 genomes
AF:
0.000113
AC:
17
AN:
150962
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000243
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.000237
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000189
AC:
6
AN:
31674
Hom.:
0
AF XY:
0.000165
AC XY:
3
AN XY:
18174
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.000320
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000902
AC:
95
AN:
1053726
Hom.:
0
Cov.:
32
AF XY:
0.0000837
AC XY:
42
AN XY:
501566
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000832
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000530
Gnomad4 NFE exome
AF:
0.000101
Gnomad4 OTH exome
AF:
0.0000495
GnomAD4 genome
AF:
0.000113
AC:
17
AN:
150962
Hom.:
0
Cov.:
31
AF XY:
0.000136
AC XY:
10
AN XY:
73652
show subpopulations
Gnomad4 AFR
AF:
0.0000243
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000237
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000594
Hom.:
0
ExAC
AF:
0.0000793
AC:
8

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 GeneticsFeb 15, 2023The c.214G>A (p.E72K) alteration is located in exon 2 (coding exon 2) of the NRTN gene. This alteration results from a G to A substitution at nucleotide position 214, causing the glutamic acid (E) at amino acid position 72 to be replaced by a lysine (K). 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
0.24
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.091
T
Eigen
Benign
-0.58
Eigen_PC
Benign
-0.46
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.64
T
M_CAP
Pathogenic
0.30
D
MetaRNN
Benign
0.068
T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
1.4
L
MutationTaster
Benign
1.0
N
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-0.34
N
REVEL
Benign
0.060
Sift
Uncertain
0.011
D
Sift4G
Benign
0.37
T
Polyphen
0.019
B
Vest4
0.11
MVP
0.88
MPC
0.69
ClinPred
0.085
T
GERP RS
2.7
Varity_R
0.093
gMVP
0.48

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: rs745382580; hg19: chr19-5827804; API