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GeneBe

19-5827869-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_004558.5(NRTN):​c.290G>A​(p.Arg97Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000268 in 149,098 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000036 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

NRTN
NM_004558.5 missense

Scores

3
4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.89
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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NRTNNM_004558.5 linkuse as main transcriptc.290G>A p.Arg97Gln missense_variant 3/3 ENST00000303212.3
NRTNXM_047438890.1 linkuse as main transcriptc.290G>A p.Arg97Gln missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NRTNENST00000303212.3 linkuse as main transcriptc.290G>A p.Arg97Gln missense_variant 3/31 NM_004558.5 P1

Frequencies

GnomAD3 genomes
AF:
0.0000268
AC:
4
AN:
149098
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000598
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000363
AC:
4
AN:
1102656
Hom.:
0
Cov.:
32
AF XY:
0.00000187
AC XY:
1
AN XY:
533982
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000329
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000322
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000268
AC:
4
AN:
149098
Hom.:
0
Cov.:
32
AF XY:
0.0000275
AC XY:
2
AN XY:
72654
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000598
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151
ExAC
AF:
0.0000102
AC:
1

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 GeneticsJan 26, 2022The c.290G>A (p.R97Q) 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 290, causing the arginine (R) at amino acid position 97 to be replaced by a glutamine (Q). 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
0.17
BayesDel_addAF
Uncertain
0.047
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.21
T
Eigen
Benign
0.11
Eigen_PC
Benign
0.068
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.66
T
M_CAP
Pathogenic
0.97
D
MetaRNN
Uncertain
0.61
D
MetaSVM
Uncertain
-0.19
T
MutationAssessor
Benign
1.0
L
MutationTaster
Benign
0.92
D
PrimateAI
Pathogenic
0.94
D
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.23
Sift
Benign
0.10
T
Sift4G
Benign
0.11
T
Polyphen
1.0
D
Vest4
0.19
MutPred
0.29
Loss of methylation at R97 (P = 0.0089);
MVP
0.87
MPC
1.7
ClinPred
0.95
D
GERP RS
4.2
Varity_R
0.53
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: rs752637086; hg19: chr19-5827880; API