2-151630819-G-T

Variant summary

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

The NM_001164508.2(NEB):​c.9619C>A​(p.Arg3207Ser) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000203 in 1,577,522 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000070 ( 0 hom. )

Consequence

NEB
NM_001164508.2 missense, splice_region

Scores

1
6
12
Splicing: ADA: 0.9593
1
1

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.605
Variant links:
Genes affected
NEB (HGNC:7720): (nebulin) This gene encodes nebulin, a giant protein component of the cytoskeletal matrix that coexists with the thick and thin filaments within the sarcomeres of skeletal muscle. In most vertebrates, nebulin accounts for 3 to 4% of the total myofibrillar protein. The encoded protein contains approximately 30-amino acid long modules that can be classified into 7 types and other repeated modules. Protein isoform sizes vary from 600 to 800 kD due to alternative splicing that is tissue-, species-,and developmental stage-specific. Of the 183 exons in the nebulin gene, at least 43 are alternatively spliced, although exons 143 and 144 are not found in the same transcript. Of the several thousand transcript variants predicted for nebulin, the RefSeq Project has decided to create three representative RefSeq records. Mutations in this gene are associated with recessive nemaline myopathy. [provided by RefSeq, Sep 2009]

Genome browser will be placed here

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=0.113250464).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NEBNM_001164507.2 linkc.9619C>A p.Arg3207Ser missense_variant, splice_region_variant 67/182 ENST00000427231.7 NP_001157979.2
NEBNM_001164508.2 linkc.9619C>A p.Arg3207Ser missense_variant, splice_region_variant 67/182 ENST00000397345.8 NP_001157980.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NEBENST00000397345.8 linkc.9619C>A p.Arg3207Ser missense_variant, splice_region_variant 67/1825 NM_001164508.2 ENSP00000380505.3 P20929-2
NEBENST00000427231.7 linkc.9619C>A p.Arg3207Ser missense_variant, splice_region_variant 67/1825 NM_001164507.2 ENSP00000416578.2 P20929-3
NEBENST00000409198.5 linkc.8890C>A p.Arg2964Ser missense_variant, splice_region_variant 64/1505 ENSP00000386259.1 P20929-4

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152022
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000532
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000326
AC:
7
AN:
214764
Hom.:
0
AF XY:
0.0000345
AC XY:
4
AN XY:
116036
show subpopulations
Gnomad AFR exome
AF:
0.000350
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:
0.00
Gnomad OTH exome
AF:
0.000384
GnomAD4 exome
AF:
0.00000702
AC:
10
AN:
1425382
Hom.:
0
Cov.:
29
AF XY:
0.00000707
AC XY:
5
AN XY:
706838
show subpopulations
Gnomad4 AFR exome
AF:
0.000218
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.15e-7
Gnomad4 OTH exome
AF:
0.0000339
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
152140
Hom.:
0
Cov.:
32
AF XY:
0.000121
AC XY:
9
AN XY:
74406
show subpopulations
Gnomad4 AFR
AF:
0.000530
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:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000434
Hom.:
0
Bravo
AF:
0.0000907
ESP6500AA
AF:
0.000273
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000414
AC:
5

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 09, 2024The c.8890C>A (p.R2964S) alteration is located in exon 64 (coding exon 62) of the NEB gene. This alteration results from a C to A substitution at nucleotide position 8890, causing the arginine (R) at amino acid position 2964 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityDec 02, 2019- -
Nemaline myopathy 2 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 19, 2022This sequence change replaces arginine, which is basic and polar, with serine, which is neutral and polar, at codon 3207 of the NEB protein (p.Arg3207Ser). This variant is present in population databases (rs200351671, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with NEB-related conditions. ClinVar contains an entry for this variant (Variation ID: 1489055). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Not Available"; Align-GVGD: "Class C0"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.55
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.17
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.058
.;.;T;.;T;.;.
Eigen
Uncertain
0.39
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.76
T;T;T;T;T;.;.
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.11
T;T;T;T;T;T;T
MetaSVM
Benign
-0.50
T
MutationAssessor
Pathogenic
3.0
M;.;.;.;M;.;.
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-2.3
N;N;.;N;N;.;.
REVEL
Benign
0.27
Sift
Uncertain
0.017
D;T;.;T;D;.;.
Sift4G
Uncertain
0.012
D;D;D;D;D;D;D
Polyphen
0.99
.;.;.;.;D;.;.
Vest4
0.51
MVP
0.65
MPC
0.26
ClinPred
0.26
T
GERP RS
5.6
Varity_R
0.32
gMVP
0.31

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.96
dbscSNV1_RF
Benign
0.66
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: rs200351671; hg19: chr2-152487333; API