2-151664582-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_001164508.2(NEB):​c.5370G>A​(p.Glu1790Glu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.205 in 1,604,590 control chromosomes in the GnomAD database, including 47,250 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.30 ( 10269 hom., cov: 33)
Exomes 𝑓: 0.19 ( 36981 hom. )

Consequence

NEB
NM_001164508.2 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: -0.319
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.42).
BP6
Variant 2-151664582-C-T is Benign according to our data. Variant chr2-151664582-C-T is described in ClinVar as [Benign]. Clinvar id is 129746.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151664582-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.319 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.593 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NEBNM_001164507.2 linkuse as main transcriptc.5370G>A p.Glu1790Glu synonymous_variant 44/182 ENST00000427231.7 NP_001157979.2
NEBNM_001164508.2 linkuse as main transcriptc.5370G>A p.Glu1790Glu synonymous_variant 44/182 ENST00000397345.8 NP_001157980.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NEBENST00000397345.8 linkuse as main transcriptc.5370G>A p.Glu1790Glu synonymous_variant 44/1825 NM_001164508.2 ENSP00000380505.3 P20929-2
NEBENST00000427231.7 linkuse as main transcriptc.5370G>A p.Glu1790Glu synonymous_variant 44/1825 NM_001164507.2 ENSP00000416578.2 P20929-3
NEBENST00000409198.5 linkuse as main transcriptc.5370G>A p.Glu1790Glu synonymous_variant 44/1505 ENSP00000386259.1 P20929-4

Frequencies

GnomAD3 genomes
AF:
0.304
AC:
46248
AN:
152036
Hom.:
10216
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.599
Gnomad AMI
AF:
0.177
Gnomad AMR
AF:
0.183
Gnomad ASJ
AF:
0.261
Gnomad EAS
AF:
0.605
Gnomad SAS
AF:
0.341
Gnomad FIN
AF:
0.131
Gnomad MID
AF:
0.215
Gnomad NFE
AF:
0.159
Gnomad OTH
AF:
0.277
GnomAD3 exomes
AF:
0.235
AC:
55160
AN:
234970
Hom.:
9337
AF XY:
0.233
AC XY:
29596
AN XY:
127078
show subpopulations
Gnomad AFR exome
AF:
0.605
Gnomad AMR exome
AF:
0.132
Gnomad ASJ exome
AF:
0.246
Gnomad EAS exome
AF:
0.582
Gnomad SAS exome
AF:
0.339
Gnomad FIN exome
AF:
0.138
Gnomad NFE exome
AF:
0.154
Gnomad OTH exome
AF:
0.211
GnomAD4 exome
AF:
0.194
AC:
282020
AN:
1452434
Hom.:
36981
Cov.:
32
AF XY:
0.197
AC XY:
142009
AN XY:
721562
show subpopulations
Gnomad4 AFR exome
AF:
0.616
Gnomad4 AMR exome
AF:
0.139
Gnomad4 ASJ exome
AF:
0.250
Gnomad4 EAS exome
AF:
0.619
Gnomad4 SAS exome
AF:
0.333
Gnomad4 FIN exome
AF:
0.141
Gnomad4 NFE exome
AF:
0.157
Gnomad4 OTH exome
AF:
0.238
GnomAD4 genome
AF:
0.305
AC:
46355
AN:
152156
Hom.:
10269
Cov.:
33
AF XY:
0.302
AC XY:
22480
AN XY:
74382
show subpopulations
Gnomad4 AFR
AF:
0.599
Gnomad4 AMR
AF:
0.183
Gnomad4 ASJ
AF:
0.261
Gnomad4 EAS
AF:
0.605
Gnomad4 SAS
AF:
0.341
Gnomad4 FIN
AF:
0.131
Gnomad4 NFE
AF:
0.159
Gnomad4 OTH
AF:
0.285
Alfa
AF:
0.195
Hom.:
4939
Bravo
AF:
0.320
Asia WGS
AF:
0.542
AC:
1879
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineNov 26, 2014p.Glu1790Glu in exon 44 of NEB: This variant is not expected to have clinical si gnificance because it has been identified in 58% (2157/3720) of African American chromosomes by the NHLBI Exome Sequencing Project (http://evs.gs.washington.edu /EVS/; dbSNP rs10170273). -
Benign, criteria provided, single submitterclinical testingGeneDxJan 05, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Nemaline myopathy 2 Benign:4
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 10, 2021- -
not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpFeb 27, 2017Variant summary: The NEB c.5370G>A (p.Glu1790Glu) variant involves the alteration of a non-conserved nucleotide, resulting in a synonymous change. One in silico tool, Mutation Taster, predicts a polymorphism outcome for this variant. 5/5 splice prediction tools predict no significant impact on normal splicing. ESE finder predicts that this variant may create an SF2/ASF ESE site. However, these predictions have yet to be confirmed by functional studies. This variant was found in 25704/85158 control chromosomes (4373 homozygotes) at a frequency of 0.3018389, which is approximately 85 times the estimated maximal expected allele frequency of a pathogenic NEB variant (0.0035355), suggesting this variant is likely a benign polymorphism. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as benign. The variant of interest has not, to our knowledge, been reported in affected individuals via publications nor evaluated for functional impact by in vivo/vitro studies. Taken together, this variant is classified as benign. -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMar 07, 2019- -
Arthrogryposis multiplex congenita 6 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 10, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.42
CADD
Benign
2.5
DANN
Benign
0.52

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: rs10170273; hg19: chr2-152521096; COSMIC: COSV50874015; COSMIC: COSV50874015; API