2-232542410-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005199.5(CHRNG):​c.507-13C>T variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.23 in 1,595,044 control chromosomes in the GnomAD database, including 44,308 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.20 ( 3377 hom., cov: 32)
Exomes 𝑓: 0.23 ( 40931 hom. )

Consequence

CHRNG
NM_005199.5 splice_polypyrimidine_tract, intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -0.533
Variant links:
Genes affected
CHRNG (HGNC:1967): (cholinergic receptor nicotinic gamma subunit) The mammalian muscle-type acetylcholine receptor is a transmembrane pentameric glycoprotein with two alpha subunits, one beta, one delta, and one epsilon (in adult skeletal muscle) or gamma (in fetal and denervated muscle) subunit. This gene, which encodes the gamma subunit, is expressed prior to the thirty-third week of gestation in humans. The gamma subunit of the acetylcholine receptor plays a role in neuromuscular organogenesis and ligand binding and disruption of gamma subunit expression prevents the correct localization of the receptor in cell membranes. Mutations in this gene cause Escobar syndrome and a lethal form of multiple pterygium syndrome. Muscle-type acetylcholine receptor is the major antigen in the autoimmune disease myasthenia gravis.[provided by RefSeq, Sep 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88).
BP6
Variant 2-232542410-C-T is Benign according to our data. Variant chr2-232542410-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 198182.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-232542410-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.298 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CHRNGNM_005199.5 linkuse as main transcriptc.507-13C>T splice_polypyrimidine_tract_variant, intron_variant ENST00000651502.1 NP_005190.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CHRNGENST00000651502.1 linkuse as main transcriptc.507-13C>T splice_polypyrimidine_tract_variant, intron_variant NM_005199.5 ENSP00000498757 P1P07510-1
CHRNGENST00000389492.3 linkuse as main transcriptc.351-13C>T splice_polypyrimidine_tract_variant, intron_variant 1 ENSP00000374143 P07510-2

Frequencies

GnomAD3 genomes
AF:
0.200
AC:
30362
AN:
151996
Hom.:
3378
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.128
Gnomad AMI
AF:
0.116
Gnomad AMR
AF:
0.132
Gnomad ASJ
AF:
0.187
Gnomad EAS
AF:
0.310
Gnomad SAS
AF:
0.153
Gnomad FIN
AF:
0.287
Gnomad MID
AF:
0.115
Gnomad NFE
AF:
0.243
Gnomad OTH
AF:
0.171
GnomAD3 exomes
AF:
0.210
AC:
52136
AN:
247816
Hom.:
5985
AF XY:
0.211
AC XY:
28277
AN XY:
133808
show subpopulations
Gnomad AFR exome
AF:
0.129
Gnomad AMR exome
AF:
0.108
Gnomad ASJ exome
AF:
0.186
Gnomad EAS exome
AF:
0.299
Gnomad SAS exome
AF:
0.155
Gnomad FIN exome
AF:
0.273
Gnomad NFE exome
AF:
0.245
Gnomad OTH exome
AF:
0.194
GnomAD4 exome
AF:
0.233
AC:
336777
AN:
1442930
Hom.:
40931
Cov.:
29
AF XY:
0.231
AC XY:
166278
AN XY:
718788
show subpopulations
Gnomad4 AFR exome
AF:
0.131
Gnomad4 AMR exome
AF:
0.111
Gnomad4 ASJ exome
AF:
0.185
Gnomad4 EAS exome
AF:
0.267
Gnomad4 SAS exome
AF:
0.154
Gnomad4 FIN exome
AF:
0.275
Gnomad4 NFE exome
AF:
0.247
Gnomad4 OTH exome
AF:
0.220
GnomAD4 genome
AF:
0.200
AC:
30371
AN:
152114
Hom.:
3377
Cov.:
32
AF XY:
0.200
AC XY:
14872
AN XY:
74352
show subpopulations
Gnomad4 AFR
AF:
0.128
Gnomad4 AMR
AF:
0.132
Gnomad4 ASJ
AF:
0.187
Gnomad4 EAS
AF:
0.311
Gnomad4 SAS
AF:
0.154
Gnomad4 FIN
AF:
0.287
Gnomad4 NFE
AF:
0.243
Gnomad4 OTH
AF:
0.169
Alfa
AF:
0.219
Hom.:
4474
Bravo
AF:
0.186
Asia WGS
AF:
0.170
AC:
589
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Nov 17, 2014- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesFeb 24, 2016- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Autosomal recessive multiple pterygium syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Lethal multiple pterygium syndrome Benign:1
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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.88
CADD
Benign
4.4
DANN
Benign
0.55

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: rs2853462; hg19: chr2-233407120; COSMIC: COSV67315569; COSMIC: COSV67315569; API