2-32235515-A-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001199138.2(NLRC4):​c.2668T>A​(p.Cys890Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,860 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. C890R) has been classified as Benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

NLRC4
NM_001199138.2 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.15
Variant links:
Genes affected
NLRC4 (HGNC:16412): (NLR family CARD domain containing 4) This gene encodes a member of the caspase recruitment domain-containing NLR family. Family members play essential roles in innate immune response to a wide range of pathogenic organisms, tissue damage and other cellular stresses. Mutations in this gene result in autoinflammation with infantile enterocolitis. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2014]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.038910627).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NLRC4NM_001199138.2 linkuse as main transcriptc.2668T>A p.Cys890Ser missense_variant 8/9 ENST00000402280.6 NP_001186067.1
NLRC4NM_001199139.1 linkuse as main transcriptc.2668T>A p.Cys890Ser missense_variant 8/9 NP_001186068.1
NLRC4NM_021209.4 linkuse as main transcriptc.2668T>A p.Cys890Ser missense_variant 8/9 NP_067032.3
NLRC4NM_001302504.1 linkuse as main transcriptc.673T>A p.Cys225Ser missense_variant 7/8 NP_001289433.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NLRC4ENST00000402280.6 linkuse as main transcriptc.2668T>A p.Cys890Ser missense_variant 8/91 NM_001199138.2 ENSP00000385428 P1Q9NPP4-1
ENST00000697331.1 linkuse as main transcriptn.2130A>T non_coding_transcript_exon_variant 1/3

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461860
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727234
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Autoinflammatory syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenApr 01, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.78
CADD
Benign
0.97
DANN
Benign
0.78
DEOGEN2
Benign
0.077
T;T;.;T
Eigen
Benign
-1.9
Eigen_PC
Benign
-1.9
FATHMM_MKL
Benign
0.0049
N
LIST_S2
Benign
0.26
.;.;T;T
M_CAP
Benign
0.0055
T
MetaRNN
Benign
0.039
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.55
N;N;.;N
PrimateAI
Benign
0.28
T
PROVEAN
Benign
0.52
N;N;N;N
REVEL
Benign
0.051
Sift
Benign
0.92
T;T;T;T
Polyphen
0.0
B;B;B;B
Vest4
0.10
MutPred
0.54
Gain of disorder (P = 0.0027);Gain of disorder (P = 0.0027);.;Gain of disorder (P = 0.0027);
MVP
0.18
MPC
0.25
ClinPred
0.067
T
GERP RS
-8.8
Varity_R
0.042
gMVP
0.19

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: rs544969923; hg19: chr2-32460584; API