20-1231617-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 2P and 8B. PM2BP4_StrongBS2

The NM_001384355.1(RAD21L1):​c.366G>A​(p.Met122Ile) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000419 in 1,193,784 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. 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. M122T) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000042 ( 0 hom. )

Consequence

RAD21L1
NM_001384355.1 missense, splice_region

Scores

1
18
Splicing: ADA: 0.0001299
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.11
Variant links:
Genes affected
RAD21L1 (HGNC:16271): (RAD21 cohesin complex component like 1) Predicted to enable chromatin binding activity. Predicted to be involved in mitotic sister chromatid cohesion; replication-born double-strand break repair via sister chromatid exchange; and synaptonemal complex assembly. Predicted to act upstream of or within several processes, including double-strand break repair via homologous recombination; homologous chromosome segregation; and seminiferous tubule development. Predicted to be located in lateral element. Predicted to be part of nuclear meiotic cohesin complex and nuclear mitotic cohesin complex. Predicted to be active in synaptonemal complex. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.046407014).
BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RAD21L1NM_001384355.1 linkuse as main transcriptc.366G>A p.Met122Ile missense_variant, splice_region_variant 4/14 ENST00000683101.1 NP_001371284.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RAD21L1ENST00000683101.1 linkuse as main transcriptc.366G>A p.Met122Ile missense_variant, splice_region_variant 4/14 NM_001384355.1 ENSP00000507397 A1
RAD21L1ENST00000409241.5 linkuse as main transcriptc.366G>A p.Met122Ile missense_variant, splice_region_variant 4/141 ENSP00000386414 P4Q9H4I0-1
RAD21L1ENST00000402452.5 linkuse as main transcriptc.366G>A p.Met122Ile missense_variant, splice_region_variant 4/145 ENSP00000385925 Q9H4I0-2
RAD21L1ENST00000477283.1 linkuse as main transcriptn.528G>A splice_region_variant, non_coding_transcript_exon_variant 2/34

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000419
AC:
5
AN:
1193784
Hom.:
0
Cov.:
17
AF XY:
0.00000502
AC XY:
3
AN XY:
597230
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:
0.00000555
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.0000376
Hom.:
0
Bravo
AF:
0.00000378

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 GeneticsSep 29, 2022The c.366G>A (p.M122I) alteration is located in exon 4 (coding exon 3) of the RAD21L1 gene. This alteration results from a G to A substitution at nucleotide position 366, causing the methionine (M) at amino acid position 122 to be replaced by an isoleucine (I). 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
0.12
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
14
DANN
Benign
0.95
DEOGEN2
Benign
0.051
.;T
Eigen
Benign
-0.72
Eigen_PC
Benign
-0.51
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.32
T;T
M_CAP
Benign
0.0034
T
MetaRNN
Benign
0.046
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.14
N;N
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.050
N;N
REVEL
Benign
0.046
Sift
Benign
0.15
T;T
Sift4G
Benign
0.20
T;T
Polyphen
0.0
.;B
Vest4
0.077
MutPred
0.45
Gain of catalytic residue at M122 (P = 0.0165);Gain of catalytic residue at M122 (P = 0.0165);
MVP
0.040
ClinPred
0.091
T
GERP RS
2.4
Varity_R
0.083
gMVP
0.094

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00013
dbscSNV1_RF
Benign
0.020
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: rs2087392392; hg19: chr20-1212261; API