22-20242228-G-C

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_023004.6(RTN4R):ā€‹c.905C>Gā€‹(p.Ala302Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000033 in 1,604,850 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000046 ( 0 hom., cov: 33)
Exomes š‘“: 0.000032 ( 0 hom. )

Consequence

RTN4R
NM_023004.6 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.77
Variant links:
Genes affected
RTN4R (HGNC:18601): (reticulon 4 receptor) This gene encodes the receptor for reticulon 4, oligodendrocyte myelin glycoprotein and myelin-associated glycoprotein. This receptor mediates axonal growth inhibition and may play a role in regulating axonal regeneration and plasticity in the adult central nervous system. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.09005532).
BS2
High AC in GnomAd4 at 7 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RTN4RNM_023004.6 linkuse as main transcriptc.905C>G p.Ala302Gly missense_variant 2/2 ENST00000043402.8 NP_075380.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RTN4RENST00000043402.8 linkuse as main transcriptc.905C>G p.Ala302Gly missense_variant 2/21 NM_023004.6 ENSP00000043402 P1
RTN4RENST00000425986.1 linkuse as main transcriptc.1163C>G p.Ala388Gly missense_variant 2/22 ENSP00000403535
RTN4RENST00000416372.5 linkuse as main transcriptc.965C>G p.Ala322Gly missense_variant 2/23 ENSP00000396872

Frequencies

GnomAD3 genomes
AF:
0.0000460
AC:
7
AN:
152258
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.0000735
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000398
AC:
9
AN:
226264
Hom.:
0
AF XY:
0.0000402
AC XY:
5
AN XY:
124244
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000896
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000317
AC:
46
AN:
1452592
Hom.:
0
Cov.:
31
AF XY:
0.0000305
AC XY:
22
AN XY:
722208
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:
0.0000388
Gnomad4 OTH exome
AF:
0.0000333
GnomAD4 genome
AF:
0.0000460
AC:
7
AN:
152258
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74378
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000735
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000113
Hom.:
0
Bravo
AF:
0.0000453
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.0000496
AC:
6

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 GeneticsDec 06, 2022The c.905C>G (p.A302G) alteration is located in exon 2 (coding exon 2) of the RTN4R gene. This alteration results from a C to G substitution at nucleotide position 905, causing the alanine (A) at amino acid position 302 to be replaced by a glycine (G). 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
0.091
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
11
DANN
Benign
0.97
DEOGEN2
Benign
0.21
T
Eigen
Benign
-0.63
Eigen_PC
Benign
-0.76
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.090
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.35
N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.026
Sift
Benign
0.13
T
Sift4G
Uncertain
0.049
D
Polyphen
0.0020
B
Vest4
0.13
MVP
0.65
MPC
0.38
ClinPred
0.035
T
GERP RS
0.38
Varity_R
0.094
gMVP
0.51

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: rs369655638; hg19: chr22-20229751; API