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GeneBe

22-29480283-G-A

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_021076.4(NEFH):​c.21G>A​(p.Ala7=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00505 in 1,509,734 control chromosomes in the GnomAD database, including 42 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0054 ( 10 hom., cov: 32)
Exomes 𝑓: 0.0050 ( 32 hom. )

Consequence

NEFH
NM_021076.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -1.52
Variant links:
Genes affected
NEFH (HGNC:7737): (neurofilament heavy chain) Neurofilaments are type IV intermediate filament heteropolymers composed of light, medium, and heavy chains. Neurofilaments comprise the axoskeleton and functionally maintain neuronal caliber. They may also play a role in intracellular transport to axons and dendrites. This gene encodes the heavy neurofilament protein. This protein is commonly used as a biomarker of neuronal damage and susceptibility to amyotrophic lateral sclerosis (ALS) has been associated with mutations in this gene. [provided by RefSeq, Oct 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.55).
BP6
Variant 22-29480283-G-A is Benign according to our data. Variant chr22-29480283-G-A is described in ClinVar as [Benign]. Clinvar id is 774538.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-29480283-G-A is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=-1.52 with no splicing effect.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00544 (828/152326) while in subpopulation AMR AF= 0.0155 (237/15304). AF 95% confidence interval is 0.0139. There are 10 homozygotes in gnomad4. There are 408 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 828 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NEFHNM_021076.4 linkuse as main transcriptc.21G>A p.Ala7= synonymous_variant 1/4 ENST00000310624.7
NEFHXM_011530200.3 linkuse as main transcriptc.21G>A p.Ala7= synonymous_variant 1/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NEFHENST00000310624.7 linkuse as main transcriptc.21G>A p.Ala7= synonymous_variant 1/41 NM_021076.4 P1
ENST00000634116.1 linkuse as main transcriptn.321-41C>T intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
AF:
0.00543
AC:
827
AN:
152218
Hom.:
10
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00123
Gnomad AMI
AF:
0.0439
Gnomad AMR
AF:
0.0155
Gnomad ASJ
AF:
0.0104
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00186
Gnomad FIN
AF:
0.000565
Gnomad MID
AF:
0.0446
Gnomad NFE
AF:
0.00587
Gnomad OTH
AF:
0.0167
GnomAD3 exomes
AF:
0.00565
AC:
588
AN:
103996
Hom.:
4
AF XY:
0.00554
AC XY:
323
AN XY:
58324
show subpopulations
Gnomad AFR exome
AF:
0.000991
Gnomad AMR exome
AF:
0.00978
Gnomad ASJ exome
AF:
0.00853
Gnomad EAS exome
AF:
0.000144
Gnomad SAS exome
AF:
0.00224
Gnomad FIN exome
AF:
0.000782
Gnomad NFE exome
AF:
0.00610
Gnomad OTH exome
AF:
0.0109
GnomAD4 exome
AF:
0.00501
AC:
6794
AN:
1357408
Hom.:
32
Cov.:
33
AF XY:
0.00499
AC XY:
3340
AN XY:
669828
show subpopulations
Gnomad4 AFR exome
AF:
0.000901
Gnomad4 AMR exome
AF:
0.00948
Gnomad4 ASJ exome
AF:
0.0101
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00187
Gnomad4 FIN exome
AF:
0.00111
Gnomad4 NFE exome
AF:
0.00513
Gnomad4 OTH exome
AF:
0.00763
GnomAD4 genome
AF:
0.00544
AC:
828
AN:
152326
Hom.:
10
Cov.:
32
AF XY:
0.00548
AC XY:
408
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.00123
Gnomad4 AMR
AF:
0.0155
Gnomad4 ASJ
AF:
0.0104
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00186
Gnomad4 FIN
AF:
0.000565
Gnomad4 NFE
AF:
0.00587
Gnomad4 OTH
AF:
0.0166
Alfa
AF:
0.00338
Hom.:
3
Bravo
AF:
0.00580
Asia WGS
AF:
0.00173
AC:
6
AN:
3472

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2024NEFH: BP4, BP7, BS1, BS2 -
Benign, criteria provided, single submitterclinical testingGeneDxMay 18, 2021- -
Benign, criteria provided, single submitterclinical testingInvitaeJan 30, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.55
CADD
Benign
10
DANN
Benign
0.95
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6

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: rs192350983; hg19: chr22-29876272; API