22-50720741-G-T

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The ENST00000692848.2(SHANK3):​c.3091G>T​(p.Ala1031Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000772 in 1,230,590 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00052 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00081 ( 3 hom. )

Consequence

SHANK3
ENST00000692848.2 missense

Scores

1
3
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:4

Conservation

PhyloP100: 2.23

Publications

0 publications found
Variant links:
Genes affected
SHANK3 (HGNC:14294): (SH3 and multiple ankyrin repeat domains 3) This gene is a member of the Shank gene family. Shank proteins are multidomain scaffold proteins of the postsynaptic density that connect neurotransmitter receptors, ion channels, and other membrane proteins to the actin cytoskeleton and G-protein-coupled signaling pathways. Shank proteins also play a role in synapse formation and dendritic spine maturation. Mutations in this gene are a cause of autism spectrum disorder (ASD), which is characterized by impairments in social interaction and communication, and restricted behavioral patterns and interests. Mutations in this gene also cause schizophrenia type 15, and are a major causative factor in the neurological symptoms of 22q13.3 deletion syndrome, which is also known as Phelan-McDermid syndrome. Additional isoforms have been described for this gene but they have not yet been experimentally verified. [provided by RefSeq, Mar 2012]
SHANK3 Gene-Disease associations (from GenCC):
  • Phelan-McDermid syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae), ClinGen
  • schizophrenia 15
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.017478019).
BP6
Variant 22-50720741-G-T is Benign according to our data. Variant chr22-50720741-G-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 252769.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000517 (76/146882) while in subpopulation NFE AF = 0.00102 (67/65984). AF 95% confidence interval is 0.000819. There are 0 homozygotes in GnomAd4. There are 33 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High AC in GnomAd4 at 76 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SHANK3NM_001372044.2 linkc.3094G>T p.Ala1032Ser missense_variant Exon 24 of 25 NP_001358973.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SHANK3ENST00000692848.2 linkc.3091G>T p.Ala1031Ser missense_variant Exon 22 of 23 ENSP00000510794.2 A0A8I5KZC4

Frequencies

GnomAD3 genomes
AF:
0.000518
AC:
76
AN:
146788
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000147
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000135
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000118
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00102
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000550
AC:
29
AN:
52690
AF XY:
0.000537
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000129
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00104
Gnomad NFE exome
AF:
0.00115
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000806
AC:
874
AN:
1083708
Hom.:
3
Cov.:
33
AF XY:
0.000760
AC XY:
404
AN XY:
531676
show subpopulations
African (AFR)
AF:
0.0000517
AC:
1
AN:
19356
American (AMR)
AF:
0.000147
AC:
2
AN:
13608
Ashkenazi Jewish (ASJ)
AF:
0.000145
AC:
2
AN:
13836
East Asian (EAS)
AF:
0.00
AC:
0
AN:
11314
South Asian (SAS)
AF:
0.0000164
AC:
1
AN:
60958
European-Finnish (FIN)
AF:
0.000487
AC:
10
AN:
20548
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2682
European-Non Finnish (NFE)
AF:
0.000913
AC:
824
AN:
902352
Other (OTH)
AF:
0.000871
AC:
34
AN:
39054
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
49
98
148
197
246
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
38
76
114
152
190
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000517
AC:
76
AN:
146882
Hom.:
0
Cov.:
33
AF XY:
0.000461
AC XY:
33
AN XY:
71544
show subpopulations
African (AFR)
AF:
0.000146
AC:
6
AN:
41042
American (AMR)
AF:
0.000135
AC:
2
AN:
14802
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3400
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5108
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.000118
AC:
1
AN:
8490
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
288
European-Non Finnish (NFE)
AF:
0.00102
AC:
67
AN:
65984
Other (OTH)
AF:
0.00
AC:
0
AN:
2038
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
5
10
15
20
25
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.000476
ExAC
AF:
0.000206
AC:
5

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:2
Jul 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

SHANK3: BS1 -

Nov 06, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 17999366) -

not specified Uncertain:1
Nov 06, 2015
Genomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of Philadelphia
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Phelan-McDermid syndrome;C3151380:Schizophrenia 15 Uncertain:1
Oct 31, 2018
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Aug 06, 2018
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

SHANK3-related disorder Benign:1
Jun 26, 2024
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.42
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0053
.;T
Eigen
Benign
0.052
Eigen_PC
Benign
0.10
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.68
T;T
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.017
T;T
MetaSVM
Benign
-0.79
T
PhyloP100
2.2
PrimateAI
Pathogenic
0.92
D
REVEL
Benign
0.21
Sift4G
Benign
0.56
T;T
Vest4
0.091
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
gMVP
0.075
Mutation Taster
=81/19
polymorphism

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

Other links and lift over

dbSNP: rs530255181; hg19: chr22-51159169; API