3-132684574-C-T

Variant summary

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

The NM_153240.5(NPHP3):​c.3550G>A​(p.Ala1184Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00877 in 1,613,890 control chromosomes in the GnomAD database, including 99 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A1184V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0075 ( 12 hom., cov: 32)
Exomes 𝑓: 0.0089 ( 87 hom. )

Consequence

NPHP3
NM_153240.5 missense

Scores

6
9
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:8

Conservation

PhyloP100: 6.14

Publications

15 publications found
Variant links:
Genes affected
NPHP3 (HGNC:7907): (nephrocystin 3) This gene encodes a protein containing a coiled-coil (CC) domain, a tubulin-tyrosine ligase (TTL) domain, and a tetratrico peptide repeat (TPR) domain. The encoded protein interacts with nephrocystin, it is required for normal ciliary development, and it functions in renal tubular development. Mutations in this gene are associated with nephronophthisis type 3, and also with renal-hepatic-pancreatic dysplasia, and Meckel syndrome type 7. Naturally occurring read-through transcripts exist between this gene and the downstream ACAD11 (acyl-CoA dehydrogenase family, member 11) gene. [provided by RefSeq, Feb 2011]
NPHP3-ACAD11 (HGNC:48351): (NPHP3-ACAD11 readthrough (NMD candidate)) This locus represents naturally occurring read-through transcription between the neighboring NPHP3 (nephronophthisis 3, adolescent) and ACAD11 (acyl-CoA dehydrogenase family, member 11) genes on chromosome 3. The read-through transcript is a candidate for nonsense-mediated mRNA decay (NMD), and is thus unlikely to produce a protein product. [provided by RefSeq, Feb 2011]

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=0.011167735).
BP6
Variant 3-132684574-C-T is Benign according to our data. Variant chr3-132684574-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 167378.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00749 (1140/152260) while in subpopulation NFE AF = 0.0113 (770/68002). AF 95% confidence interval is 0.0107. There are 12 homozygotes in GnomAd4. There are 571 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 12 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_153240.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NPHP3
NM_153240.5
MANE Select
c.3550G>Ap.Ala1184Thr
missense
Exon 24 of 27NP_694972.3
NPHP3-ACAD11
NR_037804.1
n.3556G>A
non_coding_transcript_exon
Exon 23 of 45

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NPHP3
ENST00000337331.10
TSL:1 MANE Select
c.3550G>Ap.Ala1184Thr
missense
Exon 24 of 27ENSP00000338766.5
NPHP3-ACAD11
ENST00000632629.1
TSL:2
c.196G>Ap.Ala66Thr
missense
Exon 1 of 5ENSP00000488520.1
NPHP3
ENST00000512094.5
TSL:5
c.112G>Ap.Ala38Thr
missense
Exon 1 of 3ENSP00000427666.1

Frequencies

GnomAD3 genomes
AF:
0.00749
AC:
1140
AN:
152142
Hom.:
12
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00373
Gnomad ASJ
AF:
0.0234
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0103
Gnomad FIN
AF:
0.0105
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0113
Gnomad OTH
AF:
0.00383
GnomAD2 exomes
AF:
0.00823
AC:
2065
AN:
250872
AF XY:
0.00868
show subpopulations
Gnomad AFR exome
AF:
0.000923
Gnomad AMR exome
AF:
0.00145
Gnomad ASJ exome
AF:
0.0211
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.0122
Gnomad NFE exome
AF:
0.0103
Gnomad OTH exome
AF:
0.00931
GnomAD4 exome
AF:
0.00890
AC:
13008
AN:
1461630
Hom.:
87
Cov.:
31
AF XY:
0.00924
AC XY:
6721
AN XY:
727122
show subpopulations
African (AFR)
AF:
0.00108
AC:
36
AN:
33474
American (AMR)
AF:
0.00139
AC:
62
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.0212
AC:
553
AN:
26132
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39690
South Asian (SAS)
AF:
0.0103
AC:
892
AN:
86250
European-Finnish (FIN)
AF:
0.0138
AC:
738
AN:
53392
Middle Eastern (MID)
AF:
0.00433
AC:
25
AN:
5768
European-Non Finnish (NFE)
AF:
0.00911
AC:
10131
AN:
1111818
Other (OTH)
AF:
0.00942
AC:
569
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.453
Heterozygous variant carriers
0
663
1326
1989
2652
3315
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
350
700
1050
1400
1750
<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:
0.00749
AC:
1140
AN:
152260
Hom.:
12
Cov.:
32
AF XY:
0.00767
AC XY:
571
AN XY:
74460
show subpopulations
African (AFR)
AF:
0.00144
AC:
60
AN:
41554
American (AMR)
AF:
0.00372
AC:
57
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.0234
AC:
81
AN:
3468
East Asian (EAS)
AF:
0.000386
AC:
2
AN:
5182
South Asian (SAS)
AF:
0.0104
AC:
50
AN:
4828
European-Finnish (FIN)
AF:
0.0105
AC:
111
AN:
10604
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.0113
AC:
770
AN:
68002
Other (OTH)
AF:
0.00379
AC:
8
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
56
112
168
224
280
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00999
Hom.:
33
Bravo
AF:
0.00611
TwinsUK
AF:
0.00836
AC:
31
ALSPAC
AF:
0.00804
AC:
31
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.0130
AC:
112
ExAC
AF:
0.00863
AC:
1048
Asia WGS
AF:
0.00462
AC:
16
AN:
3478
EpiCase
AF:
0.00872
EpiControl
AF:
0.00806

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:8
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:3
Apr 26, 2016
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jan 30, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 09, 2017
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease.

not provided Benign:2
Jul 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

NPHP3: BS1, BS2

May 22, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

NPHP3-related Meckel-like syndrome Uncertain:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease.

Bardet-Biedl syndrome Uncertain:1
Jun 02, 2023
SN ONGC Dept of Genetics and Molecular biology Vision Research Foundation
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

Renal-hepatic-pancreatic dysplasia 1 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Nephronophthisis Benign:1
Feb 01, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Nephronophthisis 3 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.92
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Uncertain
0.020
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.91
D
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.53
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.94
D
MetaRNN
Benign
0.011
T
MetaSVM
Uncertain
0.68
D
MutationAssessor
Pathogenic
3.8
H
PhyloP100
6.1
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-3.8
D
REVEL
Pathogenic
0.79
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.010
D
Polyphen
1.0
D
Vest4
0.94
MVP
0.91
MPC
0.72
ClinPred
0.091
T
GERP RS
4.7
PromoterAI
-0.10
Neutral
Varity_R
0.74
gMVP
0.70
Mutation Taster
=88/12
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: rs34391943; hg19: chr3-132403418; API