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GeneBe

4-37634921-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001085400.2(RELL1):c.646C>T(p.Arg216Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00000342 in 1,461,894 control chromosomes in the GnomAD database, with no homozygous occurrence. 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. R216H) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

RELL1
NM_001085400.2 missense

Scores

4
9
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.98
Variant links:
Genes affected
RELL1 (HGNC:27379): (RELT like 1) Involved in positive regulation of p38MAPK cascade. Located in microtubule cytoskeleton and plasma membrane. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RELL1NM_001085400.2 linkuse as main transcriptc.646C>T p.Arg216Cys missense_variant 5/7 ENST00000454158.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RELL1ENST00000454158.7 linkuse as main transcriptc.646C>T p.Arg216Cys missense_variant 5/75 NM_001085400.2 P1
RELL1ENST00000314117.8 linkuse as main transcriptc.646C>T p.Arg216Cys missense_variant 5/71 P1
RELL1ENST00000512114.1 linkuse as main transcriptc.709C>T p.Arg237Cys missense_variant 5/53

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000801
AC:
2
AN:
249568
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135400
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000556
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461894
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

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 15, 2023The c.646C>T (p.R216C) alteration is located in exon 5 (coding exon 5) of the RELL1 gene. This alteration results from a C to T substitution at nucleotide position 646, causing the arginine (R) at amino acid position 216 to be replaced by a cysteine (C). 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
0.34
BayesDel_addAF
Uncertain
0.069
T
BayesDel_noAF
Uncertain
-0.040
Cadd
Pathogenic
32
Dann
Pathogenic
1.0
DEOGEN2
Benign
0.21
T;T;.
Eigen
Pathogenic
0.79
Eigen_PC
Pathogenic
0.75
FATHMM_MKL
Pathogenic
0.99
D
M_CAP
Benign
0.049
D
MetaRNN
Uncertain
0.67
D;D;D
MetaSVM
Benign
-0.42
T
MutationAssessor
Uncertain
2.8
M;M;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.56
T
PROVEAN
Uncertain
-3.6
D;D;D
REVEL
Uncertain
0.38
Sift
Uncertain
0.0010
D;D;D
Sift4G
Uncertain
0.0060
D;D;.
Polyphen
1.0
D;D;.
Vest4
0.64
MutPred
0.40
Gain of glycosylation at S212 (P = 0.0054);Gain of glycosylation at S212 (P = 0.0054);.;
MVP
0.28
MPC
1.5
ClinPred
0.98
D
GERP RS
5.7
Varity_R
0.24
gMVP
0.55

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: rs1252580439; hg19: chr4-37636543; API