4-89895527-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_007351.3(MMRN1):​c.556C>T​(p.Arg186Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000753 in 1,461,528 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000075 ( 0 hom. )

Consequence

MMRN1
NM_007351.3 missense

Scores

1
7
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.817
Variant links:
Genes affected
MMRN1 (HGNC:7178): (multimerin 1) Multimerin is a massive, soluble protein found in platelets and in the endothelium of blood vessels. It is comprised of subunits linked by interchain disulfide bonds to form large, variably sized homomultimers. Multimerin is a factor V/Va-binding protein and may function as a carrier protein for platelet factor V. It may also have functions as an extracellular matrix or adhesive protein. Recently, patients with an unusual autosomal-dominant bleeding disorder (factor V Quebec) were found to have a deficiency of platelet multimerin. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.41105103).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MMRN1NM_007351.3 linkuse as main transcriptc.556C>T p.Arg186Trp missense_variant 1/8 ENST00000264790.7 NP_031377.2 Q13201-1
MMRN1NM_001371403.1 linkuse as main transcriptc.556C>T p.Arg186Trp missense_variant 2/9 NP_001358332.1
MMRN1XM_047449831.1 linkuse as main transcriptc.556C>T p.Arg186Trp missense_variant 2/8 XP_047305787.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MMRN1ENST00000264790.7 linkuse as main transcriptc.556C>T p.Arg186Trp missense_variant 1/81 NM_007351.3 ENSP00000264790.2 Q13201-1
MMRN1ENST00000394980.5 linkuse as main transcriptc.556C>T p.Arg186Trp missense_variant 2/95 ENSP00000378431.1 Q13201-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
250594
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135432
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000164
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000753
AC:
11
AN:
1461528
Hom.:
0
Cov.:
34
AF XY:
0.00000688
AC XY:
5
AN XY:
727072
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000758
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsJan 04, 2024The c.556C>T (p.R186W) alteration is located in exon 1 (coding exon 1) of the MMRN1 gene. This alteration results from a C to T substitution at nucleotide position 556, causing the arginine (R) at amino acid position 186 to be replaced by a tryptophan (W). 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
0.15
BayesDel_addAF
Benign
-0.0084
T
BayesDel_noAF
Uncertain
0.020
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.059
T;T
Eigen
Benign
0.11
Eigen_PC
Benign
0.036
FATHMM_MKL
Benign
0.25
N
LIST_S2
Benign
0.82
.;T
M_CAP
Pathogenic
0.30
D
MetaRNN
Benign
0.41
T;T
MetaSVM
Benign
-0.50
T
MutationAssessor
Uncertain
2.1
M;M
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-1.0
N;N
REVEL
Uncertain
0.39
Sift
Uncertain
0.0020
D;D
Sift4G
Uncertain
0.013
D;D
Polyphen
1.0
D;D
Vest4
0.37
MutPred
0.46
Loss of sheet (P = 0.0084);Loss of sheet (P = 0.0084);
MVP
0.62
MPC
0.084
ClinPred
0.72
D
GERP RS
2.1
Varity_R
0.087
gMVP
0.29

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: rs1475130595; hg19: chr4-90816678; API