4-89909326-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_007351.3(MMRN1):ā€‹c.674A>Gā€‹(p.Asp225Gly) variant causes a missense change. The variant allele was found at a frequency of 0.0000484 in 1,609,924 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000020 ( 0 hom., cov: 32)
Exomes š‘“: 0.000051 ( 0 hom. )

Consequence

MMRN1
NM_007351.3 missense

Scores

1
10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.30
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 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.84

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MMRN1NM_007351.3 linkuse as main transcriptc.674A>G p.Asp225Gly missense_variant 2/8 ENST00000264790.7 NP_031377.2 Q13201-1
MMRN1NM_001371403.1 linkuse as main transcriptc.674A>G p.Asp225Gly missense_variant 3/9 NP_001358332.1
MMRN1XM_047449831.1 linkuse as main transcriptc.674A>G p.Asp225Gly missense_variant 3/8 XP_047305787.1
MMRN1NM_001410735.1 linkuse as main transcriptc.-101A>G 5_prime_UTR_variant 2/8 NP_001397664.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MMRN1ENST00000264790.7 linkuse as main transcriptc.674A>G p.Asp225Gly missense_variant 2/81 NM_007351.3 ENSP00000264790.2 Q13201-1
MMRN1ENST00000394980.5 linkuse as main transcriptc.674A>G p.Asp225Gly missense_variant 3/95 ENSP00000378431.1 Q13201-1
MMRN1ENST00000508372 linkuse as main transcriptc.-101A>G 5_prime_UTR_variant 2/82 ENSP00000426461.1 E7EPG1

Frequencies

GnomAD3 genomes
AF:
0.0000198
AC:
3
AN:
151472
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000660
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000296
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000520
AC:
13
AN:
249974
Hom.:
0
AF XY:
0.0000592
AC XY:
8
AN XY:
135130
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000873
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000885
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000514
AC:
75
AN:
1458334
Hom.:
0
Cov.:
30
AF XY:
0.0000538
AC XY:
39
AN XY:
725506
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000697
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000559
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000198
AC:
3
AN:
151590
Hom.:
0
Cov.:
32
AF XY:
0.0000270
AC XY:
2
AN XY:
74050
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000660
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000296
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000451
Hom.:
0
Bravo
AF:
0.0000567
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000659
AC:
8
EpiCase
AF:
0.000109
EpiControl
AF:
0.000297

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 27, 2023The c.674A>G (p.D225G) alteration is located in exon 2 (coding exon 2) of the MMRN1 gene. This alteration results from a A to G substitution at nucleotide position 674, causing the aspartic acid (D) at amino acid position 225 to be replaced by a glycine (G). 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
Uncertain
0.077
D
BayesDel_noAF
Uncertain
0.070
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T;T
Eigen
Uncertain
0.66
Eigen_PC
Uncertain
0.63
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.74
.;T
M_CAP
Benign
0.035
D
MetaRNN
Pathogenic
0.84
D;D
MetaSVM
Benign
-0.45
T
MutationAssessor
Benign
2.0
M;M
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-2.8
D;D
REVEL
Uncertain
0.41
Sift
Benign
0.10
T;T
Sift4G
Uncertain
0.0080
D;D
Polyphen
1.0
D;D
Vest4
0.88
MVP
0.78
MPC
0.087
ClinPred
0.46
T
GERP RS
5.3
Varity_R
0.39
gMVP
0.48

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: rs373754512; hg19: chr4-90830477; API