4-89909334-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_007351.3(MMRN1):​c.682G>T​(p.Val228Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000106 in 1,609,958 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

MMRN1
NM_007351.3 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.57
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 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.15787885).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MMRN1NM_007351.3 linkuse as main transcriptc.682G>T p.Val228Phe missense_variant 2/8 ENST00000264790.7 NP_031377.2 Q13201-1
MMRN1NM_001371403.1 linkuse as main transcriptc.682G>T p.Val228Phe missense_variant 3/9 NP_001358332.1
MMRN1XM_047449831.1 linkuse as main transcriptc.682G>T p.Val228Phe missense_variant 3/8 XP_047305787.1
MMRN1NM_001410735.1 linkuse as main transcriptc.-93G>T 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.682G>T p.Val228Phe missense_variant 2/81 NM_007351.3 ENSP00000264790.2 Q13201-1
MMRN1ENST00000394980.5 linkuse as main transcriptc.682G>T p.Val228Phe missense_variant 3/95 ENSP00000378431.1 Q13201-1
MMRN1ENST00000508372 linkuse as main transcriptc.-93G>T 5_prime_UTR_variant 2/82 ENSP00000426461.1 E7EPG1

Frequencies

GnomAD3 genomes
AF:
0.0000264
AC:
4
AN:
151448
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000777
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000200
AC:
5
AN:
249916
Hom.:
0
AF XY:
0.00000740
AC XY:
1
AN XY:
135094
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000274
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:
0.00000891
AC:
13
AN:
1458392
Hom.:
0
Cov.:
30
AF XY:
0.00000551
AC XY:
4
AN XY:
725542
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000278
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
AF:
0.0000264
AC:
4
AN:
151566
Hom.:
0
Cov.:
32
AF XY:
0.0000405
AC XY:
3
AN XY:
74054
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000779
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756
ExAC
AF:
0.0000330
AC:
4

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 GeneticsOct 10, 2023The c.682G>T (p.V228F) alteration is located in exon 2 (coding exon 2) of the MMRN1 gene. This alteration results from a G to T substitution at nucleotide position 682, causing the valine (V) at amino acid position 228 to be replaced by a phenylalanine (F). 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
0.079
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.069
T;T
Eigen
Benign
-0.24
Eigen_PC
Benign
-0.27
FATHMM_MKL
Benign
0.65
D
LIST_S2
Benign
0.57
.;T
M_CAP
Benign
0.023
T
MetaRNN
Benign
0.16
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
M;M
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-0.94
N;N
REVEL
Benign
0.18
Sift
Benign
0.032
D;D
Sift4G
Benign
0.67
T;T
Polyphen
0.86
P;P
Vest4
0.46
MVP
0.48
MPC
0.042
ClinPred
0.23
T
GERP RS
3.4
Varity_R
0.11
gMVP
0.36

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs143124753; hg19: chr4-90830485; API