5-71012593-C-T

Variant summary

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

The NM_004536.3(NAIP):​c.323G>A​(p.Gly108Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000396 in 151,496 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 33)

Consequence

NAIP
NM_004536.3 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.00900
Variant links:
Genes affected
NAIP (HGNC:7634): (NLR family apoptosis inhibitory protein) This gene is part of a 500 kb inverted duplication on chromosome 5q13. This duplicated region contains at least four genes and repetitive elements which make it prone to rearrangements and deletions. The repetitiveness and complexity of the sequence have also caused difficulty in determining the organization of this genomic region. This copy of the gene is full length; additional copies with truncations and internal deletions are also present in this region of chromosome 5q13. It is thought that this gene is a modifier of spinal muscular atrophy caused by mutations in a neighboring gene, SMN1. The protein encoded by this gene contains regions of homology to two baculovirus inhibitor of apoptosis proteins, and it is able to suppress apoptosis induced by various signals. Alternative splicing and the use of alternative promoters results in multiple transcript variants. [provided by RefSeq, Nov 2016]

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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=0.0933145).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NAIPNM_004536.3 linkuse as main transcriptc.323G>A p.Gly108Asp missense_variant 4/17 ENST00000517649.6 NP_004527.2 Q13075-1
NAIPNM_001346870.2 linkuse as main transcriptc.323G>A p.Gly108Asp missense_variant 4/17 NP_001333799.1 Q13075-1
NAIPNM_022892.2 linkuse as main transcriptc.182+8066G>A intron_variant NP_075043.1 Q13075-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NAIPENST00000517649.6 linkuse as main transcriptc.323G>A p.Gly108Asp missense_variant 4/171 NM_004536.3 ENSP00000428657.2 Q13075-1

Frequencies

GnomAD3 genomes
AF:
0.0000396
AC:
6
AN:
151496
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
35
GnomAD4 genome
AF:
0.0000396
AC:
6
AN:
151496
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
73966
show subpopulations
Gnomad4 AFR
AF:
0.000145
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

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 13, 2023The c.323G>A (p.G108D) alteration is located in exon 4 (coding exon 1) of the NAIP gene. This alteration results from a G to A substitution at nucleotide position 323, causing the glycine (G) at amino acid position 108 to be replaced by an aspartic acid (D). 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
0.22
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
11
DANN
Benign
0.96
DEOGEN2
Benign
0.065
T;T;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.029
N
LIST_S2
Benign
0.62
T;.;T
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.093
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.72
N;N;.
PrimateAI
Benign
0.32
T
PROVEAN
Benign
0.49
N;N;N
REVEL
Benign
0.089
Sift
Benign
0.15
T;T;T
Sift4G
Benign
0.076
T;T;T
Polyphen
0.042
B;B;B
Vest4
0.23
MutPred
0.38
Loss of catalytic residue at G106 (P = 0.0841);Loss of catalytic residue at G106 (P = 0.0841);Loss of catalytic residue at G106 (P = 0.0841);
MVP
0.48
MPC
0.22
ClinPred
0.17
T
GERP RS
2.4
Varity_R
0.026
gMVP
0.21

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: rs981297751; hg19: chr5-70308420; API