5-90629418-G-T
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate
The NM_032119.4(ADGRV1):c.1718G>T(p.Gly573Val) variant causes a missense change. The variant allele was found at a frequency of 0.000233 in 1,613,500 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 Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G573S) has been classified as Uncertain significance.
Frequency
Consequence
NM_032119.4 missense
Scores
Clinical Significance
Conservation
Publications
- Usher syndrome type 2Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
- Usher syndrome type 2CInheritance: AR Classification: STRONG Submitted by: G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae)
- febrile seizures, familial, 4Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
- nonsyndromic genetic hearing lossInheritance: AR Classification: NO_KNOWN Submitted by: ClinGen
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ACMG classification
Our verdict: Likely_benign. The variant received -2 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| ADGRV1 | ENST00000405460.9 | c.1718G>T | p.Gly573Val | missense_variant | Exon 9 of 90 | 1 | NM_032119.4 | ENSP00000384582.2 | ||
| ADGRV1 | ENST00000504142.2 | n.484G>T | non_coding_transcript_exon_variant | Exon 3 of 14 | 5 | |||||
| ADGRV1 | ENST00000640109.1 | n.1814G>T | non_coding_transcript_exon_variant | Exon 9 of 9 | 5 |
Frequencies
GnomAD3 genomes AF: 0.000362 AC: 55AN: 151794Hom.: 0 Cov.: 31 show subpopulations
GnomAD2 exomes AF: 0.000297 AC: 74AN: 249058 AF XY: 0.000289 show subpopulations
GnomAD4 exome AF: 0.000220 AC: 321AN: 1461588Hom.: 0 Cov.: 31 AF XY: 0.000216 AC XY: 157AN XY: 727068 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000362 AC: 55AN: 151912Hom.: 0 Cov.: 31 AF XY: 0.000364 AC XY: 27AN XY: 74210 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:4Benign:1
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not specified Uncertain:2
The p.Gly573Val variant in ADGRV1 has been previously reported in 4 individuals with hearing loss (Neveling 2013, LMM data), all of whom also carried the p.Arg3147Gln variant of unknown significance in GPR98. These two variants were determined to be in cis in 1 individual tested at our laboratory. The p.Gly573Val variant has also been reported in ClinVar (Variation ID # 46290) as of uncertain significance. The p.Gly573Val variant has been identified in 0.1% (41/35348) of Latino chromosomes at a similar frequency of the p.Arg3147Gln variant at 0.1% (42/35316) of Latino chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP rs200789563 and rs200792658). All information collectively suggests that these variants are in linkage disequilibrium and are likely in cis in all of the reported individuals. Although the p.Gly753Val variant has been seen in the general population, its frequency is not high enough to rule out a pathogenic role. Additionally, computational prediction tools and conservation analyses do not provide strong support for or against an impact to the protein. In summary, the clinical significance of this variant is uncertain. ACMG/AMP criteria applied: BS1_Supporting. -
Variant summary: ADGRV1 c.1718G>T (p.Gly573Val) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.0003 in 249058 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in ADGRV1 causing Usher Syndrome (0.0003 vs 0.0054), allowing no conclusion about variant significance. c.1718G>T has been reported in the literature in individuals affected with Usher Syndrome, progressive hearing loss and epilepsy, often reported in cis with c.9440G>A (p.Arg3147Gln) (Neveling_2013, Sharon_2020, Dahawi_2021, Zhou_2022). These report(s) do not provide unequivocal conclusions about association of the variant with Usher Syndrome. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 34744978, 24123792, 31456290, 35813073). ClinVar contains an entry for this variant (Variation ID: 46290). Based on the evidence outlined above, the variant was classified as uncertain significance. -
Usher syndrome type 2 Pathogenic:1
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Idiopathic generalized epilepsy Pathogenic:1
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Febrile seizures, familial, 4 Uncertain:1
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Usher syndrome type 2C Uncertain:1
This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
ADGRV1-related disorder Uncertain:1
The ADGRV1 c.1718G>T variant is predicted to result in the amino acid substitution p.Gly573Val. This variant was reported along with a second missense variant (c.9440G>A, p.Arg3147Gln) in three siblings with progressive hearing loss with unreported phase (Neveling et al. 2013. PubMed ID: 24123792), in a cohort of patients with inherited retinal disease (Table S2, Sharon et al. 2019. PubMed ID: 31456290), and in cis phase in one individual with epilepsy (Dahawi et al. 2021. PubMed ID: 34744978). Based on internal data, the c.1718G>T and c.9440G>A variants are frequently detected together, suggesting that they are often found in cis. This variant is reported in 0.12% of alleles in individuals of Latino descent in gnomAD. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at