6-152756135-A-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PVS1_StrongPM2

The NM_194435.3(VIP):​c.336-2A>T variant causes a splice acceptor, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000284 in 1,406,298 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000028 ( 0 hom. )

Consequence

VIP
NM_194435.3 splice_acceptor, intron

Scores

1
2
6
Splicing: ADA: 0.0009247
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.00
Variant links:
Genes affected
VIP (HGNC:12693): (vasoactive intestinal peptide) The protein encoded by this gene belongs to the glucagon family. It stimulates myocardial contractility, causes vasodilation, increases glycogenolysis, lowers arterial blood pressure and relaxes the smooth muscle of trachea, stomach and gall bladder. The protein also acts as an antimicrobial peptide with antibacterial and antifungal activity. Alternative splicing occurs at this locus and two transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, Nov 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.2509804 fraction of the gene. Cryptic splice site detected, with MaxEntScore 7.1, offset of -3, new splice context is: cttttcctcatgttccttAGctg. Cryptic site results in inframe change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
VIPNM_003381.4 linkuse as main transcriptc.337A>T p.Ser113Cys missense_variant, splice_region_variant 5/7 ENST00000367244.8 NP_003372.1 P01282-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
VIPENST00000367244.8 linkuse as main transcriptc.337A>T p.Ser113Cys missense_variant, splice_region_variant 5/71 NM_003381.4 ENSP00000356213.3 P01282-1
VIPENST00000367243.7 linkuse as main transcriptc.336-2A>T splice_acceptor_variant, intron_variant 1 ENSP00000356212.3 P01282-2
VIPENST00000431366.1 linkuse as main transcriptc.184A>T p.Ser62Cys missense_variant, splice_region_variant 3/53 ENSP00000410356.1 H0Y763
LINC02840ENST00000666093.1 linkuse as main transcriptn.3186T>A non_coding_transcript_exon_variant 5/5

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000450
AC:
1
AN:
222202
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
120396
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000955
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000284
AC:
4
AN:
1406298
Hom.:
0
Cov.:
30
AF XY:
0.00000287
AC XY:
2
AN XY:
697476
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000368
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 GeneticsApr 09, 2022The c.337A>T (p.S113C) alteration is located in exon 5 (coding exon 4) of the VIP gene. This alteration results from a A to T substitution at nucleotide position 337, causing the serine (S) at amino acid position 113 to be replaced by a cysteine (C). 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
0.16
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Benign
-0.51
CADD
Benign
23
DANN
Benign
0.89
Eigen
Benign
-0.045
Eigen_PC
Benign
-0.065
FATHMM_MKL
Uncertain
0.88
D
M_CAP
Uncertain
0.089
D
ClinPred
0.91
D
GERP RS
3.7

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00092
dbscSNV1_RF
Benign
0.0080
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: rs1306272102; hg19: chr6-153077270; API