6-31954557-C-T

Variant summary

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

The NM_002904.6(NELFE):​c.740G>A​(p.Arg247His) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000978 in 1,604,746 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R247C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000096 ( 0 hom. )

Consequence

NELFE
NM_002904.6 missense, splice_region

Scores

2
9
8
Splicing: ADA: 0.9430
1
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.90
Variant links:
Genes affected
NELFE (HGNC:13974): (negative elongation factor complex member E) The protein encoded by this gene is part of a complex termed negative elongation factor (NELF) which represses RNA polymerase II transcript elongation. This protein bears similarity to nuclear RNA-binding proteins; however, it has not been demonstrated that this protein binds RNA. The protein contains a tract of alternating basic and acidic residues, largely arginine (R) and aspartic acid (D). The gene localizes to the major histocompatibility complex (MHC) class III region on chromosome 6. [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=0.06949043).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NELFENM_002904.6 linkuse as main transcriptc.740G>A p.Arg247His missense_variant, splice_region_variant 7/11 ENST00000375429.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NELFEENST00000375429.8 linkuse as main transcriptc.740G>A p.Arg247His missense_variant, splice_region_variant 7/111 NM_002904.6 P1P18615-1

Frequencies

GnomAD3 genomes
AF:
0.000112
AC:
17
AN:
152144
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000156
AC:
38
AN:
243302
Hom.:
0
AF XY:
0.000213
AC XY:
28
AN XY:
131160
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.000935
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000914
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000964
AC:
140
AN:
1452484
Hom.:
0
Cov.:
34
AF XY:
0.000119
AC XY:
86
AN XY:
721346
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000225
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000981
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000416
Gnomad4 OTH exome
AF:
0.000133
GnomAD4 genome
AF:
0.000112
AC:
17
AN:
152262
Hom.:
0
Cov.:
32
AF XY:
0.000148
AC XY:
11
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00145
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000117
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000198
AC:
24

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 GeneticsNov 18, 2022The c.740G>A (p.R247H) alteration is located in exon 7 (coding exon 6) of the NELFE gene. This alteration results from a G to A substitution at nucleotide position 740, causing the arginine (R) at amino acid position 247 to be replaced by a histidine (H). 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
Uncertain
0.54
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Uncertain
0.0
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.12
T;.;.;T;T;T
Eigen
Uncertain
0.58
Eigen_PC
Uncertain
0.59
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.90
D;D;D;D;D;T
M_CAP
Benign
0.062
D
MetaRNN
Benign
0.069
T;T;T;T;T;T
MetaSVM
Uncertain
-0.039
T
MutationAssessor
Uncertain
2.5
M;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-1.2
N;N;N;N;N;N
REVEL
Benign
0.22
Sift
Uncertain
0.015
D;D;D;D;.;D
Sift4G
Benign
0.20
T;T;D;.;.;.
Polyphen
1.0
D;.;.;.;.;.
Vest4
0.37
MVP
0.79
MPC
0.69
ClinPred
0.20
T
GERP RS
5.3
RBP_binding_hub_radar
0.97
RBP_regulation_power_radar
2.7
Varity_R
0.11
gMVP
0.38

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.94
dbscSNV1_RF
Pathogenic
0.80
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: rs373302915; hg19: chr6-31922334; COSMIC: COSV64813607; COSMIC: COSV64813607; API