6-31954651-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_002904.6(NELFE):​c.646C>T​(p.Arg216Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000113 in 1,599,452 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000083 ( 0 hom. )

Consequence

NELFE
NM_002904.6 missense

Scores

1
9
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.567
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 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.347593).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NELFENM_002904.6 linkuse as main transcriptc.646C>T p.Arg216Trp missense_variant 7/11 ENST00000375429.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NELFEENST00000375429.8 linkuse as main transcriptc.646C>T p.Arg216Trp missense_variant 7/111 NM_002904.6 P1P18615-1

Frequencies

GnomAD3 genomes
AF:
0.0000402
AC:
6
AN:
149320
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000123
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:
0.0000150
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000121
AC:
3
AN:
247154
Hom.:
0
AF XY:
0.0000149
AC XY:
2
AN XY:
133848
show subpopulations
Gnomad AFR exome
AF:
0.000187
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000828
AC:
12
AN:
1450132
Hom.:
0
Cov.:
32
AF XY:
0.00000693
AC XY:
5
AN XY:
721254
show subpopulations
Gnomad4 AFR exome
AF:
0.0000906
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:
0.00000724
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
AF:
0.0000402
AC:
6
AN:
149320
Hom.:
0
Cov.:
31
AF XY:
0.0000413
AC XY:
3
AN XY:
72592
show subpopulations
Gnomad4 AFR
AF:
0.000123
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:
0.0000150
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000329
Hom.:
0
Bravo
AF:
0.0000453
ExAC
AF:
0.00000833
AC:
1

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 27, 2021The c.646C>T (p.R216W) alteration is located in exon 7 (coding exon 6) of the NELFE gene. This alteration results from a C to T substitution at nucleotide position 646, causing the arginine (R) at amino acid position 216 to be replaced by a tryptophan (W). 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
0.48
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
-0.040
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.095
T;.;.;T;T;T
Eigen
Benign
0.020
Eigen_PC
Benign
-0.23
FATHMM_MKL
Benign
0.24
N
LIST_S2
Uncertain
0.94
D;D;D;D;D;D
M_CAP
Benign
0.054
D
MetaRNN
Benign
0.35
T;T;T;T;T;T
MetaSVM
Benign
-0.38
T
MutationAssessor
Uncertain
2.9
M;.;.;.;.;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.64
T
PROVEAN
Benign
-2.0
N;N;N;N;D;D
REVEL
Uncertain
0.37
Sift
Uncertain
0.0010
D;D;D;D;.;D
Sift4G
Pathogenic
0.0010
D;D;D;.;.;.
Polyphen
1.0
D;.;.;.;.;.
Vest4
0.49
MVP
0.71
MPC
0.58
ClinPred
0.50
D
GERP RS
2.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.31
gMVP
0.41

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs772078692; hg19: chr6-31922428; COSMIC: COSV99064754; COSMIC: COSV99064754; API