7-150996510-A-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_000603.5(NOS3):​c.377A>T​(p.Gln126Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000455 in 1,603,644 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00027 ( 0 hom., cov: 28)
Exomes 𝑓: 0.000023 ( 0 hom. )

Consequence

NOS3
NM_000603.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.59
Variant links:
Genes affected
NOS3 (HGNC:7876): (nitric oxide synthase 3) Nitric oxide is a reactive free radical which acts as a biologic mediator in several processes, including neurotransmission and antimicrobial and antitumoral activities. Nitric oxide is synthesized from L-arginine by nitric oxide synthases. Variations in this gene are associated with susceptibility to coronary spasm. Alternative splicing and the use of alternative promoters results in multiple transcript variants. [provided by RefSeq, Oct 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.020669848).
BS2
High AC in GnomAd4 at 40 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOS3NM_000603.5 linkuse as main transcriptc.377A>T p.Gln126Leu missense_variant 4/27 ENST00000297494.8 NP_000594.2
NOS3NM_001160111.1 linkuse as main transcriptc.377A>T p.Gln126Leu missense_variant 3/14 NP_001153583.1
NOS3NM_001160110.1 linkuse as main transcriptc.377A>T p.Gln126Leu missense_variant 3/14 NP_001153582.1
NOS3NM_001160109.2 linkuse as main transcriptc.377A>T p.Gln126Leu missense_variant 3/14 NP_001153581.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOS3ENST00000297494.8 linkuse as main transcriptc.377A>T p.Gln126Leu missense_variant 4/271 NM_000603.5 ENSP00000297494 P1P29474-1
NOS3ENST00000484524.5 linkuse as main transcriptc.377A>T p.Gln126Leu missense_variant 3/141 ENSP00000420215 P29474-2
NOS3ENST00000467517.1 linkuse as main transcriptc.377A>T p.Gln126Leu missense_variant 3/141 ENSP00000420551 P29474-3
NOS3ENST00000461406.5 linkuse as main transcriptc.-37+1196A>T intron_variant 2 ENSP00000417143

Frequencies

GnomAD3 genomes
AF:
0.000275
AC:
40
AN:
145448
Hom.:
0
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.00103
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
GnomAD3 exomes
AF:
0.0000906
AC:
22
AN:
242880
Hom.:
0
AF XY:
0.0000604
AC XY:
8
AN XY:
132548
show subpopulations
Gnomad AFR exome
AF:
0.00129
Gnomad AMR exome
AF:
0.0000584
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:
0.0000226
AC:
33
AN:
1458086
Hom.:
0
Cov.:
34
AF XY:
0.0000248
AC XY:
18
AN XY:
725218
show subpopulations
Gnomad4 AFR exome
AF:
0.000568
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.000116
GnomAD4 genome
AF:
0.000275
AC:
40
AN:
145558
Hom.:
0
Cov.:
28
AF XY:
0.000268
AC XY:
19
AN XY:
70776
show subpopulations
Gnomad4 AFR
AF:
0.00103
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
Alfa
AF:
0.000198
Hom.:
0
Bravo
AF:
0.000366
ESP6500AA
AF:
0.00115
AC:
5
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000133
AC:
16
Asia WGS
AF:
0.000289
AC:
1
AN:
3476

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 GeneticsMar 12, 2024The c.377A>T (p.Q126L) alteration is located in exon 4 (coding exon 3) of the NOS3 gene. This alteration results from a A to T substitution at nucleotide position 377, causing the glutamine (Q) at amino acid position 126 to be replaced by a leucine (L). 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
0.084
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.13
T;.;.
Eigen
Benign
-0.32
Eigen_PC
Benign
-0.12
FATHMM_MKL
Benign
0.55
D
LIST_S2
Benign
0.77
T;T;T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.021
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.48
N;N;N
MutationTaster
Benign
0.57
D;D;D;D
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-0.28
N;N;N
REVEL
Benign
0.076
Sift
Benign
0.43
T;T;T
Sift4G
Benign
0.39
T;T;T
Polyphen
0.0020
B;.;.
Vest4
0.15
MVP
0.53
MPC
0.063
ClinPred
0.024
T
GERP RS
5.0
Varity_R
0.36
gMVP
0.65

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: rs149224629; hg19: chr7-150693598; API