8-31141445-G-A

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000553.6(WRN):​c.2983G>A​(p.Ala995Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00256 in 1,614,048 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0019 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0026 ( 19 hom. )

Consequence

WRN
NM_000553.6 missense

Scores

1
18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:5O:1

Conservation

PhyloP100: 0.213
Variant links:
Genes affected
WRN (HGNC:12791): (WRN RecQ like helicase) This gene encodes a member of the RecQ subfamily of DNA helicase proteins. The encoded nuclear protein is important in the maintenance of genome stability and plays a role in DNA repair, replication, transcription and telomere maintenance. This protein contains a N-terminal 3' to 5' exonuclease domain, an ATP-dependent helicase domain and RQC (RecQ helicase conserved region) domain in its central region, and a C-terminal HRDC (helicase RNase D C-terminal) domain and nuclear localization signal. Defects in this gene are the cause of Werner syndrome, an autosomal recessive disorder characterized by accelerated aging and an elevated risk for certain cancers. [provided by RefSeq, Aug 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0060808063).
BP6
Variant 8-31141445-G-A is Benign according to our data. Variant chr8-31141445-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 135428.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, not_provided=1, Benign=2, Uncertain_significance=2}. Variant chr8-31141445-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00194 (296/152204) while in subpopulation NFE AF= 0.0025 (170/68014). AF 95% confidence interval is 0.00219. There are 0 homozygotes in gnomad4. There are 142 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 19 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
WRNNM_000553.6 linkuse as main transcriptc.2983G>A p.Ala995Thr missense_variant 25/35 ENST00000298139.7 NP_000544.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
WRNENST00000298139.7 linkuse as main transcriptc.2983G>A p.Ala995Thr missense_variant 25/351 NM_000553.6 ENSP00000298139 P1
WRNENST00000521620.5 linkuse as main transcriptn.1616G>A non_coding_transcript_exon_variant 13/231
WRNENST00000650667.1 linkuse as main transcriptc.*2597G>A 3_prime_UTR_variant, NMD_transcript_variant 24/34 ENSP00000498593

Frequencies

GnomAD3 genomes
AF:
0.00195
AC:
296
AN:
152086
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000435
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00144
Gnomad ASJ
AF:
0.0179
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00186
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.00248
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.00239
AC:
601
AN:
251400
Hom.:
8
AF XY:
0.00260
AC XY:
353
AN XY:
135866
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.00101
Gnomad ASJ exome
AF:
0.0181
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00108
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00281
Gnomad OTH exome
AF:
0.00440
GnomAD4 exome
AF:
0.00263
AC:
3842
AN:
1461844
Hom.:
19
Cov.:
30
AF XY:
0.00274
AC XY:
1991
AN XY:
727218
show subpopulations
Gnomad4 AFR exome
AF:
0.000538
Gnomad4 AMR exome
AF:
0.00152
Gnomad4 ASJ exome
AF:
0.0192
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00108
Gnomad4 FIN exome
AF:
0.0000562
Gnomad4 NFE exome
AF:
0.00247
Gnomad4 OTH exome
AF:
0.00406
GnomAD4 genome
AF:
0.00194
AC:
296
AN:
152204
Hom.:
0
Cov.:
32
AF XY:
0.00191
AC XY:
142
AN XY:
74408
show subpopulations
Gnomad4 AFR
AF:
0.000434
Gnomad4 AMR
AF:
0.00144
Gnomad4 ASJ
AF:
0.0179
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00187
Gnomad4 FIN
AF:
0.000283
Gnomad4 NFE
AF:
0.00250
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00361
Hom.:
14
Bravo
AF:
0.00206
TwinsUK
AF:
0.00297
AC:
11
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00302
AC:
26
ExAC
AF:
0.00221
AC:
268
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00513
EpiControl
AF:
0.00385

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:5Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Uncertain significance, criteria provided, single submitterclinical testingInstitute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU DresdenNov 03, 2021- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024WRN: BP4, BS2 -
Benign, criteria provided, single submitterclinical testingGeneDxDec 26, 2019This variant is associated with the following publications: (PMID: 28051113, 24728327) -
Werner syndrome Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 30, 2024- -
not specified Benign:1Other:1
not provided, no classification providedreference populationITMISep 19, 2013- -
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 20, 2016- -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsNov 10, 2021This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
16
DANN
Benign
0.91
DEOGEN2
Benign
0.048
T
Eigen
Benign
-0.97
Eigen_PC
Benign
-0.97
FATHMM_MKL
Benign
0.27
N
LIST_S2
Uncertain
0.90
D
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.0061
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.80
N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.23
T
PROVEAN
Benign
-0.25
N
REVEL
Benign
0.066
Sift
Benign
0.32
T
Sift4G
Benign
0.30
T
Polyphen
0.017
B
Vest4
0.20
MVP
0.30
MPC
0.24
ClinPred
0.037
T
GERP RS
-2.4
Varity_R
0.11
gMVP
0.24

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs140768346; hg19: chr8-30998961; COSMIC: COSV104591538; API