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GeneBe

9-124482765-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM1BP4_Strong

The NM_004959.5(NR5A1):c.1379A>G(p.Gln460Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000362 in 1,298,418 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. 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. Q460P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000015 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000039 ( 0 hom. )

Consequence

NR5A1
NM_004959.5 missense

Scores

2
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.11
Variant links:
Genes affected
NR5A1 (HGNC:7983): (nuclear receptor subfamily 5 group A member 1) The protein encoded by this gene is a transcriptional activator involved in sex determination. The encoded protein binds DNA as a monomer. Defects in this gene are a cause of XY sex reversal with or without adrenal failure as well as adrenocortical insufficiency without ovarian defect. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM1
In a region_of_interest Important for dimerization (size 231) in uniprot entity STF1_HUMAN there are 47 pathogenic changes around while only 0 benign (100%) in NM_004959.5
BP4
Computational evidence support a benign effect (MetaRNN=0.049322397).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NR5A1NM_004959.5 linkuse as main transcriptc.1379A>G p.Gln460Arg missense_variant 7/7 ENST00000373588.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NR5A1ENST00000373588.9 linkuse as main transcriptc.1379A>G p.Gln460Arg missense_variant 7/71 NM_004959.5 P1
NR5A1ENST00000620110.4 linkuse as main transcriptc.1259A>G p.Gln420Arg missense_variant 6/65
NR5A1ENST00000373587.3 linkuse as main transcriptc.731A>G p.Gln244Arg missense_variant 5/53

Frequencies

GnomAD3 genomes
AF:
0.0000154
AC:
2
AN:
129820
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000158
Gnomad OTH
AF:
0.000553
GnomAD3 exomes
AF:
0.00000573
AC:
1
AN:
174450
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
93254
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:
0.0000618
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000385
AC:
45
AN:
1168598
Hom.:
0
Cov.:
38
AF XY:
0.0000418
AC XY:
24
AN XY:
574570
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000335
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000766
Gnomad4 FIN exome
AF:
0.0000346
Gnomad4 NFE exome
AF:
0.0000377
Gnomad4 OTH exome
AF:
0.0000472
GnomAD4 genome
AF:
0.0000154
AC:
2
AN:
129820
Hom.:
0
Cov.:
29
AF XY:
0.0000163
AC XY:
1
AN XY:
61428
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000158
Gnomad4 OTH
AF:
0.000553
Alfa
AF:
0.0000287
Hom.:
0

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxJun 19, 2020In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 29935645) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.092
T
BayesDel_noAF
Benign
-0.37
Cadd
Benign
19
Dann
Benign
0.87
Eigen
Benign
-0.66
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.28
N
LIST_S2
Benign
0.61
T;T;T
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.049
T;T;T
MetaSVM
Benign
-0.57
T
MutationTaster
Benign
0.59
D
PrimateAI
Uncertain
0.59
T
Sift4G
Benign
1.0
T;T;T
Polyphen
0.0
.;B;.
Vest4
0.029
MVP
0.56
MPC
0.79
ClinPred
0.17
T
GERP RS
3.7
Varity_R
0.58
gMVP
0.059

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: rs146454575; hg19: chr9-127245044; API