9-127825788-C-T

Variant summary

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

The NM_001114753.3(ENG):​c.596G>A​(p.Arg199His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000258 in 1,594,220 control chromosomes in the GnomAD database, including 6 homozygotes. 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 Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R199C) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00027 ( 6 hom. )

Consequence

ENG
NM_001114753.3 missense

Scores

1
18

Clinical Significance

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

Conservation

PhyloP100: -1.77
Variant links:
Genes affected
ENG (HGNC:3349): (endoglin) This gene encodes a homodimeric transmembrane protein which is a major glycoprotein of the vascular endothelium. This protein is a component of the transforming growth factor beta receptor complex and it binds to the beta1 and beta3 peptides with high affinity. Mutations in this gene cause hereditary hemorrhagic telangiectasia, also known as Osler-Rendu-Weber syndrome 1, an autosomal dominant multisystemic vascular dysplasia. This gene may also be involved in preeclampsia and several types of cancer. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2013]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.007664174).
BP6
Variant 9-127825788-C-T is Benign according to our data. Variant chr9-127825788-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 226041.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Benign=1, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.000105 (16/152244) while in subpopulation EAS AF= 0.0027 (14/5182). AF 95% confidence interval is 0.00163. There are 0 homozygotes in gnomad4. There are 5 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 16 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ENGNM_001114753.3 linkc.596G>A p.Arg199His missense_variant Exon 5 of 15 ENST00000373203.9 NP_001108225.1 P17813-1Q96CG0A0A024R878
ENGNM_000118.4 linkc.596G>A p.Arg199His missense_variant Exon 5 of 14 NP_000109.1 P17813-2Q5T9B9
ENGNM_001278138.2 linkc.50G>A p.Arg17His missense_variant Exon 5 of 15 NP_001265067.1 P17813Q96CG0F5GX88B7Z6Y5
ENGNM_001406715.1 linkc.596G>A p.Arg199His missense_variant Exon 5 of 8 NP_001393644.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ENGENST00000373203.9 linkc.596G>A p.Arg199His missense_variant Exon 5 of 15 1 NM_001114753.3 ENSP00000362299.4 P17813-1
ENGENST00000344849.4 linkc.596G>A p.Arg199His missense_variant Exon 5 of 14 1 ENSP00000341917.3 P17813-2
ENGENST00000480266.6 linkc.50G>A p.Arg17His missense_variant Exon 5 of 15 2 ENSP00000479015.1 F5GX88
ENGENST00000462196.1 linkn.*1G>A downstream_gene_variant 3 ENSP00000519251.1

Frequencies

GnomAD3 genomes
AF:
0.000105
AC:
16
AN:
152126
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00270
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000127
AC:
26
AN:
204756
Hom.:
0
AF XY:
0.0000712
AC XY:
8
AN XY:
112394
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00140
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000114
Gnomad OTH exome
AF:
0.000575
GnomAD4 exome
AF:
0.000275
AC:
396
AN:
1441976
Hom.:
6
Cov.:
34
AF XY:
0.000250
AC XY:
179
AN XY:
715584
show subpopulations
Gnomad4 AFR exome
AF:
0.0000302
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00950
Gnomad4 SAS exome
AF:
0.0000599
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000118
Gnomad4 OTH exome
AF:
0.000151
GnomAD4 genome
AF:
0.000105
AC:
16
AN:
152244
Hom.:
0
Cov.:
32
AF XY:
0.0000672
AC XY:
5
AN XY:
74426
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00270
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000253
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.000135
AC:
16
Asia WGS
AF:
0.00173
AC:
6
AN:
3478

ClinVar

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

Submissions by phenotype

Telangiectasia, hereditary hemorrhagic, type 1 Uncertain:1
Mar 11, 2015
CSER _CC_NCGL, University of Washington
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: research

- -

not provided Benign:1
Jun 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

ENG: BS1, BS2 -

Hereditary hemorrhagic telangiectasia Benign:1
Dec 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
0.52
DANN
Uncertain
0.98
DEOGEN2
Benign
0.34
T;T;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.073
N
LIST_S2
Benign
0.72
T;T;T
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.0077
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.4
L;.;L
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-1.0
N;.;N
REVEL
Benign
0.010
Sift
Benign
0.15
T;.;T
Sift4G
Benign
0.32
T;T;T
Polyphen
0.014
B;.;.
Vest4
0.10
MutPred
0.40
Gain of relative solvent accessibility (P = 0.0166);.;Gain of relative solvent accessibility (P = 0.0166);
MVP
0.37
MPC
0.27
ClinPred
0.011
T
GERP RS
-4.7
Varity_R
0.054
gMVP
0.43

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: rs548424658; hg19: chr9-130588067; COSMIC: COSV61228508; COSMIC: COSV61228508; API