9-136502291-C-T
Variant names: 
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 4P and 2B. PM2PP3_ModerateBP6_Moderate
The NM_017617.5(NOTCH1):c.5365G>A(p.Glu1789Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00000248 in 1,611,994 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: 𝑓 0.0000066   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.0000021   (  0   hom.  ) 
Consequence
 NOTCH1
NM_017617.5 missense
NM_017617.5 missense
Scores
 8
 10
 1
Clinical Significance
Conservation
 PhyloP100:  3.83  
Publications
2 publications found 
Genes affected
 NOTCH1  (HGNC:7881):  (notch receptor 1) This gene encodes a member of the NOTCH family of proteins. Members of this Type I transmembrane protein family share structural characteristics including an extracellular domain consisting of multiple epidermal growth factor-like (EGF) repeats, and an intracellular domain consisting of multiple different domain types. Notch signaling is an evolutionarily conserved intercellular signaling pathway that regulates interactions between physically adjacent cells through binding of Notch family receptors to their cognate ligands. The encoded preproprotein is proteolytically processed in the trans-Golgi network to generate two polypeptide chains that heterodimerize to form the mature cell-surface receptor. This receptor plays a role in the development of numerous cell and tissue types. Mutations in this gene are associated with aortic valve disease, Adams-Oliver syndrome, T-cell acute lymphoblastic leukemia, chronic lymphocytic leukemia, and head and neck squamous cell carcinoma. [provided by RefSeq, Jan 2016] 
NOTCH1 Gene-Disease associations (from GenCC):
- Adams-Oliver syndromeInheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Illumina, Orphanet
 - Adams-Oliver syndrome 5Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
 - aortic valve disease 1Inheritance: AD Classification: STRONG Submitted by: G2P, PanelApp Australia
 - connective tissue disorderInheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
 - leukodystrophyInheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
 - familial bicuspid aortic valveInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - familial thoracic aortic aneurysm and aortic dissectionInheritance: AD Classification: LIMITED Submitted by: ClinGen
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Uncertain_significance. The variant received 2 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
PP3
MetaRNN computational evidence supports a deleterious effect, 0.866
BP6
Variant 9-136502291-C-T is Benign according to our data. Variant chr9-136502291-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 477944.Status of the report is criteria_provided_single_submitter, 1 stars. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.00000657  AC: 1AN: 152194Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
1
AN: 
152194
Hom.: 
Cov.: 
33
Gnomad AFR 
 AF: 
Gnomad AMI 
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Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad FIN 
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Gnomad MID 
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Gnomad NFE 
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Gnomad OTH 
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GnomAD2 exomes  AF:  0.00000419  AC: 1AN: 238886 AF XY:  0.00   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1
AN: 
238886
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.00000206  AC: 3AN: 1459800Hom.:  0  Cov.: 32 AF XY:  0.00000275  AC XY: 2AN XY: 726242 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
3
AN: 
1459800
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
2
AN XY: 
726242
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33462
American (AMR) 
 AF: 
AC: 
0
AN: 
44686
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26098
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39684
South Asian (SAS) 
 AF: 
AC: 
1
AN: 
86236
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
51864
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5760
European-Non Finnish (NFE) 
 AF: 
AC: 
2
AN: 
1111710
Other (OTH) 
 AF: 
AC: 
0
AN: 
60300
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.492 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
GnomAD4 genome   AF:  0.00000657  AC: 1AN: 152194Hom.:  0  Cov.: 33 AF XY:  0.0000134  AC XY: 1AN XY: 74354 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
1
AN: 
152194
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
1
AN XY: 
74354
show subpopulations 
African (AFR) 
 AF: 
AC: 
1
AN: 
41438
American (AMR) 
 AF: 
AC: 
0
AN: 
15286
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5196
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4832
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10624
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
68024
Other (OTH) 
 AF: 
AC: 
0
AN: 
2094
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.475 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
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 >80 
Age
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Adams-Oliver syndrome 5    Benign:1 
Mar 01, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Uncertain 
D 
 BayesDel_noAF 
 Uncertain 
 DANN 
 Pathogenic 
 DEOGEN2 
 Uncertain 
T 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Uncertain 
 FATHMM_MKL 
 Uncertain 
D 
 LIST_S2 
 Pathogenic 
D 
 M_CAP 
 Pathogenic 
D 
 MetaRNN 
 Pathogenic 
D 
 MetaSVM 
 Uncertain 
D 
 MutationAssessor 
 Pathogenic 
M 
 PhyloP100 
 PrimateAI 
 Pathogenic 
D 
 PROVEAN 
 Uncertain 
N 
 REVEL 
 Uncertain 
 Sift 
 Uncertain 
D 
 Sift4G 
 Uncertain 
D 
 Polyphen 
D 
 Vest4 
 MutPred 
Gain of MoRF binding (P = 0.0044);
 MVP 
 MPC 
 ClinPred 
D 
 GERP RS 
 Varity_R 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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