9-99828440-T-C

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BS2

The NM_006981.4(NR4A3):​c.398T>C​(p.Met133Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000177 in 1,582,296 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000014 ( 0 hom. )

Consequence

NR4A3
NM_006981.4 missense

Scores

5
8
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.02

Publications

0 publications found
Variant links:
Genes affected
NR4A3 (HGNC:7982): (nuclear receptor subfamily 4 group A member 3) This gene encodes a member of the steroid-thyroid hormone-retinoid receptor superfamily. The encoded protein may act as a transcriptional activator. The protein can efficiently bind the NGFI-B Response Element (NBRE). Three different versions of extraskeletal myxoid chondrosarcomas (EMCs) are the result of reciprocal translocations between this gene and other genes. The translocation breakpoints are associated with Nuclear Receptor Subfamily 4, Group A, Member 3 (on chromosome 9) and either Ewing Sarcome Breakpoint Region 1 (on chromosome 22), RNA Polymerase II, TATA Box-Binding Protein-Associated Factor, 68-KD (on chromosome 17), or Transcription factor 12 (on chromosome 15). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2010]
NAMA (HGNC:42408): (non-protein coding RNA, associated with MAP kinase pathway and growth arrest)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BS2
High AC in GnomAd4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NR4A3NM_006981.4 linkc.398T>C p.Met133Thr missense_variant Exon 3 of 8 ENST00000395097.7 NP_008912.2 Q92570-1A0A024R168
NR4A3NM_173200.3 linkc.431T>C p.Met144Thr missense_variant Exon 4 of 9 NP_775292.1 Q92570-3
NR4A3NM_173199.4 linkc.398T>C p.Met133Thr missense_variant Exon 3 of 5 NP_775291.1 Q92570-2
NR4A3XM_017015162.2 linkc.398T>C p.Met133Thr missense_variant Exon 4 of 9 XP_016870651.1 Q92570-1A0A024R168

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NR4A3ENST00000395097.7 linkc.398T>C p.Met133Thr missense_variant Exon 3 of 8 1 NM_006981.4 ENSP00000378531.2 Q92570-1

Frequencies

GnomAD3 genomes
AF:
0.0000529
AC:
8
AN:
151322
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000243
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000197
Gnomad ASJ
AF:
0.000289
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000443
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000232
AC:
5
AN:
215496
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000313
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000316
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000140
AC:
20
AN:
1430858
Hom.:
0
Cov.:
31
AF XY:
0.0000141
AC XY:
10
AN XY:
708352
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33058
American (AMR)
AF:
0.0000473
AC:
2
AN:
42272
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23436
East Asian (EAS)
AF:
0.0000253
AC:
1
AN:
39542
South Asian (SAS)
AF:
0.0000125
AC:
1
AN:
79898
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51340
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5594
European-Non Finnish (NFE)
AF:
0.0000128
AC:
14
AN:
1096590
Other (OTH)
AF:
0.0000338
AC:
2
AN:
59128
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000528
AC:
8
AN:
151438
Hom.:
0
Cov.:
31
AF XY:
0.0000540
AC XY:
4
AN XY:
74040
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41306
American (AMR)
AF:
0.000197
AC:
3
AN:
15260
Ashkenazi Jewish (ASJ)
AF:
0.000289
AC:
1
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5080
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4768
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10508
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000443
AC:
3
AN:
67746
Other (OTH)
AF:
0.00
AC:
0
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
1
2
2
3
4
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
75-80
>80
Age
Alfa
AF:
0.0000612
Hom.:
0
Bravo
AF:
0.000102
ExAC
AF:
0.0000249
AC:
3

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Apr 09, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.431T>C (p.M144T) alteration is located in exon 4 (coding exon 2) of the NR4A3 gene. This alteration results from a T to C substitution at nucleotide position 431, causing the methionine (M) at amino acid position 144 to be replaced by a threonine (T). 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
Pathogenic
0.57
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Pathogenic
0.26
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.41
.;T;.;.
Eigen
Uncertain
0.48
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.92
D;D;D;.
M_CAP
Uncertain
0.12
D
MetaRNN
Uncertain
0.68
D;D;D;D
MetaSVM
Uncertain
0.13
D
MutationAssessor
Benign
0.97
L;L;.;.
PhyloP100
6.0
PrimateAI
Pathogenic
0.80
T
PROVEAN
Benign
-2.0
N;N;.;N
REVEL
Uncertain
0.53
Sift
Benign
0.14
T;T;.;T
Sift4G
Benign
0.74
T;T;T;T
Polyphen
0.97
D;P;P;P
Vest4
0.86
MVP
0.90
ClinPred
0.31
T
GERP RS
4.7
Varity_R
0.35
gMVP
0.36
Mutation Taster
=23/77
disease causing

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

Other links and lift over

dbSNP: rs572946695; hg19: chr9-102590722; API