NM_000057.4:c.3041A>G

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_000057.4(BLM):​c.3041A>G​(p.His1014Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000281 in 1,604,568 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts 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. H1014D) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00031 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00028 ( 1 hom. )

Consequence

BLM
NM_000057.4 missense

Scores

1
7
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:10

Conservation

PhyloP100: 8.69

Publications

8 publications found
Variant links:
Genes affected
BLM (HGNC:1058): (BLM RecQ like helicase) The Bloom syndrome is an autosomal recessive disorder characterized by growth deficiency, microcephaly and immunodeficiency among others. It is caused by homozygous or compound heterozygous mutation in the gene encoding DNA helicase RecQ protein on chromosome 15q26. This Bloom-associated helicase unwinds a variety of DNA substrates including Holliday junction, and is involved in several pathways contributing to the maintenance of genome stability. Identification of pathogenic Bloom variants is required for heterozygote testing in at-risk families. [provided by RefSeq, May 2020]
BLM Gene-Disease associations (from GenCC):
  • Bloom syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P, Myriad Women’s Health, Genomics England PanelApp, ClinGen, Laboratory for Molecular Medicine
  • osteosarcoma
    Inheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
  • colorectal cancer
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • breast cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: Ambry Genetics
  • hereditary nonpolyposis colon cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008082211).
BP6
Variant 15-90794188-A-G is Benign according to our data. Variant chr15-90794188-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 236810.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000057.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BLM
NM_000057.4
MANE Select
c.3041A>Gp.His1014Arg
missense
Exon 16 of 22NP_000048.1P54132
BLM
NM_001287246.2
c.3041A>Gp.His1014Arg
missense
Exon 17 of 23NP_001274175.1P54132
BLM
NM_001287247.2
c.3041A>Gp.His1014Arg
missense
Exon 16 of 20NP_001274176.1H0YNU5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BLM
ENST00000355112.8
TSL:1 MANE Select
c.3041A>Gp.His1014Arg
missense
Exon 16 of 22ENSP00000347232.3P54132
BLM
ENST00000560509.5
TSL:1
c.3041A>Gp.His1014Arg
missense
Exon 16 of 20ENSP00000454158.1H0YNU5
BLM
ENST00000559724.5
TSL:1
n.*1965A>G
non_coding_transcript_exon
Exon 16 of 22ENSP00000453359.1H0YLV8

Frequencies

GnomAD3 genomes
AF:
0.000309
AC:
47
AN:
152192
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.0112
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000470
AC:
117
AN:
248978
AF XY:
0.000483
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00955
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000463
Gnomad NFE exome
AF:
0.000124
Gnomad OTH exome
AF:
0.000990
GnomAD4 exome
AF:
0.000278
AC:
404
AN:
1452376
Hom.:
1
Cov.:
29
AF XY:
0.000307
AC XY:
222
AN XY:
722648
show subpopulations
African (AFR)
AF:
0.0000300
AC:
1
AN:
33306
American (AMR)
AF:
0.0000226
AC:
1
AN:
44234
Ashkenazi Jewish (ASJ)
AF:
0.0112
AC:
292
AN:
25992
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39232
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84900
European-Finnish (FIN)
AF:
0.0000188
AC:
1
AN:
53104
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5734
European-Non Finnish (NFE)
AF:
0.0000561
AC:
62
AN:
1105900
Other (OTH)
AF:
0.000784
AC:
47
AN:
59974
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
19
37
56
74
93
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000309
AC:
47
AN:
152192
Hom.:
1
Cov.:
32
AF XY:
0.000336
AC XY:
25
AN XY:
74362
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41446
American (AMR)
AF:
0.00
AC:
0
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.0112
AC:
39
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5206
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000118
AC:
8
AN:
68036
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
3
6
9
12
15
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:
0.000509
Hom.:
1
Bravo
AF:
0.000295
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000466
AC:
4
ExAC
AF:
0.000346
AC:
42

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
2
Bloom syndrome (4)
-
-
3
Hereditary cancer-predisposing syndrome (3)
-
1
2
not provided (3)
-
-
2
not specified (2)
-
-
1
BLM-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
0.011
T
BayesDel_noAF
Uncertain
-0.010
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.32
T
Eigen
Benign
-0.034
Eigen_PC
Benign
0.20
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.86
D
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.0081
T
MetaSVM
Benign
-0.80
T
MutationAssessor
Benign
1.9
L
PhyloP100
8.7
PrimateAI
Uncertain
0.61
T
PROVEAN
Uncertain
-3.9
D
REVEL
Uncertain
0.41
Sift
Uncertain
0.0080
D
Sift4G
Benign
0.077
T
Polyphen
0.011
B
Vest4
0.45
MVP
0.86
MPC
0.42
ClinPred
0.12
T
GERP RS
5.5
Varity_R
0.62
gMVP
0.66
Mutation Taster
=71/29
polymorphism

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: rs145022945; hg19: chr15-91337418; API