NM_000245.4:c.490C>G
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong
The NM_000245.4(MET):c.490C>G(p.Pro164Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000372 in 1,613,860 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 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. P164L) has been classified as Likely benign.
Frequency
Consequence
NM_000245.4 missense
Scores
Clinical Significance
Conservation
Publications
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| MET | NM_000245.4 | c.490C>G | p.Pro164Ala | missense_variant | Exon 2 of 21 | ENST00000397752.8 | NP_000236.2 | 
Ensembl
Frequencies
GnomAD3 genomes  0.00000657  AC: 1AN: 152160Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.00000404  AC: 1AN: 247724 AF XY:  0.00   show subpopulations 
GnomAD4 exome  AF:  0.00000342  AC: 5AN: 1461700Hom.:  0  Cov.: 32 AF XY:  0.00000138  AC XY: 1AN XY: 727148 show subpopulations 
Age Distribution
GnomAD4 genome  0.00000657  AC: 1AN: 152160Hom.:  0  Cov.: 33 AF XY:  0.0000135  AC XY: 1AN XY: 74338 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not specified    Uncertain:1 
- -
Renal cell carcinoma    Uncertain:1 
This sequence change replaces proline, which is neutral and non-polar, with alanine, which is neutral and non-polar, at codon 164 of the MET protein (p.Pro164Ala). This variant is present in population databases (rs765759353, gnomAD 0.002%). This variant has not been reported in the literature in individuals affected with MET-related conditions. ClinVar contains an entry for this variant (Variation ID: 485788). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt MET protein function with a negative predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Hereditary cancer-predisposing syndrome    Uncertain:1 
The p.P164A variant (also known as c.490C>G), located in coding exon 1 of the MET gene, results from a C to G substitution at nucleotide position 490. The proline at codon 164 is replaced by alanine, an amino acid with highly similar properties. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at