NM_000435.3:c.5363-17C>T
Variant names: 
Variant summary
Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1
The NM_000435.3(NOTCH3):c.5363-17C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.892 in 1,611,540 control chromosomes in the GnomAD database, including 643,413 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).
Frequency
 Genomes: 𝑓 0.90   (  61879   hom.,  cov: 32) 
 Exomes 𝑓:  0.89   (  581534   hom.  ) 
Consequence
 NOTCH3
NM_000435.3 intron
NM_000435.3 intron
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  0.0440  
Publications
11 publications found 
Genes affected
 NOTCH3  (HGNC:7883):  (notch receptor 3) This gene encodes the third discovered human homologue of the Drosophilia melanogaster type I membrane protein notch. In Drosophilia, notch interaction with its cell-bound ligands (delta, serrate) establishes an intercellular signalling pathway that plays a key role in neural development. Homologues of the notch-ligands have also been identified in human, but precise interactions between these ligands and the human notch homologues remains to be determined. Mutations in NOTCH3 have been identified as the underlying cause of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). [provided by RefSeq, Jul 2008] 
NOTCH3 Gene-Disease associations (from GenCC):
- cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1Inheritance: AR, AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Genomics England PanelApp, Laboratory for Molecular Medicine, Orphanet, Labcorp Genetics (formerly Invitae)
 - lateral meningocele syndromeInheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
 - infantile myofibromatosisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - myofibromatosis, infantile, 2Inheritance: AD Classification: LIMITED Submitted by: G2P
 - pulmonary arterial hypertensionInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
 
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ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -20 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87). 
BP6
Variant 19-15166108-G-A is Benign according to our data. Variant chr19-15166108-G-A is described in ClinVar as Benign. ClinVar VariationId is 256141.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.963  is higher than 0.05. 
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| NOTCH3 | ENST00000263388.7  | c.5363-17C>T | intron_variant | Intron 29 of 32 | 1 | NM_000435.3 | ENSP00000263388.1 | |||
| NOTCH3 | ENST00000595514.1  | n.227-593C>T | intron_variant | Intron 2 of 4 | 3 | ENSP00000470661.1 | ||||
| NOTCH3 | ENST00000597756.1  | c.-142C>T | upstream_gene_variant | 2 | ENSP00000468879.1 | 
Frequencies
GnomAD3 genomes   AF:  0.900  AC: 136740AN: 151956Hom.:  61832  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
136740
AN: 
151956
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
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Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.862  AC: 214886AN: 249362 AF XY:  0.864   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
214886
AN: 
249362
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.892  AC: 1301240AN: 1459466Hom.:  581534  Cov.: 37 AF XY:  0.890  AC XY: 646445AN XY: 726244 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
1301240
AN: 
1459466
Hom.: 
Cov.: 
37
 AF XY: 
AC XY: 
646445
AN XY: 
726244
show subpopulations 
African (AFR) 
 AF: 
AC: 
32632
AN: 
33452
American (AMR) 
 AF: 
AC: 
32236
AN: 
44680
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
22780
AN: 
26130
East Asian (EAS) 
 AF: 
AC: 
32781
AN: 
39686
South Asian (SAS) 
 AF: 
AC: 
73221
AN: 
86194
European-Finnish (FIN) 
 AF: 
AC: 
47320
AN: 
53352
Middle Eastern (MID) 
 AF: 
AC: 
4874
AN: 
5754
European-Non Finnish (NFE) 
 AF: 
AC: 
1002440
AN: 
1109910
Other (OTH) 
 AF: 
AC: 
52956
AN: 
60308
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.455 
Heterozygous variant carriers
 0 
 6802 
 13604 
 20407 
 27209 
 34011 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 21374 
 42748 
 64122 
 85496 
 106870 
 <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:  0.900  AC: 136845AN: 152074Hom.:  61879  Cov.: 32 AF XY:  0.895  AC XY: 66550AN XY: 74326 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
136845
AN: 
152074
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
66550
AN XY: 
74326
show subpopulations 
African (AFR) 
 AF: 
AC: 
40312
AN: 
41530
American (AMR) 
 AF: 
AC: 
11925
AN: 
15272
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
3045
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
4142
AN: 
5144
South Asian (SAS) 
 AF: 
AC: 
4079
AN: 
4822
European-Finnish (FIN) 
 AF: 
AC: 
9329
AN: 
10564
Middle Eastern (MID) 
 AF: 
AC: 
257
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
61100
AN: 
67958
Other (OTH) 
 AF: 
AC: 
1851
AN: 
2110
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.504 
Heterozygous variant carriers
 0 
 680 
 1360 
 2041 
 2721 
 3401 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 902 
 1804 
 2706 
 3608 
 4510 
 <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: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
2932
AN: 
3478
ClinVar
Significance: Benign 
Submissions summary: Benign:9 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not specified    Benign:4 
-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
not provided    Benign:3 
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided
- -
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Jan 14, 2021
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1    Benign:1 
Sep 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Lateral meningocele syndrome    Benign:1 
Sep 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
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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