NM_001164507.2:c.20454G>C
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_ModerateBP6_ModerateBP7
The NM_001164507.2(NEB):c.20454G>C(p.Leu6818Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000124 in 1,612,156 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: 𝑓 0.000053   (  0   hom.,  cov: 32) 
 Exomes 𝑓:  0.0000082   (  0   hom.  ) 
Consequence
 NEB
NM_001164507.2 synonymous
NM_001164507.2 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  1.45  
Publications
0 publications found 
Genes affected
 NEB  (HGNC:7720):  (nebulin) This gene encodes nebulin, a giant protein component of the cytoskeletal matrix that coexists with the thick and thin filaments within the sarcomeres of skeletal muscle. In most vertebrates, nebulin accounts for 3 to 4% of the total myofibrillar protein. The encoded protein contains approximately 30-amino acid long modules that can be classified into 7 types and other repeated modules. Protein isoform sizes vary from 600 to 800 kD due to alternative splicing that is tissue-, species-,and developmental stage-specific. Of the 183 exons in the nebulin gene, at least 43 are alternatively spliced, although exons 143 and 144 are not found in the same transcript. Of the several thousand transcript variants predicted for nebulin, the RefSeq Project has decided to create three representative RefSeq records. Mutations in this gene are associated with recessive nemaline myopathy. [provided by RefSeq, Sep 2009] 
NEB Gene-Disease associations (from GenCC):
- nemaline myopathy 2Inheritance: AR, AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Myriad Women’s Health, G2P, Ambry Genetics
- childhood-onset nemaline myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- intermediate nemaline myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- typical nemaline myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- lethal multiple pterygium syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- severe congenital nemaline myopathyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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 (BayesDel_noAF=-0.33). 
BP6
Variant 2-151546357-C-G is Benign according to our data. Variant chr2-151546357-C-G is described in ClinVar as Likely_benign. ClinVar VariationId is 465537.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP7
Synonymous conserved (PhyloP=1.45 with no splicing effect.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| NEB | ENST00000397345.8 | c.20454G>C | p.Leu6818Leu | synonymous_variant | Exon 134 of 182 | 5 | NM_001164508.2 | ENSP00000380505.3 | ||
| NEB | ENST00000427231.7 | c.20454G>C | p.Leu6818Leu | synonymous_variant | Exon 134 of 182 | 5 | NM_001164507.2 | ENSP00000416578.2 | 
Frequencies
GnomAD3 genomes  0.0000526  AC: 8AN: 152162Hom.:  0  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
8
AN: 
152162
Hom.: 
Cov.: 
32
Gnomad AFR 
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GnomAD2 exomes  AF:  0.0000121  AC: 3AN: 247012 AF XY:  0.00000747   show subpopulations 
GnomAD2 exomes 
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AC: 
3
AN: 
247012
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Gnomad AFR exome 
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GnomAD4 exome  AF:  0.00000822  AC: 12AN: 1459994Hom.:  0  Cov.: 31 AF XY:  0.0000110  AC XY: 8AN XY: 726214 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
12
AN: 
1459994
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
8
AN XY: 
726214
show subpopulations 
African (AFR) 
 AF: 
AC: 
10
AN: 
33426
American (AMR) 
 AF: 
AC: 
1
AN: 
44444
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26086
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39678
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
85922
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53386
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5702
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111048
Other (OTH) 
 AF: 
AC: 
1
AN: 
60302
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.492 
Heterozygous variant carriers
 0 
 1 
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 5 
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Allele balance
Age Distribution
Exome Het
Variant carriers
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Age
GnomAD4 genome  0.0000526  AC: 8AN: 152162Hom.:  0  Cov.: 32 AF XY:  0.0000538  AC XY: 4AN XY: 74314 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
8
AN: 
152162
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
4
AN XY: 
74314
show subpopulations 
African (AFR) 
 AF: 
AC: 
7
AN: 
41428
American (AMR) 
 AF: 
AC: 
1
AN: 
15272
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5192
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4830
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10620
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
68028
Other (OTH) 
 AF: 
AC: 
0
AN: 
2092
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.519 
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
Genome Het
Variant carriers
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 8 
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 <30 
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Age
Alfa 
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Hom.: 
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Nemaline myopathy 2    Benign:1 
Apr 29, 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
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 Splicevardb 
 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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