NM_001164507.2:c.24024_24028dupGTTGT

Variant summary

Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong

The NM_001164507.2(NEB):​c.24024_24028dupGTTGT​(p.Tyr8010CysfsTer137) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000144 in 1,529,896 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000015 ( 0 hom. )

Consequence

NEB
NM_001164507.2 frameshift

Scores

Not classified

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 7.83

Publications

0 publications found
Variant links:
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]
RIF1 (HGNC:23207): (replication timing regulatory factor 1) This gene encodes a protein that shares homology with the yeast teleomere binding protein, Rap1 interacting factor 1. This protein localizes to aberrant telomeres may be involved in DNA repair. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Apr 2010]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 16 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 2-151499383-T-TACAAC is Pathogenic according to our data. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-151499383-T-TACAAC is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 555293.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NEBNM_001164507.2 linkc.24024_24028dupGTTGT p.Tyr8010CysfsTer137 frameshift_variant Exon 169 of 182 ENST00000427231.7 NP_001157979.2
NEBNM_001164508.2 linkc.24024_24028dupGTTGT p.Tyr8010CysfsTer137 frameshift_variant Exon 169 of 182 ENST00000397345.8 NP_001157980.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NEBENST00000397345.8 linkc.24024_24028dupGTTGT p.Tyr8010CysfsTer137 frameshift_variant Exon 169 of 182 5 NM_001164508.2 ENSP00000380505.3 P20929-2
NEBENST00000427231.7 linkc.24024_24028dupGTTGT p.Tyr8010CysfsTer137 frameshift_variant Exon 169 of 182 5 NM_001164507.2 ENSP00000416578.2 P20929-3

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152188
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000643
AC:
1
AN:
155506
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000165
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000145
AC:
20
AN:
1377708
Hom.:
0
Cov.:
24
AF XY:
0.0000117
AC XY:
8
AN XY:
680916
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31102
American (AMR)
AF:
0.00
AC:
0
AN:
35538
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25002
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35446
South Asian (SAS)
AF:
0.00
AC:
0
AN:
78790
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48104
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5642
European-Non Finnish (NFE)
AF:
0.0000189
AC:
20
AN:
1060746
Other (OTH)
AF:
0.00
AC:
0
AN:
57338
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.0000131
AC:
2
AN:
152188
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74368
show subpopulations
African (AFR)
AF:
0.0000482
AC:
2
AN:
41460
American (AMR)
AF:
0.00
AC:
0
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68024
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.600
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Nemaline myopathy 2 Pathogenic:2
Dec 16, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change creates a premature translational stop signal (p.Tyr8045Cysfs*137) in the NEB gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in NEB are known to be pathogenic (PMID: 25205138). This variant is present in population databases (rs772009599, gnomAD 0.006%). This variant has not been reported in the literature in individuals affected with NEB-related conditions. ClinVar contains an entry for this variant (Variation ID: 555293). For these reasons, this variant has been classified as Pathogenic. -

Nov 30, 2017
Counsyl
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Arthrogryposis multiplex congenita 6 Pathogenic:1
Feb 29, 2024
Baylor Genetics
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
7.8
Mutation Taster
=8/192
disease causing (ClinVar)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs772009599; hg19: chr2-152355897; API