NM_001374828.1:c.5239C>T

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_001374828.1(ARID1B):​c.5239C>T​(p.Arg1747*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 32)

Consequence

ARID1B
NM_001374828.1 stop_gained

Scores

4
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:15

Conservation

PhyloP100: 1.21

Publications

0 publications found
Variant links:
Genes affected
ARID1B (HGNC:18040): (AT-rich interaction domain 1B) This locus encodes an AT-rich DNA interacting domain-containing protein. The encoded protein is a component of the SWI/SNF chromatin remodeling complex and may play a role in cell-cycle activation. The protein encoded by this locus is similar to AT-rich interactive domain-containing protein 1A. These two proteins function as alternative, mutually exclusive ARID-subunits of the SWI/SNF complex. The associated complexes play opposing roles. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2016]
ARID1B Gene-Disease associations (from GenCC):
  • Coffin-Siris syndrome
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Illumina, ClinGen
  • Coffin-Siris syndrome 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics

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ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 6-157201464-C-T is Pathogenic according to our data. Variant chr6-157201464-C-T is described in ClinVar as Pathogenic. ClinVar VariationId is 503753.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001374828.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ARID1B
NM_001374828.1
MANE Select
c.5239C>Tp.Arg1747*
stop_gained
Exon 18 of 20NP_001361757.1
ARID1B
NM_001438482.1
c.5368C>Tp.Arg1790*
stop_gained
Exon 19 of 21NP_001425411.1
ARID1B
NM_001438483.1
c.5281C>Tp.Arg1761*
stop_gained
Exon 19 of 21NP_001425412.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ARID1B
ENST00000636930.2
TSL:2 MANE Select
c.5239C>Tp.Arg1747*
stop_gained
Exon 18 of 20ENSP00000490491.2
ARID1B
ENST00000346085.10
TSL:1
c.5119C>Tp.Arg1707*
stop_gained
Exon 19 of 21ENSP00000344546.5
ARID1B
ENST00000350026.11
TSL:1
c.5080C>Tp.Arg1694*
stop_gained
Exon 17 of 19ENSP00000055163.8

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Coffin-Siris syndrome 1 Pathogenic:9
Jul 15, 2021
Genome-Nilou Lab
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Sep 05, 2024
Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jul 03, 2018
HudsonAlpha Institute for Biotechnology, HudsonAlpha Institute for Biotechnology
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

Oct 16, 2024
Genetics Laboratory, UDIAT-Centre Diagnòstic, Hospital Universitari Parc Tauli
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PVS1_very strong;PS4_strong;PM2_supporting

Oct 04, 2024
Al Jalila Children’s Genomics Center, Al Jalila Childrens Speciality Hospital
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

PVS1,PS2, PM2

Apr 29, 2021
Clinical Genomics Laboratory, Stanford Medicine
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

The p.Arg1707* variant in the ARID1B gene has been previously reported in at least 4 individuals with intellectual disability and/or a phenotype consistent with Coffin-Siris syndrome (Al-Shamsi et al., 2016; Gao et al., 2018; van der Sluijs et al., 2019). Note that this variant is referred to as p.Arg1624* in the literature. This variant was absent from large population databases, including the Genome Aggregation Database (http://gnomad.broadinstitute.org/). The p.Arg1707* variant leads to a premature stop codon in exon 18 of 20 exons, and is therefore predicted to undergo nonsense-mediated decay resulting in a truncated or absent protein. Heterozygous loss of function is an established mechanism of disease for the ARID1B gene. These data were assessed using the ACMG/AMP variant interpretation guidelines. In summary, there is sufficient evidence to classify the p.Arg1707* variant as pathogenic for autosomal dominant ARID1B-related disorder based on the information above. [ACMG evidence codes used: PVS1; PS2; PM2]

Sep 01, 2017
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This nonsense mutation is categorized as deleterious according to ACMG guidelines (PMID:18414213). It was found once in our laboratory as a de novo finding in a 4-year-old male with global delays, dysmorphic features, macrocephaly, partial agenesis of corpus callosum, PFO, hirsutism.

Jan 16, 2022
Department of Genetics, Rouen University Hospital, Normandy Center for Genomic and Personalized Medicine
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Oct 08, 2025
Applied Translational Genetics Group, University of Auckland
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

NM_001374828.1:c.5239C>T is a nonsense mutation in ARID1B which results in a premature stop codon at position 1747 likely results in an absent or disrupted protein product (PVS1). This variant was found in a proband with ASD, global developmental delay, macrocephaly, dysmorphic features, all core features of in the autosomal dominant condition Coffin-Siris syndrome (OMIM: 135900) (PP4). The variant has been identified as a de novo occurrence in a family without family history, but without confirmation of paternity and maternity (PM6). The variant is absent in the gnomAD population database, as would be expected for a rare genetic condition such as Coffin-Siris syndrome (PM2). In summary, this variant meets criteria to be classified as pathogenic for Coffin-Siris syndrome based on the ACMG/AMP criteria applied: PVS1, PM6, PM2, PP4

not provided Pathogenic:4
Nov 13, 2017
Clinical Genetics and Genomics, Karolinska University Hospital
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Sep 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ARID1B: PVS1, PM2

Nov 27, 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.Arg1624*) in the ARID1B gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in ARID1B are known to be pathogenic (PMID: 25674384, 30349098). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with clinical features of Coffin-Siris syndrome (PMID: 27391121; internal data). In at least one individual the variant was observed to be de novo. ClinVar contains an entry for this variant (Variation ID: 503753). For these reasons, this variant has been classified as Pathogenic.

May 15, 2023
GeneDx
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 34440449, 30440138, 27391121, 30349098, 28191889)

Inborn genetic diseases Pathogenic:1
Oct 11, 2023
Ambry Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.4870C>T (p.R1624*) alteration, located in exon 18 (coding exon 18) of the ARID1B gene, consists of a C to T substitution at nucleotide position 4870. This changes the amino acid from a arginine (R) to a stop codon at amino acid position 1624. This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. This variant was not reported in population-based cohorts in the Genome Aggregation Database (gnomAD). This variant has been determined to be the result of a de novo mutation in multiple individuals with suspected ARID1B-related Coffin-Siris syndrome (Sekiguchi, 2019; Saleh, 2021). Based on the available evidence, this alteration is classified as pathogenic.

ARID1B-related BAFopathy Pathogenic:1
Jun 10, 2021
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.61
D
BayesDel_noAF
Pathogenic
0.63
CADD
Pathogenic
43
DANN
Uncertain
1.0
Eigen
Pathogenic
0.74
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Pathogenic
0.99
D
PhyloP100
1.2
Vest4
0.97
GERP RS
4.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=0/200
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs1554236040; hg19: chr6-157522598; COSMIC: COSV51670259; COSMIC: COSV51670259; API