NM_002032.3:c.161A>G

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_002032.3(FTH1):​c.161A>G​(p.Lys54Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00271 in 1,608,172 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0020 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0028 ( 7 hom. )

Consequence

FTH1
NM_002032.3 missense

Scores

5
13

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 7.95

Publications

11 publications found
Variant links:
Genes affected
FTH1 (HGNC:3976): (ferritin heavy chain 1) This gene encodes the heavy subunit of ferritin, the major intracellular iron storage protein in prokaryotes and eukaryotes. It is composed of 24 subunits of the heavy and light ferritin chains. Variation in ferritin subunit composition may affect the rates of iron uptake and release in different tissues. A major function of ferritin is the storage of iron in a soluble and nontoxic state. Defects in ferritin proteins are associated with several neurodegenerative diseases. This gene has multiple pseudogenes. Several alternatively spliced transcript variants have been observed, but their biological validity has not been determined. [provided by RefSeq, Jul 2008]
BEST1 (HGNC:12703): (bestrophin 1) This gene encodes a member of the bestrophin gene family. This small gene family is characterized by proteins with a highly conserved N-terminus with four to six transmembrane domains. Bestrophins may form chloride ion channels or may regulate voltage-gated L-type calcium-ion channels. Bestrophins are generally believed to form calcium-activated chloride-ion channels in epithelial cells but they have also been shown to be highly permeable to bicarbonate ion transport in retinal tissue. Mutations in this gene are responsible for juvenile-onset vitelliform macular dystrophy (VMD2), also known as Best macular dystrophy, in addition to adult-onset vitelliform macular dystrophy (AVMD) and other retinopathies. Alternative splicing results in multiple variants encoding distinct isoforms.[provided by RefSeq, Nov 2008]
BEST1 Gene-Disease associations (from GenCC):
  • autosomal dominant vitreoretinochoroidopathy
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), PanelApp Australia, G2P
  • inherited retinal dystrophy
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • retinitis pigmentosa
    Inheritance: AD, AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P
  • vitelliform macular dystrophy 2
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
  • autosomal recessive bestrophinopathy
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • retinitis pigmentosa 50
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • adult-onset foveomacular vitelliform dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • MRCS syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • nanophthalmia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01565203).
BP6
Variant 11-61965469-T-C is Benign according to our data. Variant chr11-61965469-T-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 305145.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 302 AD,Unknown gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002032.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FTH1
NM_002032.3
MANE Select
c.161A>Gp.Lys54Arg
missense
Exon 2 of 4NP_002023.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FTH1
ENST00000273550.12
TSL:1 MANE Select
c.161A>Gp.Lys54Arg
missense
Exon 2 of 4ENSP00000273550.7
FTH1
ENST00000620041.5
TSL:1
c.161A>Gp.Lys54Arg
missense
Exon 3 of 5ENSP00000484477.1
BEST1
ENST00000449131.6
TSL:1
c.*2320T>C
3_prime_UTR
Exon 9 of 9ENSP00000399709.2

Frequencies

GnomAD3 genomes
AF:
0.00199
AC:
303
AN:
152204
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000772
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000523
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00169
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00351
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.00174
AC:
424
AN:
244260
AF XY:
0.00164
show subpopulations
Gnomad AFR exome
AF:
0.000453
Gnomad AMR exome
AF:
0.000493
Gnomad ASJ exome
AF:
0.00119
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00187
Gnomad NFE exome
AF:
0.00301
Gnomad OTH exome
AF:
0.00183
GnomAD4 exome
AF:
0.00279
AC:
4062
AN:
1455850
Hom.:
7
Cov.:
32
AF XY:
0.00271
AC XY:
1965
AN XY:
724544
show subpopulations
African (AFR)
AF:
0.000687
AC:
23
AN:
33480
American (AMR)
AF:
0.000447
AC:
20
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00157
AC:
41
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.000186
AC:
16
AN:
86252
European-Finnish (FIN)
AF:
0.00238
AC:
113
AN:
47474
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00330
AC:
3668
AN:
1111952
Other (OTH)
AF:
0.00300
AC:
181
AN:
60372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
224
448
673
897
1121
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
134
268
402
536
670
<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:
0.00198
AC:
302
AN:
152322
Hom.:
1
Cov.:
32
AF XY:
0.00191
AC XY:
142
AN XY:
74468
show subpopulations
African (AFR)
AF:
0.000770
AC:
32
AN:
41556
American (AMR)
AF:
0.000523
AC:
8
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.000865
AC:
3
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4826
European-Finnish (FIN)
AF:
0.00169
AC:
18
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00350
AC:
238
AN:
68038
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
17
33
50
66
83
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00168
Hom.:
0
Bravo
AF:
0.00190
TwinsUK
AF:
0.00405
AC:
15
ALSPAC
AF:
0.00415
AC:
16
ESP6500AA
AF:
0.000785
AC:
3
ESP6500EA
AF:
0.00206
AC:
17
ExAC
AF:
0.00173
AC:
209
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.00300
EpiControl
AF:
0.00267

ClinVar

ClinVar submissions as Germline
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
-
1
Autosomal dominant vitreoretinochoroidopathy (1)
-
-
1
FTH1-related disorder (1)
-
-
1
Hemochromatosis type 5 (1)
-
-
1
Iron Overload (1)
-
-
1
Retinitis Pigmentosa, Recessive (1)
-
-
1
Vitelliform macular dystrophy 2 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.091
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Uncertain
-0.080
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.038
T
Eigen
Benign
0.049
Eigen_PC
Benign
0.18
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Benign
0.71
T
M_CAP
Benign
0.044
D
MetaRNN
Benign
0.016
T
MetaSVM
Benign
-0.67
T
MutationAssessor
Benign
-0.66
N
PhyloP100
7.9
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-1.6
N
REVEL
Uncertain
0.38
Sift
Benign
0.16
T
Sift4G
Benign
0.31
T
Polyphen
0.0
B
Vest4
0.61
MVP
0.93
MPC
1.3
ClinPred
0.032
T
GERP RS
4.6
Varity_R
0.31
gMVP
0.35
Mutation Taster
=185/115
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs186448909; hg19: chr11-61732941; COSMIC: COSV56446189; COSMIC: COSV56446189; API