NM_003998.4:c.40-910A>G

Variant names:

• chr4-102528926-A-G
• rs230533
• NM_003998.4:c.40-910A>G

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_003998.4(NFKB1):​c.40-910A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.692 in 151,822 control chromosomes in the GnomAD database, including 36,893 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.69 (36893 hom., cov: 29)
• Consequence: NFKB1 NM_003998.4 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.831
• Publications: 15 publications found

Genes affected

NFKB1 (HGNC:7794): (nuclear factor kappa B subunit 1) This gene encodes a 105 kD protein which can undergo cotranslational processing by the 26S proteasome to produce a 50 kD protein. The 105 kD protein is a Rel protein-specific transcription inhibitor and the 50 kD protein is a DNA binding subunit of the NF-kappa-B (NFKB) protein complex. NFKB is a transcription regulator that is activated by various intra- and extra-cellular stimuli such as cytokines, oxidant-free radicals, ultraviolet irradiation, and bacterial or viral products. Activated NFKB translocates into the nucleus and stimulates the expression of genes involved in a wide variety of biological functions. Inappropriate activation of NFKB has been associated with a number of inflammatory diseases while persistent inhibition of NFKB leads to inappropriate immune cell development or delayed cell growth. NFKB is a critical regulator of the immediate-early response to viral infection. Alternative splicing results in multiple transcript variants encoding different isoforms, at least one of which is proteolytically processed. [provided by RefSeq, Aug 2020]

NFKB1 Gene-Disease associations (from GenCC):

• immunodeficiency, common variable, 12

  Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
• common variable immunodeficiency

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.9).
• BA1: GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.789 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003998.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NFKB1	NM_003998.4	MANE Select	c.40-910A>G		intron	N/A	NP_003989.2
	NFKB1	NM_001382625.1		c.40-910A>G		intron	N/A	NP_001369554.1
	NFKB1	NM_001382626.1		c.40-910A>G		intron	N/A	NP_001369555.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NFKB1	ENST00000226574.9	TSL:1 MANE Select	c.40-910A>G		intron	N/A	ENSP00000226574.4
	NFKB1	ENST00000394820.8	TSL:1	c.40-910A>G		intron	N/A	ENSP00000378297.4
	NFKB1	ENST00000505458.5	TSL:1	c.40-910A>G		intron	N/A	ENSP00000424790.1

Frequencies

GnomAD3 genomes AF: 0.692 AC: 104964 AN: 151702 Hom.: 36867 Cov.: 29

Gnomad AFR AF: 0.797

Gnomad AMI AF: 0.702

Gnomad AMR AF: 0.577

Gnomad ASJ AF: 0.683

Gnomad EAS AF: 0.575

Gnomad SAS AF: 0.734

Gnomad FIN AF: 0.629

Gnomad MID AF: 0.745

Gnomad NFE AF: 0.670

Gnomad OTH AF: 0.690

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.692 AC: 105025 AN: 151822 Hom.: 36893 Cov.: 29 AF XY: 0.687 AC XY: 50979 AN XY: 74180

African (AFR) AF: 0.796 AC: 32959 AN: 41412

American (AMR) AF: 0.576 AC: 8779 AN: 15230

Ashkenazi Jewish (ASJ) AF: 0.683 AC: 2367 AN: 3468

East Asian (EAS) AF: 0.574 AC: 2955 AN: 5144

South Asian (SAS) AF: 0.735 AC: 3528 AN: 4800

European-Finnish (FIN) AF: 0.629 AC: 6622 AN: 10532

Middle Eastern (MID) AF: 0.738 AC: 217 AN: 294

European-Non Finnish (NFE) AF: 0.670 AC: 45495 AN: 67922

Other (OTH) AF: 0.694 AC: 1464 AN: 2110

Alfa AF: 0.676 Hom.: 4337

Bravo AF: 0.689

Asia WGS AF: 0.640 AC: 2231 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.90
CADD	Benign	0.72
DANN	Benign	0.51
PhyloP100		-0.83
Mutation Taster		=100/0	polymorphism (auto)

Splicing

Name	Calibrated prediction	Score	Prediction
SpliceAI score (max)		0.0		Details are displayed if max score is > 0.2

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

Other links and lift over

dbSNP: rs230533; hg19: chr4-103450083;