NM_006262.4:c.421G>T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_006262.4(PRPH):​c.421G>T​(p.Asp141Tyr) variant causes a missense change. The variant allele was found at a frequency of 0.00542 in 1,545,564 control chromosomes in the GnomAD database, with no homozygous occurrence. There is a variant allele frequency bias in the population database for this variant (GnomAd4), which may indicate mosaicism or somatic mutations in the reference population data. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0036 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0056 ( 0 hom. )

Consequence

PRPH
NM_006262.4 missense

Scores

2
10
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2O:2

Conservation

PhyloP100: 4.80

Publications

19 publications found
Variant links:
Genes affected
PRPH (HGNC:9461): (peripherin) This gene encodes a cytoskeletal protein found in neurons of the peripheral nervous system. The encoded protein is a type III intermediate filament protein with homology to other cytoskeletal proteins such as desmin, and is a different protein that the peripherin found in photoreceptors. Mutations in this gene have been associated with susceptibility to amyotrophic lateral sclerosis. [provided by RefSeq, Jul 2008]
TROAP-AS1 (HGNC:55453): (TROAP and PRPH antisense RNA 1)

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 (MetaRNN=0.0126363635).
BP6
Variant 12-49295621-G-T is Benign according to our data. Variant chr12-49295621-G-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 13707.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_006262.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PRPH
NM_006262.4
MANE Select
c.421G>Tp.Asp141Tyr
missense
Exon 1 of 9NP_006253.2
TROAP-AS1
NR_120449.1
n.2451C>A
non_coding_transcript_exon
Exon 6 of 8

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PRPH
ENST00000257860.9
TSL:1 MANE Select
c.421G>Tp.Asp141Tyr
missense
Exon 1 of 9ENSP00000257860.4P41219-1
PRPH
ENST00000451891.4
TSL:5
c.100-18G>T
intron
N/AENSP00000408897.4F8W835
TROAP-AS1
ENST00000553259.1
TSL:2
n.2451C>A
non_coding_transcript_exon
Exon 6 of 8

Frequencies

GnomAD3 genomes
AF:
0.00360
AC:
548
AN:
152220
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00116
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00268
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00508
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00585
Gnomad OTH
AF:
0.00335
GnomAD2 exomes
AF:
0.00321
AC:
451
AN:
140550
AF XY:
0.00292
show subpopulations
Gnomad AFR exome
AF:
0.000761
Gnomad AMR exome
AF:
0.00250
Gnomad ASJ exome
AF:
0.000491
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00421
Gnomad NFE exome
AF:
0.00595
Gnomad OTH exome
AF:
0.00412
GnomAD4 exome
AF:
0.00562
AC:
7830
AN:
1393228
Hom.:
0
Cov.:
31
AF XY:
0.00531
AC XY:
3651
AN XY:
687128
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00117
AC:
37
AN:
31496
American (AMR)
AF:
0.00301
AC:
107
AN:
35598
Ashkenazi Jewish (ASJ)
AF:
0.000439
AC:
11
AN:
25064
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35718
South Asian (SAS)
AF:
0.000177
AC:
14
AN:
79190
European-Finnish (FIN)
AF:
0.00459
AC:
207
AN:
45092
Middle Eastern (MID)
AF:
0.000543
AC:
3
AN:
5526
European-Non Finnish (NFE)
AF:
0.00669
AC:
7212
AN:
1077716
Other (OTH)
AF:
0.00413
AC:
239
AN:
57828
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.330
Heterozygous variant carriers
0
806
1612
2418
3224
4030
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
292
584
876
1168
1460
<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:
0.00360
AC:
549
AN:
152336
Hom.:
0
Cov.:
33
AF XY:
0.00337
AC XY:
251
AN XY:
74492
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00115
AC:
48
AN:
41594
American (AMR)
AF:
0.00268
AC:
41
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00508
AC:
54
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00587
AC:
399
AN:
68016
Other (OTH)
AF:
0.00331
AC:
7
AN:
2114
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.338
Heterozygous variant carriers
0
38
75
113
150
188
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00283
Hom.:
0
TwinsUK
AF:
0.00405
AC:
15
ALSPAC
AF:
0.00675
AC:
26
ESP6500AA
AF:
0.000517
AC:
2
ESP6500EA
AF:
0.00563
AC:
42
ExAC
AF:
0.00131
AC:
119

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
not provided (3)
-
2
-
not specified (2)
-
-
1
PRPH-related disorder (1)
-
-
-
Amyotrophic lateral sclerosis, susceptibility to (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.37
BayesDel_addAF
Benign
-0.082
T
BayesDel_noAF
Uncertain
0.11
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.60
D
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.44
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.65
T
MetaRNN
Benign
0.013
T
MetaSVM
Uncertain
0.15
D
MutationAssessor
Benign
0.075
N
PhyloP100
4.8
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-1.8
N
REVEL
Pathogenic
0.71
Sift
Uncertain
0.014
D
Sift4G
Uncertain
0.012
D
Polyphen
0.81
P
Vest4
0.72
MVP
0.85
MPC
1.5
ClinPred
0.042
T
GERP RS
4.7
PromoterAI
-0.022
Neutral
Varity_R
0.24
gMVP
0.40
Mutation Taster
=28/72
disease causing

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

Publications

Other links and lift over

dbSNP: rs58599399; hg19: chr12-49689404; COSMIC: COSV108039645; COSMIC: COSV108039645; API