Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2
The NM_006393.3(NEBL):c.1269A>G(p.Lys423Lys) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000317 in 1,610,362 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
NEBL (HGNC:16932): (nebulette) This gene encodes a nebulin like protein that is abundantly expressed in cardiac muscle. The encoded protein binds actin and interacts with thin filaments and Z-line associated proteins in striated muscle. This protein may be involved in cardiac myofibril assembly. A shorter isoform of this protein termed LIM nebulette is expressed in non-muscle cells and may function as a component of focal adhesion complexes. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Mar 2010]
NEBL Gene-Disease associations (from GenCC):
dilated cardiomyopathy
Inheritance: AD Classification: LIMITED Submitted by: ClinGen
Our verdict: Benign. The variant received -17 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.54).
BP6
Variant 10-20840808-T-C is Benign according to our data. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-20840808-T-C is described in CliVar as Likely_benign. Clinvar id is 164754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.2 with no splicing effect.
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Apr 03, 2014
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
Lys423Lys in exon 13 of NEBL: This variant is not expected to have clinical sign ificance because it does not alter an amino acid residue and is not located with in the splice consensus sequence. -