NM_006981.4:c.666C>G

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_006981.4(NR4A3):​c.666C>G​(p.Ser222Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000305 in 1,312,038 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 31)
Exomes 𝑓: 8.6e-7 ( 0 hom. )

Consequence

NR4A3
NM_006981.4 missense

Scores

2
4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.08

Publications

1 publications found
Variant links:
Genes affected
NR4A3 (HGNC:7982): (nuclear receptor subfamily 4 group A member 3) This gene encodes a member of the steroid-thyroid hormone-retinoid receptor superfamily. The encoded protein may act as a transcriptional activator. The protein can efficiently bind the NGFI-B Response Element (NBRE). Three different versions of extraskeletal myxoid chondrosarcomas (EMCs) are the result of reciprocal translocations between this gene and other genes. The translocation breakpoints are associated with Nuclear Receptor Subfamily 4, Group A, Member 3 (on chromosome 9) and either Ewing Sarcome Breakpoint Region 1 (on chromosome 22), RNA Polymerase II, TATA Box-Binding Protein-Associated Factor, 68-KD (on chromosome 17), or Transcription factor 12 (on chromosome 15). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2010]
NAMA (HGNC:42408): (non-protein coding RNA, associated with MAP kinase pathway and growth arrest)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2943444).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NR4A3NM_006981.4 linkc.666C>G p.Ser222Arg missense_variant Exon 3 of 8 ENST00000395097.7 NP_008912.2 Q92570-1A0A024R168
NR4A3NM_173200.3 linkc.699C>G p.Ser233Arg missense_variant Exon 4 of 9 NP_775292.1 Q92570-3
NR4A3NM_173199.4 linkc.666C>G p.Ser222Arg missense_variant Exon 3 of 5 NP_775291.1 Q92570-2
NR4A3XM_017015162.2 linkc.666C>G p.Ser222Arg missense_variant Exon 4 of 9 XP_016870651.1 Q92570-1A0A024R168

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NR4A3ENST00000395097.7 linkc.666C>G p.Ser222Arg missense_variant Exon 3 of 8 1 NM_006981.4 ENSP00000378531.2 Q92570-1

Frequencies

GnomAD3 genomes
AF:
0.0000198
AC:
3
AN:
151576
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000442
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
8.62e-7
AC:
1
AN:
1160462
Hom.:
0
Cov.:
31
AF XY:
0.00000178
AC XY:
1
AN XY:
561896
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
23196
American (AMR)
AF:
0.00
AC:
0
AN:
8824
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
15304
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26714
South Asian (SAS)
AF:
0.00
AC:
0
AN:
41778
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
26026
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3246
European-Non Finnish (NFE)
AF:
0.00000103
AC:
1
AN:
968536
Other (OTH)
AF:
0.00
AC:
0
AN:
46838
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
AF:
0.0000198
AC:
3
AN:
151576
Hom.:
0
Cov.:
31
AF XY:
0.0000135
AC XY:
1
AN XY:
74022
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41350
American (AMR)
AF:
0.00
AC:
0
AN:
15222
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5162
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10394
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000442
AC:
3
AN:
67846
Other (OTH)
AF:
0.00
AC:
0
AN:
2078
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
May 31, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.699C>G (p.S233R) alteration is located in exon 4 (coding exon 2) of the NR4A3 gene. This alteration results from a C to G substitution at nucleotide position 699, causing the serine (S) at amino acid position 233 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.50
BayesDel_addAF
Uncertain
0.064
T
BayesDel_noAF
Benign
-0.15
CADD
Benign
18
DANN
Benign
0.92
DEOGEN2
Benign
0.23
.;T;.;.
Eigen
Benign
-0.41
Eigen_PC
Benign
-0.32
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.75
T;T;T;.
M_CAP
Pathogenic
0.89
D
MetaRNN
Benign
0.29
T;T;T;T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
1.4
L;L;.;.
PhyloP100
1.1
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-0.46
N;N;.;N
REVEL
Uncertain
0.47
Sift
Benign
0.49
T;T;.;T
Sift4G
Benign
0.60
T;T;T;T
Polyphen
0.85
P;B;B;B
Vest4
0.15
MutPred
0.38
Loss of glycosylation at S222 (P = 0.0019);Loss of glycosylation at S222 (P = 0.0019);.;.;
MVP
0.68
ClinPred
0.11
T
GERP RS
0.79
Varity_R
0.079
gMVP
0.48
Mutation Taster
=91/9
polymorphism

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: rs575180948; hg19: chr9-102590990; API