NM_014000.3:c.1798A>C
Variant summary
Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP3
The NM_014000.3(VCL):c.1798A>C(p.Ser600Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,786 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. S600S) has been classified as Likely benign.
Frequency
Consequence
NM_014000.3 missense
Scores
Clinical Significance
Conservation
Publications
- dilated cardiomyopathy 1WInheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
 - dilated cardiomyopathyInheritance: AD Classification: MODERATE Submitted by: ClinGen
 - familial isolated dilated cardiomyopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - hypertrophic cardiomyopathy 15Inheritance: AD Classification: LIMITED Submitted by: PanelApp Australia, Ambry Genetics, Labcorp Genetics (formerly Invitae)
 - hypertrophic cardiomyopathyInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
 
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ACMG classification
Our verdict: Uncertain_significance. The variant received 3 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 32 
GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 251446 AF XY:  0.00   show subpopulations 
GnomAD4 exome  AF:  6.84e-7  AC: 1AN: 1461786Hom.:  0  Cov.: 31 AF XY:  0.00  AC XY: 0AN XY: 727198 show subpopulations 
Age Distribution
GnomAD4 genome  Cov.: 32 
ClinVar
Submissions by phenotype
not specified    Uncertain:2 
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not provided    Uncertain:2 
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p.Ser600Arg (AGC>CGC): c.1798 A>C in exon 13 of the VCL gene (NM_014000.2). The Ser600Arg variant in the VCL gene has not been reported as a disease-causing mutation or as a benign polymorphism to our knowledge. Ser600Arg results in a semi-conservative amino acid substitution of a neutral, polar Serine to a positively-charged Arginine at a position that is highly conserved across species. In silico analysis predicts Ser600Arg is damaging to the protein structure/function. The Ser600Arg variant was not observed in approximately 6500 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. However, very few missense mutations in the VCL gene have been reported, and none of these reported mutations are near Ser600Arg, indicating this region of the protein may tolerate change.With the clinical and molecular information available at this time, we cannot definitively determine if Ser600Arg is a disease-causing mutation or a rare benign variant. The variant is found in DCM panel(s). -
Cardiomyopathy    Uncertain:1 
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Dilated cardiomyopathy 1W    Uncertain:1 
In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. ClinVar contains an entry for this variant (Variation ID: 45591). This missense change has been observed in individual(s) with clinical features of left ventricular noncompaction (PMID: 33500567). This variant is present in population databases (rs397517236, gnomAD 0.007%). This sequence change replaces serine, which is neutral and polar, with arginine, which is basic and polar, at codon 600 of the VCL protein (p.Ser600Arg). -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at