NM_198060.4:c.844G>A

Variant names:

• chr10-113650081-C-T
• rs2275799
• NM_198060.4:c.844G>A
• NRAP p.Ala282Thr

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_Strong BP6_Very_Strong BA1

The NM_198060.4(NRAP):​c.844G>A​(p.Ala282Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.266 in 1,607,864 control chromosomes in the GnomAD database, including 58,513 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

• Frequency:
  • Genomes: 𝑓 0.29 (6650 hom., cov: 32)
  • Exomes 𝑓: 0.26 (51863 hom.)
• Consequence: NRAP NM_198060.4 missense
• Clinical Significance: Benign criteria provided, multiple submitters, no conflicts B:4
• Conservation: PhyloP100: 0.923
• Publications: 27 publications found

Genes affected

NRAP (HGNC:7988): (nebulin related anchoring protein) Predicted to enable actin filament binding activity and muscle alpha-actinin binding activity. Predicted to be involved in cardiac muscle thin filament assembly. Predicted to be located in fascia adherens; muscle tendon junction; and myofibril. Predicted to be active in Z disc. [provided by Alliance of Genome Resources, Apr 2022]

NRAP Gene-Disease associations (from GenCC):

• dilated cardiomyopathy

  Inheritance: AR Classification: STRONG Submitted by: ClinGen

ACMG classification

Our verdict: Benign. The variant received -20 ACMG points.

• BP4: Computational evidence support a benign effect (MetaRNN=0.0042256117).
• BP6: Variant 10-113650081-C-T is Benign according to our data. Variant chr10-113650081-C-T is described in ClinVar as Benign. ClinVar VariationId is 1273205.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BA1: GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.357 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_198060.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NRAP	NM_198060.4	MANE Select	c.844G>A	p.Ala282Thr	missense	Exon 9 of 42	NP_932326.2
	NRAP	NM_001261463.2		c.844G>A	p.Ala282Thr	missense	Exon 9 of 42	NP_001248392.1	A0A0A0MRM2
	NRAP	NM_006175.5		c.844G>A	p.Ala282Thr	missense	Exon 9 of 41	NP_006166.3

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NRAP	ENST00000359988.4	TSL:1 MANE Select	c.844G>A	p.Ala282Thr	missense	Exon 9 of 42	ENSP00000353078.3	Q86VF7-1
	NRAP	ENST00000369358.8	TSL:1	c.844G>A	p.Ala282Thr	missense	Exon 9 of 42	ENSP00000358365.4	A0A0A0MRM2
	NRAP	ENST00000360478.7	TSL:1	c.844G>A	p.Ala282Thr	missense	Exon 9 of 41	ENSP00000353666.3	Q86VF7-4

Frequencies

GnomAD3 genomes AF: 0.292 AC: 44423 AN: 151954 Hom.: 6648 Cov.: 32

Gnomad AFR AF: 0.363

Gnomad AMI AF: 0.271

Gnomad AMR AF: 0.245

Gnomad ASJ AF: 0.360

Gnomad EAS AF: 0.205

Gnomad SAS AF: 0.240

Gnomad FIN AF: 0.291

Gnomad MID AF: 0.383

Gnomad NFE AF: 0.267

Gnomad OTH AF: 0.290

GnomAD2 exomes AF: 0.264 AC: 66184 AN: 251110 AF XY: 0.265

Gnomad AFR exome AF: 0.364

Gnomad AMR exome AF: 0.177

Gnomad ASJ exome AF: 0.369

Gnomad EAS exome AF: 0.210

Gnomad FIN exome AF: 0.296

Gnomad NFE exome AF: 0.271

Gnomad OTH exome AF: 0.286

GnomAD4 exome AF: 0.264 AC: 384051 AN: 1455792 Hom.: 51863 Cov.: 30 AF XY: 0.264 AC XY: 191291 AN XY: 724602

African (AFR) AF: 0.370 AC: 12329 AN: 33304

American (AMR) AF: 0.182 AC: 8143 AN: 44696

Ashkenazi Jewish (ASJ) AF: 0.362 AC: 9441 AN: 26066

East Asian (EAS) AF: 0.195 AC: 7739 AN: 39688

South Asian (SAS) AF: 0.251 AC: 21617 AN: 86118

European-Finnish (FIN) AF: 0.300 AC: 15989 AN: 53316

Middle Eastern (MID) AF: 0.311 AC: 1793 AN: 5760

European-Non Finnish (NFE) AF: 0.262 AC: 290488 AN: 1106670

Other (OTH) AF: 0.274 AC: 16512 AN: 60174

GnomAD4 genome AF: 0.292 AC: 44444 AN: 152072 Hom.: 6650 Cov.: 32 AF XY: 0.289 AC XY: 21495 AN XY: 74312

African (AFR) AF: 0.362 AC: 15017 AN: 41490

American (AMR) AF: 0.245 AC: 3743 AN: 15288

Ashkenazi Jewish (ASJ) AF: 0.360 AC: 1249 AN: 3466

East Asian (EAS) AF: 0.205 AC: 1058 AN: 5156

South Asian (SAS) AF: 0.239 AC: 1151 AN: 4812

European-Finnish (FIN) AF: 0.291 AC: 3071 AN: 10562

Middle Eastern (MID) AF: 0.388 AC: 114 AN: 294

European-Non Finnish (NFE) AF: 0.267 AC: 18175 AN: 67988

Other (OTH) AF: 0.294 AC: 620 AN: 2108

Alfa AF: 0.274 Hom.: 25296

Bravo AF: 0.292

Asia WGS AF: 0.253 AC: 882 AN: 3478

EpiCase AF: 0.274

EpiControl AF: 0.279

ClinVar

ClinVar submissions

Significance: Benign

Revision: criteria provided, multiple submitters, no conflicts

Pathogenic	VUS	Benign	Condition
-	-	2	not provided (2)
-	-	1	not specified (1)
-	-	1	NRAP-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.069
BayesDel_addAF	Benign	-0.59	T
BayesDel_noAF	Benign	-0.47
CADD	Benign	17
DANN	Benign	0.94
DEOGEN2	Benign	0.022	T
Eigen	Benign	-0.28
Eigen_PC	Benign	-0.091
FATHMM_MKL	Benign	0.17	N
LIST_S2	Benign	0.51	T
MetaRNN	Benign	0.0042	T
MetaSVM	Benign	-0.90	T
MutationAssessor	Benign	1.9	L
PhyloP100		0.92
PrimateAI	Benign	0.33	T
PROVEAN	Benign	-1.9	N
REVEL	Benign	0.12
Sift	Benign	0.32	T
Sift4G	Benign	0.40	T
Varity_R		0.067
gMVP		0.23
Mutation Taster		=99/1	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

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Other links and lift over

dbSNP: rs2275799;

hg19: chr10-115409840;

COSMIC: COSV63492370;