X-17376088-TCGGCGGCGG-TCGGCGGCGGCGGCGG

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_001291867.2(NHS):​c.345_350dup​(p.Ala116_Ala117dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000025 in 1,078,430 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 13 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000072 ( 0 hom., 4 hem., cov: 23)
Exomes 𝑓: 0.000020 ( 0 hom. 9 hem. )

Consequence

NHS
NM_001291867.2 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.485
Variant links:
Genes affected
NHS (HGNC:7820): (NHS actin remodeling regulator) This gene encodes a protein containing four conserved nuclear localization signals. The encoded protein functions in eye, tooth, craniofacial and brain development, and it can regulate actin remodeling and cell morphology. Mutations in this gene have been shown to cause Nance-Horan syndrome, and also X-linked cataract-40. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, May 2014]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAd4 at 4 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NHSNM_001291867.2 linkuse as main transcriptc.345_350dup p.Ala116_Ala117dup inframe_insertion 1/9 ENST00000676302.1 NP_001278796.1
NHSNM_198270.4 linkuse as main transcriptc.345_350dup p.Ala116_Ala117dup inframe_insertion 1/8 NP_938011.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NHSENST00000676302.1 linkuse as main transcriptc.345_350dup p.Ala116_Ala117dup inframe_insertion 1/9 NM_001291867.2 ENSP00000502262 P4Q6T4R5-1
NHSENST00000380060.7 linkuse as main transcriptc.345_350dup p.Ala116_Ala117dup inframe_insertion 1/81 ENSP00000369400 A2Q6T4R5-2

Frequencies

GnomAD3 genomes
AF:
0.0000725
AC:
8
AN:
110367
Hom.:
0
Cov.:
23
AF XY:
0.000120
AC XY:
4
AN XY:
33339
show subpopulations
Gnomad AFR
AF:
0.000165
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:
0.000172
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000381
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000196
AC:
19
AN:
968023
Hom.:
0
Cov.:
31
AF XY:
0.0000293
AC XY:
9
AN XY:
306969
show subpopulations
Gnomad4 AFR exome
AF:
0.0000980
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000764
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000115
Gnomad4 OTH exome
AF:
0.000123
GnomAD4 genome
AF:
0.0000725
AC:
8
AN:
110407
Hom.:
0
Cov.:
23
AF XY:
0.000120
AC XY:
4
AN XY:
33393
show subpopulations
Gnomad4 AFR
AF:
0.000164
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000172
Gnomad4 NFE
AF:
0.0000381
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000604

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 21, 2019The c.345_350dupGGCGGC variant (also known as p.A116_A117dup), located in coding exon 1 of the NHS gene, results from an in-frame duplication of GGCGGC at nucleotide positions 345 to 350. This results in the duplication of 2 extra residues (AA) between codons 116 and 117. These amino acid positions are not well conserved in available vertebrate species. In addition, this alteration is predicted to be neutral by in silico analysis (Choi Y et al. PLoS ONE. 2012; 7(10):e46688). Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Nance-Horan syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 08, 2022In 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. This variant has not been reported in the literature in individuals affected with NHS-related conditions. This variant is not present in population databases (gnomAD no frequency). This variant, c.345_350dup, results in the insertion of 2 amino acid(s) of the NHS protein (p.Ala116_Ala117dup), but otherwise preserves the integrity of the reading frame. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs587780401; hg19: chrX-17394211; API