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
NM_001291867.2 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.485
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 |
---|---|---|---|---|---|---|---|---|
NHS | NM_001291867.2 | c.345_350dup | p.Ala116_Ala117dup | inframe_insertion | 1/9 | ENST00000676302.1 | NP_001278796.1 | |
NHS | NM_198270.4 | c.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 |
---|---|---|---|---|---|---|---|---|---|---|
NHS | ENST00000676302.1 | c.345_350dup | p.Ala116_Ala117dup | inframe_insertion | 1/9 | NM_001291867.2 | ENSP00000502262 | P4 | ||
NHS | ENST00000380060.7 | c.345_350dup | p.Ala116_Ala117dup | inframe_insertion | 1/8 | 1 | ENSP00000369400 | A2 |
Frequencies
GnomAD3 genomes AF: 0.0000725 AC: 8AN: 110367Hom.: 0 Cov.: 23 AF XY: 0.000120 AC XY: 4AN XY: 33339
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GnomAD4 exome AF: 0.0000196 AC: 19AN: 968023Hom.: 0 Cov.: 31 AF XY: 0.0000293 AC XY: 9AN XY: 306969
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GnomAD4 genome AF: 0.0000725 AC: 8AN: 110407Hom.: 0 Cov.: 23 AF XY: 0.000120 AC XY: 4AN XY: 33393
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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 submitter | clinical testing | Ambry Genetics | Nov 21, 2019 | The 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 submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 08, 2022 | 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. 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
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at