X-43958512-A-T

Variant summary

Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM1PM2PM5PP3_StrongPP5

The NM_000266.4(NDP):​c.134T>A​(p.Val45Glu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V45M) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 23)

Consequence

NDP
NM_000266.4 missense

Scores

10
4
3

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.74
Variant links:
Genes affected
NDP (HGNC:7678): (norrin cystine knot growth factor NDP) This gene encodes a secreted protein with a cystein-knot motif that activates the Wnt/beta-catenin pathway. The protein forms disulfide-linked oligomers in the extracellular matrix. Mutations in this gene result in Norrie disease and X-linked exudative vitreoretinopathy. [provided by RefSeq, Feb 2009]
NDP-AS1 (HGNC:40395): (NDP antisense RNA 1)

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 11 ACMG points.

PM1
In a domain CTCK (size 93) in uniprot entity NDP_HUMAN there are 37 pathogenic changes around while only 0 benign (100%) in NM_000266.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chrnull-null-null-null is described in UniProt as null.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.966
PP5
Variant X-43958512-A-T is Pathogenic according to our data. Variant chrX-43958512-A-T is described in ClinVar as [Pathogenic]. Clinvar id is 10697.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chrX-43958512-A-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NDPNM_000266.4 linkuse as main transcriptc.134T>A p.Val45Glu missense_variant 2/3 ENST00000642620.1 NP_000257.1
NDP-AS1NR_046631.1 linkuse as main transcriptn.467-2273A>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NDPENST00000642620.1 linkuse as main transcriptc.134T>A p.Val45Glu missense_variant 2/3 NM_000266.4 ENSP00000495972 P1
NDP-AS1ENST00000435093.1 linkuse as main transcriptn.467-2273A>T intron_variant, non_coding_transcript_variant 3
NDPENST00000647044.1 linkuse as main transcriptc.134T>A p.Val45Glu missense_variant 3/4 ENSP00000495811 P1
NDPENST00000470584.1 linkuse as main transcriptn.218+206T>A intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
23

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Atrophia bulborum hereditaria Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMMay 01, 2007- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.67
D
BayesDel_noAF
Pathogenic
0.72
CADD
Pathogenic
26
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.52
D;D;D
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.88
.;.;D
M_CAP
Pathogenic
0.95
D
MetaRNN
Pathogenic
0.97
D;D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Benign
0.97
L;L;L
MutationTaster
Benign
1.0
A
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
0.31
.;N;.
REVEL
Pathogenic
0.76
Sift
Pathogenic
0.0
.;D;.
Sift4G
Pathogenic
0.0
.;D;.
Polyphen
1.0
D;D;D
Vest4
0.95
MutPred
0.78
Gain of solvent accessibility (P = 0.0058);Gain of solvent accessibility (P = 0.0058);Gain of solvent accessibility (P = 0.0058);
MVP
1.0
MPC
1.8
ClinPred
0.83
D
GERP RS
6.0
Varity_R
0.95
gMVP
0.95

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

LitVar

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

Other links and lift over

dbSNP: rs137852221; hg19: chrX-43817758; API