chr1-156873722-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM1BP4_Strong

The NM_002529.4(NTRK1):​c.940C>T​(p.Arg314Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000226 in 1,612,666 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R314H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0012 ( 1 hom., cov: 31)
Exomes 𝑓: 0.00013 ( 1 hom. )

Consequence

NTRK1
NM_002529.4 missense

Scores

1
8
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 1.38
Variant links:
Genes affected
NTRK1 (HGNC:8031): (neurotrophic receptor tyrosine kinase 1) This gene encodes a member of the neurotrophic tyrosine kinase receptor (NTKR) family. This kinase is a membrane-bound receptor that, upon neurotrophin binding, phosphorylates itself and members of the MAPK pathway. The presence of this kinase leads to cell differentiation and may play a role in specifying sensory neuron subtypes. Mutations in this gene have been associated with congenital insensitivity to pain, anhidrosis, self-mutilating behavior, cognitive disability and cancer. Alternate transcriptional splice variants of this gene have been found, but only three have been characterized to date. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM1
In a domain Ig-like C2-type 2 (size 66) in uniprot entity NTRK1_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_002529.4
BP4
Computational evidence support a benign effect (MetaRNN=0.013421059).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NTRK1NM_002529.4 linkuse as main transcriptc.940C>T p.Arg314Cys missense_variant 8/17 ENST00000524377.7
NTRK1NM_001012331.2 linkuse as main transcriptc.940C>T p.Arg314Cys missense_variant 8/16
NTRK1NM_001007792.1 linkuse as main transcriptc.850C>T p.Arg284Cys missense_variant 9/17

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NTRK1ENST00000524377.7 linkuse as main transcriptc.940C>T p.Arg314Cys missense_variant 8/171 NM_002529.4 P4P04629-1

Frequencies

GnomAD3 genomes
AF:
0.00118
AC:
180
AN:
152166
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00405
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000622
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000271
AC:
67
AN:
247302
Hom.:
1
AF XY:
0.000261
AC XY:
35
AN XY:
134086
show subpopulations
Gnomad AFR exome
AF:
0.00318
Gnomad AMR exome
AF:
0.0000583
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000331
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000358
Gnomad OTH exome
AF:
0.000166
GnomAD4 exome
AF:
0.000126
AC:
184
AN:
1460382
Hom.:
1
Cov.:
32
AF XY:
0.000127
AC XY:
92
AN XY:
726386
show subpopulations
Gnomad4 AFR exome
AF:
0.00386
Gnomad4 AMR exome
AF:
0.0000672
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000291
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000720
Gnomad4 OTH exome
AF:
0.000299
GnomAD4 genome
AF:
0.00118
AC:
180
AN:
152284
Hom.:
1
Cov.:
31
AF XY:
0.00114
AC XY:
85
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00407
Gnomad4 AMR
AF:
0.000327
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000828
Hom.:
0
Bravo
AF:
0.00120
ESP6500AA
AF:
0.00522
AC:
23
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000428
AC:
52
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2022- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxOct 28, 2015The R314C variant has not been published as a pathogenic variant, nor has it been reported as a benign variant to our knowledge. The NHLBI Exome Sequencing Project and the 1000 Genomes Project reports R314C was observed in 0.5-2.5% alleles from individuals of African background, indicating it may be a rare (benign) variant in this population. The R314C variant is a non-conservative amino acid substitution, which is likely to impact secondary protein structure as these residues differ in polarity, charge, size and/or other properties. However, this substitution occurs at a position that is not conserved, and in silico analysis is inconsistent in its predictions as to whether or not the variant is damaging to the protein structure/function. Therefore, based on the currently available information, it is unclear whether this variant is a pathogenic variant or a rare benign variant. -
Familial medullary thyroid carcinoma Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMendelicsJul 02, 2018- -
Hereditary insensitivity to pain with anhidrosis Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.39
CADD
Pathogenic
26
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.73
.;.;D;T
Eigen
Uncertain
0.39
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Benign
0.30
N
LIST_S2
Uncertain
0.95
D;D;D;D
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.013
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.1
.;M;M;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Benign
0.45
T
PROVEAN
Uncertain
-3.5
D;D;D;D
REVEL
Benign
0.19
Sift
Uncertain
0.014
D;D;D;D
Sift4G
Uncertain
0.043
D;T;T;T
Polyphen
1.0, 0.99
.;D;D;.
Vest4
0.60
MVP
0.59
MPC
0.91
ClinPred
0.063
T
GERP RS
5.2
Varity_R
0.24
gMVP
0.89

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: rs137994522; hg19: chr1-156843514; COSMIC: COSV62326926; COSMIC: COSV62326926; API