chr1-204159439-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000537.4(REN):​c.649G>A​(p.Gly217Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00314 in 1,614,144 control chromosomes in the GnomAD database, including 138 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.017 ( 80 hom., cov: 32)
Exomes 𝑓: 0.0017 ( 58 hom. )

Consequence

REN
NM_000537.4 missense

Scores

1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.857
Variant links:
Genes affected
REN (HGNC:9958): (renin) This gene encodes renin, an aspartic protease that is secreted by the kidneys. Renin is a part of the renin-angiotensin-aldosterone system involved in regulation of blood pressure, and electrolyte balance. This enzyme catalyzes the first step in the activation pathway of angiotensinogen by cleaving angiotensinogen to form angiotensin I, which is then converted to angiotensin II by angiotensin I converting enzyme. This cascade can result in aldosterone release, narrowing of blood vessels, and increase in blood pressure as angiotension II is a vasoconstrictive peptide. Transcript variants that encode different protein isoforms and that arise from alternative splicing and the use of alternative promoters have been described, but their full-length nature has not been determined. Mutations in this gene have been shown to cause hyperuricemic nephropathy familial juvenile 2, familial hyperproreninemia, and renal tubular dysgenesis. [provided by RefSeq, May 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00351426).
BP6
Variant 1-204159439-C-T is Benign according to our data. Variant chr1-204159439-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 294956.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0567 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RENNM_000537.4 linkuse as main transcriptc.649G>A p.Gly217Arg missense_variant 5/10 ENST00000272190.9 NP_000528.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RENENST00000272190.9 linkuse as main transcriptc.649G>A p.Gly217Arg missense_variant 5/101 NM_000537.4 ENSP00000272190 P1P00797-1
RENENST00000638118.1 linkuse as main transcriptc.535G>A p.Gly179Arg missense_variant 7/125 ENSP00000490307

Frequencies

GnomAD3 genomes
AF:
0.0168
AC:
2550
AN:
152136
Hom.:
80
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0587
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00557
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000220
Gnomad OTH
AF:
0.00814
GnomAD3 exomes
AF:
0.00445
AC:
1119
AN:
251490
Hom.:
31
AF XY:
0.00296
AC XY:
402
AN XY:
135920
show subpopulations
Gnomad AFR exome
AF:
0.0609
Gnomad AMR exome
AF:
0.00240
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000229
Gnomad OTH exome
AF:
0.00261
GnomAD4 exome
AF:
0.00173
AC:
2522
AN:
1461890
Hom.:
58
Cov.:
32
AF XY:
0.00147
AC XY:
1070
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.0602
Gnomad4 AMR exome
AF:
0.00268
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000118
Gnomad4 OTH exome
AF:
0.00356
GnomAD4 genome
AF:
0.0168
AC:
2553
AN:
152254
Hom.:
80
Cov.:
32
AF XY:
0.0164
AC XY:
1221
AN XY:
74442
show subpopulations
Gnomad4 AFR
AF:
0.0586
Gnomad4 AMR
AF:
0.00549
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000221
Gnomad4 OTH
AF:
0.00806
Alfa
AF:
0.00754
Hom.:
30
Bravo
AF:
0.0189
ESP6500AA
AF:
0.0590
AC:
260
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00546
AC:
663
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.000273
EpiControl
AF:
0.000237

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Kidney disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenDec 12, 2016- -
Renal tubular dysgenesis Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Familial juvenile hyperuricemic nephropathy type 2 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
3.8
DANN
Benign
0.49
DEOGEN2
Uncertain
0.46
T;T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.028
N
LIST_S2
Benign
0.85
D;D
MetaRNN
Benign
0.0035
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.1
L;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.70
N;.
REVEL
Benign
0.16
Sift
Benign
0.39
T;.
Sift4G
Benign
0.16
T;.
Polyphen
0.077
B;.
Vest4
0.25
MutPred
0.63
Loss of catalytic residue at V218 (P = 0.0493);.;
MVP
0.46
MPC
0.41
ClinPred
0.0091
T
GERP RS
-11
Varity_R
0.17
gMVP
0.51

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs11571117; hg19: chr1-204128567; API