chr1-215650602-G-T

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBS1BS2

The NM_206933.4(USH2A):​c.14333C>A​(p.Ala4778Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00146 in 1,614,152 control chromosomes in the GnomAD database, including 24 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0077 ( 12 hom., cov: 32)
Exomes 𝑓: 0.00081 ( 12 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.0250
Variant links:
Genes affected
USH2A (HGNC:12601): (usherin) This gene encodes a protein that contains laminin EGF motifs, a pentaxin domain, and many fibronectin type III motifs. The protein is found in the basement membrane, and may be important in development and homeostasis of the inner ear and retina. Mutations within this gene have been associated with Usher syndrome type IIa and retinitis pigmentosa. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a domain Fibronectin type-III 33 (size 93) in uniprot entity USH2A_HUMAN there are 24 pathogenic changes around while only 8 benign (75%) in NM_206933.4
BP4
Computational evidence support a benign effect (MetaRNN=0.0031718612).
BP6
Variant 1-215650602-G-T is Benign according to our data. Variant chr1-215650602-G-T is described in ClinVar as [Benign]. Clinvar id is 48436.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-215650602-G-T is described in Lovd as [Likely_benign]. Variant chr1-215650602-G-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0077 (1172/152282) while in subpopulation AFR AF= 0.027 (1121/41556). AF 95% confidence interval is 0.0257. There are 12 homozygotes in gnomad4. There are 548 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 12 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
USH2ANM_206933.4 linkuse as main transcriptc.14333C>A p.Ala4778Asp missense_variant 65/72 ENST00000307340.8 NP_996816.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkuse as main transcriptc.14333C>A p.Ala4778Asp missense_variant 65/721 NM_206933.4 ENSP00000305941 P1O75445-1
USH2AENST00000674083.1 linkuse as main transcriptc.14333C>A p.Ala4778Asp missense_variant 65/73 ENSP00000501296 O75445-3

Frequencies

GnomAD3 genomes
AF:
0.00767
AC:
1167
AN:
152164
Hom.:
11
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0269
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00229
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00621
GnomAD3 exomes
AF:
0.00209
AC:
526
AN:
251132
Hom.:
3
AF XY:
0.00142
AC XY:
193
AN XY:
135712
show subpopulations
Gnomad AFR exome
AF:
0.0293
Gnomad AMR exome
AF:
0.00124
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.000653
GnomAD4 exome
AF:
0.000806
AC:
1178
AN:
1461870
Hom.:
12
Cov.:
33
AF XY:
0.000656
AC XY:
477
AN XY:
727238
show subpopulations
Gnomad4 AFR exome
AF:
0.0284
Gnomad4 AMR exome
AF:
0.00148
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000261
Gnomad4 OTH exome
AF:
0.00192
GnomAD4 genome
AF:
0.00770
AC:
1172
AN:
152282
Hom.:
12
Cov.:
32
AF XY:
0.00736
AC XY:
548
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.0270
Gnomad4 AMR
AF:
0.00229
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00614
Alfa
AF:
0.00867
Hom.:
766
Bravo
AF:
0.00880
ESP6500AA
AF:
0.0268
AC:
118
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00247
AC:
300
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesMay 26, 2017- -
Benign, criteria provided, single submitterclinical testingGeneDxFeb 28, 2019This variant is associated with the following publications: (PMID: 20507924) -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Usher syndrome type 2A Benign:2
Benign, no assertion criteria providedclinical testingNatera, Inc.Dec 07, 2019- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabNov 04, 2023- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineDec 16, 2011Ala4778Asp in exon 65 of USH2A: This variant is not expected to have clinical si gnificance because it has been identified in 2.7% (100/3738) of chromosomes from a broad African American population (dbSNP rs146994147). -
Retinitis pigmentosa 39 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabNov 04, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.62
CADD
Benign
0.70
DANN
Benign
0.79
DEOGEN2
Benign
0.045
T
Eigen
Benign
-0.77
Eigen_PC
Benign
-0.85
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.33
T
MetaRNN
Benign
0.0032
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.4
M
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-1.2
N
REVEL
Benign
0.073
Sift
Benign
0.30
T
Sift4G
Benign
0.21
T
Polyphen
0.20
B
Vest4
0.24
MVP
0.90
MPC
0.038
ClinPred
0.0079
T
GERP RS
2.0
Varity_R
0.089
gMVP
0.40

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: rs113447586; hg19: chr1-215823944; API