chr1-37613721-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001242908.2(RSPO1):​c.608G>A​(p.Arg203Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000123 in 1,613,484 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00012 ( 1 hom. )

Consequence

RSPO1
NM_001242908.2 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.98
Variant links:
Genes affected
RSPO1 (HGNC:21679): (R-spondin 1) This gene encodes a secreted activator protein with two cysteine-rich, furin-like domains and one thrombospondin type 1 domain. The encoded protein is a ligand for leucine-rich repeat-containing G-protein coupled receptors (LGR proteins) and positively regulates the Wnt signaling pathway. In mice, the protein induces the rapid onset of crypt cell proliferation and increases intestinal epithelial healing, providing a protective effect against chemotherapy-induced adverse effects. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2014]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.008676529).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RSPO1NM_001242908.2 linkuse as main transcriptc.608G>A p.Arg203Lys missense_variant 6/7 ENST00000356545.7 NP_001229837.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RSPO1ENST00000356545.7 linkuse as main transcriptc.608G>A p.Arg203Lys missense_variant 6/71 NM_001242908.2 ENSP00000348944 P1Q2MKA7-1
RSPO1ENST00000401068.1 linkuse as main transcriptc.608G>A p.Arg203Lys missense_variant 7/81 ENSP00000383846 P1Q2MKA7-1
RSPO1ENST00000612451.4 linkuse as main transcriptc.436+463G>A intron_variant 1 ENSP00000479832 Q2MKA7-3
RSPO1ENST00000615459.4 linkuse as main transcriptc.527G>A p.Arg176Lys missense_variant 6/72 ENSP00000481178 Q2MKA7-2

Frequencies

GnomAD3 genomes
AF:
0.000177
AC:
27
AN:
152200
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00518
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.000245
AC:
61
AN:
248650
Hom.:
0
AF XY:
0.000215
AC XY:
29
AN XY:
135112
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00478
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000710
Gnomad OTH exome
AF:
0.000497
GnomAD4 exome
AF:
0.000118
AC:
172
AN:
1461284
Hom.:
1
Cov.:
32
AF XY:
0.000111
AC XY:
81
AN XY:
726962
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00417
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000315
Gnomad4 OTH exome
AF:
0.000315
GnomAD4 genome
AF:
0.000177
AC:
27
AN:
152200
Hom.:
0
Cov.:
32
AF XY:
0.000188
AC XY:
14
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00518
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.000955
Alfa
AF:
0.000251
Hom.:
0
Bravo
AF:
0.000144
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000470
AC:
4
ExAC
AF:
0.000215
AC:
26
EpiCase
AF:
0.000109
EpiControl
AF:
0.000237

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 27, 2022The c.608G>A (p.R203K) alteration is located in exon 7 (coding exon 4) of the RSPO1 gene. This alteration results from a G to A substitution at nucleotide position 608, causing the arginine (R) at amino acid position 203 to be replaced by a lysine (K). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
18
DANN
Benign
0.89
DEOGEN2
Benign
0.12
.;T;T
Eigen
Benign
-0.35
Eigen_PC
Benign
-0.13
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.66
T;.;T
M_CAP
Benign
0.0053
T
MetaRNN
Benign
0.0087
T;T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
-0.14
.;N;N
MutationTaster
Benign
1.0
D;D;N;N;N;N
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-0.47
.;N;N
REVEL
Benign
0.25
Sift
Benign
0.44
.;T;T
Sift4G
Benign
1.0
T;T;T
Polyphen
0.0010
B;B;B
Vest4
0.19
MVP
0.72
MPC
0.28
ClinPred
0.034
T
GERP RS
4.6
Varity_R
0.12
gMVP
0.39

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: rs200020734; hg19: chr1-38079393; API