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chr12-117215323-C-T

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP2BS2

The NM_000620.5(NOS1):​c.4291G>A​(p.Val1431Ile) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000011 in 1,546,902 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000011 ( 0 hom. )

Consequence

NOS1
NM_000620.5 missense, splice_region

Scores

3
4
12
Splicing: ADA: 0.9836
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.89
Variant links:
Genes affected
NOS1 (HGNC:7872): (nitric oxide synthase 1) The protein encoded by this gene belongs to the family of nitric oxide synthases, which synthesize nitric oxide from L-arginine. Nitric oxide is a reactive free radical, which acts as a biologic mediator in several processes, including neurotransmission, and antimicrobial and antitumoral activities. In the brain and peripheral nervous system, nitric oxide displays many properties of a neurotransmitter, and has been implicated in neurotoxicity associated with stroke and neurodegenerative diseases, neural regulation of smooth muscle, including peristalsis, and penile erection. This protein is ubiquitously expressed, with high level of expression in skeletal muscle. Multiple transcript variants that differ in the 5' UTR have been described for this gene but the full-length nature of these transcripts is not known. Additionally, alternatively spliced transcript variants encoding different isoforms (some testis-specific) have been found for this gene.[provided by RefSeq, Feb 2011]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP2
Missense variant where missense usually causes diseases, NOS1
BS2
High AC in GnomAdExome4 at 16 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NOS1NM_000620.5 linkuse as main transcriptc.4291G>A p.Val1431Ile missense_variant, splice_region_variant 29/29 ENST00000317775.11
NOS1NM_001204218.2 linkuse as main transcriptc.4393G>A p.Val1465Ile missense_variant, splice_region_variant 30/30
NOS1NM_001204213.2 linkuse as main transcriptc.3283G>A p.Val1095Ile missense_variant, splice_region_variant 28/28
NOS1NM_001204214.2 linkuse as main transcriptc.3283G>A p.Val1095Ile missense_variant, splice_region_variant 28/28

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NOS1ENST00000317775.11 linkuse as main transcriptc.4291G>A p.Val1431Ile missense_variant, splice_region_variant 29/291 NM_000620.5 P1P29475-1
NOS1ENST00000338101.8 linkuse as main transcriptc.4393G>A p.Val1465Ile missense_variant, splice_region_variant 29/295 P29475-5
NOS1ENST00000618760.4 linkuse as main transcriptc.4393G>A p.Val1465Ile missense_variant, splice_region_variant 30/305 P29475-5

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152166
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000280
AC:
6
AN:
214072
Hom.:
0
AF XY:
0.0000427
AC XY:
5
AN XY:
117060
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000236
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000115
AC:
16
AN:
1394736
Hom.:
0
Cov.:
33
AF XY:
0.0000173
AC XY:
12
AN XY:
692282
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000212
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152166
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74332
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000331
AC:
4

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 05, 2023The c.4393G>A (p.V1465I) alteration is located in exon 30 (coding exon 29) of the NOS1 gene. This alteration results from a G to A substitution at nucleotide position 4393, causing the valine (V) at amino acid position 1465 to be replaced by an isoleucine (I). 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
0.11
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.39
CADD
Uncertain
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T;.;.;T
Eigen
Uncertain
0.31
Eigen_PC
Uncertain
0.39
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.74
T;T;.;T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.18
T;T;T;T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
1.9
M;.;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.42
N;.;N;.
REVEL
Benign
0.20
Sift
Pathogenic
0.0
D;.;D;.
Sift4G
Pathogenic
0.0
D;D;D;D
Polyphen
0.59
P;.;.;.
Vest4
0.33
MutPred
0.14
Gain of methylation at K1426 (P = 0.1139);.;.;.;
MVP
0.35
MPC
0.46
ClinPred
0.31
T
GERP RS
5.0
Varity_R
0.32
gMVP
0.31

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.98
dbscSNV1_RF
Pathogenic
0.84
SpliceAI score (max)
0.090
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: rs773164536; hg19: chr12-117653128; API