chr13-50910116-C-T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_024570.4(RNASEH2B):​c.40C>T​(p.Arg14Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00011 in 1,458,770 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R14Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

RNASEH2B
NM_024570.4 missense

Scores

1
5
12

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: -0.153

Publications

0 publications found
Variant links:
Genes affected
RNASEH2B (HGNC:25671): (ribonuclease H2 subunit B) RNase H2 is composed of a single catalytic subunit (A) and two non-catalytic subunits (B and C) and specifically degrades the RNA of RNA:DNA hybrids. The protein encoded by this gene is the non-catalytic B subunit of RNase H2, which is thought to play a role in DNA replication. Multiple transcript variants encoding different isoforms have been found for this gene. Defects in this gene are a cause of Aicardi-Goutieres syndrome type 2 (AGS2). [provided by RefSeq, Nov 2008]
RNASEH2B-AS1 (HGNC:39967): (RNASEH2B antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.14780173).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_024570.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RNASEH2B
NM_024570.4
MANE Select
c.40C>Tp.Arg14Trp
missense
Exon 1 of 11NP_078846.2
RNASEH2B
NM_001411023.1
c.40C>Tp.Arg14Trp
missense
Exon 1 of 11NP_001397952.1
RNASEH2B
NM_001142279.2
c.40C>Tp.Arg14Trp
missense
Exon 1 of 10NP_001135751.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RNASEH2B
ENST00000336617.8
TSL:1 MANE Select
c.40C>Tp.Arg14Trp
missense
Exon 1 of 11ENSP00000337623.2
RNASEH2B
ENST00000643774.1
c.-335C>T
5_prime_UTR_premature_start_codon_gain
Exon 1 of 13ENSP00000495482.1
RNASEH2B
ENST00000637648.3
TSL:3
c.-188C>T
5_prime_UTR_premature_start_codon_gain
Exon 1 of 12ENSP00000490077.3

Frequencies

GnomAD3 genomes
AF:
0.0000395
AC:
6
AN:
151852
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:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000883
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000583
AC:
4
AN:
68664
AF XY:
0.0000506
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000170
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000119
AC:
155
AN:
1306918
Hom.:
0
Cov.:
31
AF XY:
0.000104
AC XY:
67
AN XY:
642356
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26078
American (AMR)
AF:
0.00
AC:
0
AN:
22816
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22100
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28164
South Asian (SAS)
AF:
0.00
AC:
0
AN:
68754
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
41800
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3996
European-Non Finnish (NFE)
AF:
0.000141
AC:
147
AN:
1039460
Other (OTH)
AF:
0.000149
AC:
8
AN:
53750
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
9
18
28
37
46
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000395
AC:
6
AN:
151852
Hom.:
0
Cov.:
32
AF XY:
0.0000405
AC XY:
3
AN XY:
74160
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41372
American (AMR)
AF:
0.00
AC:
0
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5114
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4804
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.0000883
AC:
6
AN:
67920
Other (OTH)
AF:
0.00
AC:
0
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.517
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000251
Hom.:
0
Bravo
AF:
0.0000529

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Aug 28, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.40C>T (p.R14W) alteration is located in exon 1 (coding exon 1) of the RNASEH2B gene. This alteration results from a C to T substitution at nucleotide position 40, causing the arginine (R) at amino acid position 14 to be replaced by a tryptophan (W). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear.

Aicardi-Goutieres syndrome 2 Uncertain:1
Dec 16, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 14 of the RNASEH2B protein (p.Arg14Trp). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with RNASEH2B-related conditions. ClinVar contains an entry for this variant (Variation ID: 540250). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed for this missense variant. However, the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on RNASEH2B protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.54
BayesDel_addAF
Uncertain
0.044
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0066
T
Eigen
Benign
-0.93
Eigen_PC
Benign
-0.95
FATHMM_MKL
Benign
0.020
N
LIST_S2
Benign
0.82
T
M_CAP
Pathogenic
0.59
D
MetaRNN
Benign
0.15
T
MetaSVM
Uncertain
-0.11
T
MutationAssessor
Benign
0.69
N
PhyloP100
-0.15
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
0.23
N
REVEL
Benign
0.21
Sift
Benign
0.12
T
Sift4G
Benign
0.12
T
Polyphen
0.0080
B
Vest4
0.23
MVP
0.53
MPC
0.25
ClinPred
0.18
T
GERP RS
0.063
PromoterAI
-0.017
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.19
gMVP
0.19
Mutation Taster
=95/5
polymorphism

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

Other links and lift over

dbSNP: rs900876937; hg19: chr13-51484252; API