chr15-90811291-G-A

Variant summary

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

The NM_000057.4(BLM):​c.3961G>A​(p.Val1321Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0721 in 1,614,020 control chromosomes in the GnomAD database, including 4,643 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 0.079 ( 547 hom., cov: 32)
Exomes 𝑓: 0.071 ( 4096 hom. )

Consequence

BLM
NM_000057.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11O:1

Conservation

PhyloP100: -0.636
Variant links:
Genes affected
BLM (HGNC:1058): (BLM RecQ like helicase) The Bloom syndrome is an autosomal recessive disorder characterized by growth deficiency, microcephaly and immunodeficiency among others. It is caused by homozygous or compound heterozygous mutation in the gene encoding DNA helicase RecQ protein on chromosome 15q26. This Bloom-associated helicase unwinds a variety of DNA substrates including Holliday junction, and is involved in several pathways contributing to the maintenance of genome stability. Identification of pathogenic Bloom variants is required for heterozygote testing in at-risk families. [provided by RefSeq, May 2020]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0016637444).
BP6
Variant 15-90811291-G-A is Benign according to our data. Variant chr15-90811291-G-A is described in ClinVar as [Benign]. Clinvar id is 128530.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr15-90811291-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0947 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BLMNM_000057.4 linkuse as main transcriptc.3961G>A p.Val1321Ile missense_variant 21/22 ENST00000355112.8 NP_000048.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BLMENST00000355112.8 linkuse as main transcriptc.3961G>A p.Val1321Ile missense_variant 21/221 NM_000057.4 ENSP00000347232 P2

Frequencies

GnomAD3 genomes
AF:
0.0790
AC:
12019
AN:
152054
Hom.:
545
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0971
Gnomad AMI
AF:
0.0647
Gnomad AMR
AF:
0.0591
Gnomad ASJ
AF:
0.0302
Gnomad EAS
AF:
0.0304
Gnomad SAS
AF:
0.0695
Gnomad FIN
AF:
0.140
Gnomad MID
AF:
0.0253
Gnomad NFE
AF:
0.0707
Gnomad OTH
AF:
0.0672
GnomAD3 exomes
AF:
0.0661
AC:
16622
AN:
251418
Hom.:
675
AF XY:
0.0667
AC XY:
9066
AN XY:
135890
show subpopulations
Gnomad AFR exome
AF:
0.0946
Gnomad AMR exome
AF:
0.0414
Gnomad ASJ exome
AF:
0.0395
Gnomad EAS exome
AF:
0.0241
Gnomad SAS exome
AF:
0.0644
Gnomad FIN exome
AF:
0.133
Gnomad NFE exome
AF:
0.0669
Gnomad OTH exome
AF:
0.0593
GnomAD4 exome
AF:
0.0714
AC:
104319
AN:
1461848
Hom.:
4096
Cov.:
33
AF XY:
0.0710
AC XY:
51641
AN XY:
727226
show subpopulations
Gnomad4 AFR exome
AF:
0.0930
Gnomad4 AMR exome
AF:
0.0432
Gnomad4 ASJ exome
AF:
0.0372
Gnomad4 EAS exome
AF:
0.0326
Gnomad4 SAS exome
AF:
0.0650
Gnomad4 FIN exome
AF:
0.132
Gnomad4 NFE exome
AF:
0.0721
Gnomad4 OTH exome
AF:
0.0675
GnomAD4 genome
AF:
0.0791
AC:
12032
AN:
152172
Hom.:
547
Cov.:
32
AF XY:
0.0807
AC XY:
6001
AN XY:
74386
show subpopulations
Gnomad4 AFR
AF:
0.0972
Gnomad4 AMR
AF:
0.0591
Gnomad4 ASJ
AF:
0.0302
Gnomad4 EAS
AF:
0.0305
Gnomad4 SAS
AF:
0.0690
Gnomad4 FIN
AF:
0.140
Gnomad4 NFE
AF:
0.0707
Gnomad4 OTH
AF:
0.0665
Alfa
AF:
0.0663
Hom.:
598
Bravo
AF:
0.0730
TwinsUK
AF:
0.0725
AC:
269
ALSPAC
AF:
0.0768
AC:
296
ESP6500AA
AF:
0.0928
AC:
408
ESP6500EA
AF:
0.0664
AC:
571
ExAC
AF:
0.0663
AC:
8052
Asia WGS
AF:
0.0440
AC:
151
AN:
3478
EpiCase
AF:
0.0643
EpiControl
AF:
0.0596

ClinVar

Significance: Benign
Submissions summary: Benign:11Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Bloom syndrome Benign:6
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesFeb 04, 2021- -
Benign, no assertion criteria providedclinical testingNatera, Inc.Mar 28, 2017- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabMay 18, 2021- -
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
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. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
not specified Benign:2Other:1
not provided, no classification providedreference populationITMISep 19, 2013- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015This variant is associated with the following publications: (PMID: 24728327) -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Hereditary cancer-predisposing syndrome Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsAug 12, 2016This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.70
T
BayesDel_noAF
Benign
-0.71
CADD
Benign
0.34
DANN
Benign
0.96
DEOGEN2
Benign
0.081
T;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.034
N
LIST_S2
Benign
0.49
T;T
MetaRNN
Benign
0.0017
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.43
N;.
MutationTaster
Benign
1.0
P;P
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.43
N;N
REVEL
Benign
0.089
Sift
Benign
0.26
T;T
Sift4G
Benign
0.38
T;T
Polyphen
0.010
B;.
Vest4
0.023
MPC
0.073
ClinPred
0.0067
T
GERP RS
-4.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.8
Varity_R
0.018
gMVP
0.11

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: rs7167216; hg19: chr15-91354521; COSMIC: COSV61921400; API