chr17-80352987-A-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 1P and 1B. PP2BP4

The NM_001256071.3(RNF213):​c.10351A>T​(p.Met3451Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000187 in 1,613,846 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00019 ( 0 hom. )

Consequence

RNF213
NM_001256071.3 missense

Scores

1
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.46
Variant links:
Genes affected
RNF213 (HGNC:14539): (ring finger protein 213) This gene encodes a protein containing a C3HC4-type RING finger domain, which is a specialized type of Zn-finger that binds two atoms of zinc and is thought to be involved in mediating protein-protein interactions. The protein also contains an AAA domain, which is associated with ATPase activity. This gene is a susceptibility gene for Moyamoya disease, a vascular disorder of intracranial arteries. This gene is also a translocation partner in anaplastic large cell lymphoma and inflammatory myofibroblastic tumor cases, where a t(2;17)(p23;q25) translocation has been identified with the anaplastic lymphoma kinase (ALK) gene on chromosome 2, and a t(8;17)(q24;q25) translocation has been identified with the MYC gene on chromosome 8. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RNF213. . Gene score misZ 2.3013 (greater than the threshold 3.09). Trascript score misZ 4.9274 (greater than threshold 3.09). GenCC has associacion of gene with Moyamoya disease 2.
BP4
Computational evidence support a benign effect (MetaRNN=0.42077258).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RNF213NM_001256071.3 linkuse as main transcriptc.10351A>T p.Met3451Leu missense_variant 33/68 ENST00000582970.6 NP_001243000.2 Q63HN8A0A0A0MTR7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RNF213ENST00000582970.6 linkuse as main transcriptc.10351A>T p.Met3451Leu missense_variant 33/681 NM_001256071.3 ENSP00000464087.1 A0A0A0MTR7
RNF213ENST00000508628.6 linkuse as main transcriptc.10498A>T p.Met3500Leu missense_variant 34/695 ENSP00000425956.2 A0A0A0MTC1
RNF213-AS1ENST00000575034.5 linkuse as main transcriptn.2492T>A non_coding_transcript_exon_variant 2/22
RNF213-AS1ENST00000613190.1 linkuse as main transcriptn.825T>A non_coding_transcript_exon_variant 1/16

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152186
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000724
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:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000265
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000598
AC:
15
AN:
250860
Hom.:
0
AF XY:
0.0000516
AC XY:
7
AN XY:
135640
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000124
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000191
AC:
279
AN:
1461660
Hom.:
0
Cov.:
31
AF XY:
0.000169
AC XY:
123
AN XY:
727142
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:
0.00
Gnomad4 FIN exome
AF:
0.0000376
Gnomad4 NFE exome
AF:
0.000245
Gnomad4 OTH exome
AF:
0.0000828
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
152186
Hom.:
0
Cov.:
33
AF XY:
0.000135
AC XY:
10
AN XY:
74346
show subpopulations
Gnomad4 AFR
AF:
0.0000724
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000265
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.0000907
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000519
AC:
2
ExAC
AF:
0.0000659
AC:
8
EpiCase
AF:
0.000218
EpiControl
AF:
0.0000593

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 testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 26, 2024Variant summary: RNF213 c.10351A>T (p.Met3451Leu) results in a conservative amino acid change in the encoded protein sequence. Two of four in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 6e-05 in 250860 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in RNF213 causing Moyamoya Disease 2, allowing no conclusion about variant significance. c.10351A>T has been reported in the literature in individuals affected with multiple sclerosis and autoinflammatory disease (e.g. Vilario-Gell_2019, LeGoueff_2022). These report(s) do not provide unequivocal conclusions about association of the variant with Moyamoya Disease 2. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 36153184, 31170158). No submitters have cited clinical-significance assessments for this variant to ClinVar. Based on the evidence outlined above, the variant was classified as uncertain significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
18
DANN
Benign
0.77
DEOGEN2
Benign
0.044
T;T
Eigen
Benign
-0.013
Eigen_PC
Benign
0.12
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.88
D;D
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.42
T;T
MetaSVM
Benign
-0.98
T
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-2.1
N;.
REVEL
Benign
0.16
Sift
Benign
0.28
T;.
Sift4G
Uncertain
0.033
D;D
Vest4
0.52
MVP
0.51
MPC
0.32
ClinPred
0.23
T
GERP RS
5.7

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs532730964; hg19: chr17-78326787; API