chr17-8289059-G-T

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP6_Very_StrongBS2

The NM_016492.5(RANGRF):​c.181G>T​(p.Glu61*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00449 in 1,613,690 control chromosomes in the GnomAD database, including 29 homozygotes. Variant has been reported in ClinVar as Likely benign (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0036 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0046 ( 27 hom. )

Consequence

RANGRF
NM_016492.5 stop_gained

Scores

1
4
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 2.19
Variant links:
Genes affected
RANGRF (HGNC:17679): (RAN guanine nucleotide release factor) This gene encodes a protein that has been shown to function as a guanine nucleotide release factor in mouse and to regulate the expression and function of the Nav1.5 cardiac sodium channel in human. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2010]
SLC25A35 (HGNC:31921): (solute carrier family 25 member 35) SLC25A35 belongs to the SLC25 family of mitochondrial carrier proteins (Haitina et al., 2006 [PubMed 16949250]).[supplied by OMIM, Mar 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP6
Variant 17-8289059-G-T is Benign according to our data. Variant chr17-8289059-G-T is described in ClinVar as [Likely_benign]. Clinvar id is 190845.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-8289059-G-T is described in Lovd as [Benign]. Variant chr17-8289059-G-T is described in Lovd as [Likely_pathogenic].
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RANGRFNM_016492.5 linkuse as main transcriptc.181G>T p.Glu61* stop_gained 2/5 ENST00000226105.11 NP_057576.2 Q9HD47-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RANGRFENST00000226105.11 linkuse as main transcriptc.181G>T p.Glu61* stop_gained 2/51 NM_016492.5 ENSP00000226105.6 Q9HD47-1

Frequencies

GnomAD3 genomes
AF:
0.00362
AC:
551
AN:
152238
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000844
Gnomad AMI
AF:
0.0110
Gnomad AMR
AF:
0.00105
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00248
Gnomad FIN
AF:
0.00988
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00534
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00400
AC:
996
AN:
248904
Hom.:
5
AF XY:
0.00390
AC XY:
527
AN XY:
134994
show subpopulations
Gnomad AFR exome
AF:
0.000750
Gnomad AMR exome
AF:
0.00101
Gnomad ASJ exome
AF:
0.000200
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00170
Gnomad FIN exome
AF:
0.0109
Gnomad NFE exome
AF:
0.00562
Gnomad OTH exome
AF:
0.00541
GnomAD4 exome
AF:
0.00458
AC:
6693
AN:
1461334
Hom.:
27
Cov.:
32
AF XY:
0.00452
AC XY:
3284
AN XY:
726980
show subpopulations
Gnomad4 AFR exome
AF:
0.000747
Gnomad4 AMR exome
AF:
0.00112
Gnomad4 ASJ exome
AF:
0.000230
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00189
Gnomad4 FIN exome
AF:
0.0104
Gnomad4 NFE exome
AF:
0.00508
Gnomad4 OTH exome
AF:
0.00399
GnomAD4 genome
AF:
0.00362
AC:
551
AN:
152356
Hom.:
2
Cov.:
32
AF XY:
0.00353
AC XY:
263
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.000842
Gnomad4 AMR
AF:
0.00105
Gnomad4 ASJ
AF:
0.000864
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00248
Gnomad4 FIN
AF:
0.00988
Gnomad4 NFE
AF:
0.00534
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00457
Hom.:
1
Bravo
AF:
0.00298
TwinsUK
AF:
0.00458
AC:
17
ALSPAC
AF:
0.00389
AC:
15
ESP6500AA
AF:
0.00204
AC:
9
ESP6500EA
AF:
0.00535
AC:
46
ExAC
AF:
0.00395
AC:
479
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00551
EpiControl
AF:
0.00486

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 10, 2017This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpSep 16, 2024Variant summary: RANGRF c.181G>T (p.Glu61X) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, however current evidence is not sufficient to establish loss of function as a mechanism for disease. The variant allele was found at a frequency of 0.0045 in 1606716 control chromosomes in the gnomAD database (v4.1 dataset). , including 29 homozygotes. The observed variant frequency is approximately 700-fold of the estimated maximal expected allele frequency for a pathogenic variant in RANGRF causing Arrhythmia phenotype (6.3e-06). Although the variant was proposed to be related to various phenotypes in the literature, a recent study performing exhaustive genetic interpretation of reported variants in minor genes (potentially) associated with Brugada syndrome, classified the variant as benign (Campuzano_2019). The following publication have been ascertained in the context of this evaluation (PMID: 30821013). ClinVar contains an entry for this variant (Variation ID: 190845). Based on the evidence outlined above, the variant was classified as benign. -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
RANGRF-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesNov 20, 2020This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingMolecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute-- -
Cardiac arrhythmia Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 30, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Uncertain
0.047
T
BayesDel_noAF
Pathogenic
0.30
CADD
Pathogenic
37
DANN
Uncertain
0.99
Eigen
Uncertain
0.40
Eigen_PC
Benign
0.15
FATHMM_MKL
Uncertain
0.83
D
Vest4
0.27
GERP RS
4.4

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.22
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.22
Position offset: -10

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: rs140704891; hg19: chr17-8192377; COSMIC: COSV56840201; COSMIC: COSV56840201; API