chr18-21440302-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP2PP5

The NM_001142966.3(GREB1L):​c.983G>A​(p.Arg328Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000322 in 1,551,374 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

GREB1L
NM_001142966.3 missense

Scores

6
8
5

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.56
Variant links:
Genes affected
GREB1L (HGNC:31042): (GREB1 like retinoic acid receptor coactivator) Acts upstream of or within kidney development. Predicted to be integral component of membrane. Implicated in autosomal dominant nonsyndromic deafness and renal agenesis. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), GREB1L. . Gene score misZ 5.3659 (greater than the threshold 3.09). Trascript score misZ 5.6738 (greater than threshold 3.09). GenCC has associacion of gene with bilateral renal agenesis, renal hypodysplasia/aplasia 3, renal agenesis, unilateral, hearing loss, autosomal dominant 80.
PP5
Variant 18-21440302-G-A is Pathogenic according to our data. Variant chr18-21440302-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 453285.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr18-21440302-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GREB1LNM_001142966.3 linkuse as main transcriptc.983G>A p.Arg328Gln missense_variant 9/33 ENST00000424526.7 NP_001136438.1
LOC101927521XR_001753366.2 linkuse as main transcriptn.165+10581C>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GREB1LENST00000424526.7 linkuse as main transcriptc.983G>A p.Arg328Gln missense_variant 9/335 NM_001142966.3 ENSP00000412060 Q9C091-1
ENST00000584611.1 linkuse as main transcriptn.135+10581C>T intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151950
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000214
AC:
3
AN:
1399424
Hom.:
0
Cov.:
31
AF XY:
0.00000290
AC XY:
2
AN XY:
690192
show subpopulations
Gnomad4 AFR exome
AF:
0.0000316
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:
0.00
Gnomad4 NFE exome
AF:
0.00000185
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000132
AC:
2
AN:
151950
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74202
show subpopulations
Gnomad4 AFR
AF:
0.0000242
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Renal hypodysplasia/aplasia 3 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMDec 18, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Uncertain
0.10
D
BayesDel_noAF
Benign
-0.090
CADD
Pathogenic
31
DANN
Uncertain
1.0
DEOGEN2
Benign
0.083
T;.;T
Eigen
Pathogenic
0.79
Eigen_PC
Pathogenic
0.78
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D;.
M_CAP
Benign
0.040
D
MetaRNN
Uncertain
0.56
D;D;D
MetaSVM
Benign
-0.79
T
MutationAssessor
Pathogenic
3.0
M;M;M
MutationTaster
Benign
1.0
D;D;D;D;N
PrimateAI
Uncertain
0.75
T
PROVEAN
Uncertain
-3.1
D;D;.
REVEL
Uncertain
0.29
Sift
Uncertain
0.0020
D;D;.
Sift4G
Uncertain
0.0030
D;D;D
Polyphen
1.0
D;.;D
Vest4
0.76
MutPred
0.32
Loss of MoRF binding (P = 0.0494);Loss of MoRF binding (P = 0.0494);Loss of MoRF binding (P = 0.0494);
MVP
0.31
ClinPred
0.99
D
GERP RS
5.5
Varity_R
0.50
gMVP
0.51

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: rs1311814599; hg19: chr18-19020263; API