chr19-15180765-C-G

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_000435.3(NOTCH3):ā€‹c.3058G>Cā€‹(p.Ala1020Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0275 in 1,602,146 control chromosomes in the GnomAD database, including 3,918 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 (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.098 ( 1991 hom., cov: 32)
Exomes š‘“: 0.020 ( 1927 hom. )

Consequence

NOTCH3
NM_000435.3 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts P:1B:10

Conservation

PhyloP100: 0.262
Variant links:
Genes affected
NOTCH3 (HGNC:7883): (notch receptor 3) This gene encodes the third discovered human homologue of the Drosophilia melanogaster type I membrane protein notch. In Drosophilia, notch interaction with its cell-bound ligands (delta, serrate) establishes an intercellular signalling pathway that plays a key role in neural development. Homologues of the notch-ligands have also been identified in human, but precise interactions between these ligands and the human notch homologues remains to be determined. Mutations in NOTCH3 have been identified as the underlying cause of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a domain EGF-like 26 (size 34) in uniprot entity NOTC3_HUMAN there are 5 pathogenic changes around while only 0 benign (100%) in NM_000435.3
BP4
Computational evidence support a benign effect (MetaRNN=0.005243212).
BP6
Variant 19-15180765-C-G is Benign according to our data. Variant chr19-15180765-C-G is described in ClinVar as [Benign]. Clinvar id is 9227.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-15180765-C-G is described in Lovd as [Benign]. Variant chr19-15180765-C-G is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.303 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOTCH3NM_000435.3 linkuse as main transcriptc.3058G>C p.Ala1020Pro missense_variant 19/33 ENST00000263388.7 NP_000426.2
NOTCH3XM_005259924.5 linkuse as main transcriptc.2902G>C p.Ala968Pro missense_variant 18/32 XP_005259981.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOTCH3ENST00000263388.7 linkuse as main transcriptc.3058G>C p.Ala1020Pro missense_variant 19/331 NM_000435.3 ENSP00000263388 P1
NOTCH3ENST00000601011.1 linkuse as main transcriptc.2899G>C p.Ala967Pro missense_variant 18/235 ENSP00000473138

Frequencies

GnomAD3 genomes
AF:
0.0981
AC:
14929
AN:
152138
Hom.:
1982
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.307
Gnomad AMI
AF:
0.126
Gnomad AMR
AF:
0.0451
Gnomad ASJ
AF:
0.0369
Gnomad EAS
AF:
0.000577
Gnomad SAS
AF:
0.0271
Gnomad FIN
AF:
0.0154
Gnomad MID
AF:
0.0443
Gnomad NFE
AF:
0.0118
Gnomad OTH
AF:
0.0779
GnomAD3 exomes
AF:
0.0351
AC:
8005
AN:
228302
Hom.:
730
AF XY:
0.0310
AC XY:
3820
AN XY:
123390
show subpopulations
Gnomad AFR exome
AF:
0.310
Gnomad AMR exome
AF:
0.0236
Gnomad ASJ exome
AF:
0.0354
Gnomad EAS exome
AF:
0.000581
Gnomad SAS exome
AF:
0.0293
Gnomad FIN exome
AF:
0.0163
Gnomad NFE exome
AF:
0.0120
Gnomad OTH exome
AF:
0.0324
GnomAD4 exome
AF:
0.0201
AC:
29164
AN:
1449890
Hom.:
1927
Cov.:
34
AF XY:
0.0196
AC XY:
14127
AN XY:
719994
show subpopulations
Gnomad4 AFR exome
AF:
0.312
Gnomad4 AMR exome
AF:
0.0262
Gnomad4 ASJ exome
AF:
0.0349
Gnomad4 EAS exome
AF:
0.000356
Gnomad4 SAS exome
AF:
0.0283
Gnomad4 FIN exome
AF:
0.0153
Gnomad4 NFE exome
AF:
0.0101
Gnomad4 OTH exome
AF:
0.0348
GnomAD4 genome
AF:
0.0982
AC:
14959
AN:
152256
Hom.:
1991
Cov.:
32
AF XY:
0.0951
AC XY:
7082
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.307
Gnomad4 AMR
AF:
0.0450
Gnomad4 ASJ
AF:
0.0369
Gnomad4 EAS
AF:
0.000578
Gnomad4 SAS
AF:
0.0269
Gnomad4 FIN
AF:
0.0154
Gnomad4 NFE
AF:
0.0118
Gnomad4 OTH
AF:
0.0771
Alfa
AF:
0.0147
Hom.:
22
Bravo
AF:
0.110
TwinsUK
AF:
0.0105
AC:
39
ALSPAC
AF:
0.0101
AC:
39
ESP6500AA
AF:
0.294
AC:
1294
ESP6500EA
AF:
0.0142
AC:
122
ExAC
AF:
0.0384
AC:
4652
Asia WGS
AF:
0.0270
AC:
95
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Pathogenic:1Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 29, 2023- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 04, 2021This variant is associated with the following publications: (PMID: 27884173, 18765654, 19528524, 21345538, 20981092) -
not specified Benign:3
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJul 12, 2017- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1 Pathogenic:1Benign:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJun 16, 2009- -
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. -
Lateral meningocele syndrome;C3809084:Myofibromatosis, infantile, 2;C4551768:Cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1 Benign:1
Benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 04, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
19
DANN
Uncertain
0.97
DEOGEN2
Benign
0.42
T;T
Eigen
Benign
-0.85
Eigen_PC
Benign
-0.85
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.56
T;D
MetaRNN
Benign
0.0052
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.12
N;.
MutationTaster
Benign
1.0
P
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-2.3
N;.
REVEL
Benign
0.16
Sift
Benign
0.20
T;.
Sift4G
Benign
0.30
T;T
Polyphen
0.027
B;.
Vest4
0.22
MPC
0.57
ClinPred
0.0082
T
GERP RS
1.4
Varity_R
0.22
gMVP
0.85

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: rs35769976; hg19: chr19-15291576; COSMIC: COSV54631885; COSMIC: COSV54631885; API