chr19-15192290-A-C

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PM1PM2PM5PP3_StrongPP5_Moderate

The NM_000435.3(NOTCH3):​c.349T>G​(p.Cys117Gly) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. C117F) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)

Consequence

NOTCH3
NM_000435.3 missense

Scores

13
5
1

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 7.11
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 Pathogenic. Variant got 12 ACMG points.

PM1
In a domain EGF-like 2 (size 40) in uniprot entity NOTC3_HUMAN there are 12 pathogenic changes around while only 1 benign (92%) in NM_000435.3
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chrnull-null-null-null is described in UniProt as null.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.992
PP5
Variant 19-15192290-A-C is Pathogenic according to our data. Variant chr19-15192290-A-C is described in ClinVar as [Pathogenic]. Clinvar id is 447836.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOTCH3NM_000435.3 linkuse as main transcriptc.349T>G p.Cys117Gly missense_variant 4/33 ENST00000263388.7 NP_000426.2
NOTCH3XM_005259924.5 linkuse as main transcriptc.349T>G p.Cys117Gly missense_variant 4/32 XP_005259981.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOTCH3ENST00000263388.7 linkuse as main transcriptc.349T>G p.Cys117Gly missense_variant 4/331 NM_000435.3 ENSP00000263388 P1
NOTCH3ENST00000601011.1 linkuse as main transcriptc.346T>G p.Cys116Gly missense_variant 4/235 ENSP00000473138

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
40
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingAthena DiagnosticsFeb 15, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.89
BayesDel_addAF
Pathogenic
0.57
D
BayesDel_noAF
Pathogenic
0.58
CADD
Pathogenic
28
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.79
D;T
Eigen
Pathogenic
0.84
Eigen_PC
Pathogenic
0.72
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.87
D;D
M_CAP
Pathogenic
0.95
D
MetaRNN
Pathogenic
0.99
D;D
MetaSVM
Pathogenic
0.93
D
MutationAssessor
Pathogenic
4.0
H;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.78
T
PROVEAN
Pathogenic
-10
D;.
REVEL
Pathogenic
0.97
Sift
Pathogenic
0.0
D;.
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;.
Vest4
0.94
MutPred
0.99
Gain of glycosylation at S118 (P = 0.0576);.;
MVP
1.0
MPC
1.4
ClinPred
1.0
D
GERP RS
4.8
Varity_R
0.93
gMVP
0.99

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: rs1555729554; hg19: chr19-15303101; API