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chr19-5827898-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_004558.5(NRTN):​c.319G>A​(p.Glu107Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000793 in 1,404,060 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00036 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00085 ( 0 hom. )

Consequence

NRTN
NM_004558.5 missense

Scores

3
7
9

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.67
Variant links:
Genes affected
NRTN (HGNC:8007): (neurturin) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. The encoded preproprotein is proteolytically processed to generate the mature protein. This protein signals through the RET receptor tyrosine kinase and a GPI-linked coreceptor, and promotes survival of neuronal populations. A neurturin mutation has been described in a family with Hirschsprung Disease. [provided by RefSeq, Aug 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.20454022).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NRTNNM_004558.5 linkuse as main transcriptc.319G>A p.Glu107Lys missense_variant 3/3 ENST00000303212.3
NRTNXM_047438890.1 linkuse as main transcriptc.319G>A p.Glu107Lys missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NRTNENST00000303212.3 linkuse as main transcriptc.319G>A p.Glu107Lys missense_variant 3/31 NM_004558.5 P1

Frequencies

GnomAD3 genomes
AF:
0.000360
AC:
54
AN:
150154
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000729
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:
0.000507
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000683
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000384
AC:
48
AN:
124842
Hom.:
0
AF XY:
0.000320
AC XY:
23
AN XY:
71926
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000549
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000389
Gnomad NFE exome
AF:
0.000754
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000845
AC:
1060
AN:
1253798
Hom.:
0
Cov.:
32
AF XY:
0.000792
AC XY:
490
AN XY:
618964
show subpopulations
Gnomad4 AFR exome
AF:
0.0000376
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:
0.000131
Gnomad4 NFE exome
AF:
0.00102
Gnomad4 OTH exome
AF:
0.000600
GnomAD4 genome
AF:
0.000359
AC:
54
AN:
150262
Hom.:
0
Cov.:
31
AF XY:
0.000368
AC XY:
27
AN XY:
73338
show subpopulations
Gnomad4 AFR
AF:
0.0000727
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000507
Gnomad4 NFE
AF:
0.000683
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000274
Hom.:
0
Bravo
AF:
0.000242
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000133
AC:
1
ExAC
AF:
0.000279
AC:
31
Asia WGS
AF:
0.000301
AC:
1
AN:
3332

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 21, 2023The c.319G>A (p.E107K) alteration is located in exon 2 (coding exon 2) of the NRTN gene. This alteration results from a G to A substitution at nucleotide position 319, causing the glutamic acid (E) at amino acid position 107 to be replaced by a lysine (K). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
NRTN-related disorder Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesMar 13, 2023The NRTN c.319G>A variant is predicted to result in the amino acid substitution p.Glu107Lys. To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.076% of alleles in individuals of European (Non-Finnish) descent in gnomAD (http://gnomad.broadinstitute.org/variant/19-5827909-G-A). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.72
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.26
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.45
T
Eigen
Uncertain
0.33
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.70
T
M_CAP
Pathogenic
0.96
D
MetaRNN
Benign
0.20
T
MetaSVM
Uncertain
-0.11
T
MutationAssessor
Benign
1.5
L
MutationTaster
Benign
0.97
D
PrimateAI
Pathogenic
0.97
D
PROVEAN
Benign
-0.97
N
REVEL
Uncertain
0.40
Sift
Benign
0.099
T
Sift4G
Benign
0.33
T
Polyphen
0.99
D
Vest4
0.22
MVP
0.89
MPC
1.7
ClinPred
0.49
T
GERP RS
4.3
Varity_R
0.44
gMVP
0.68

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: rs375707068; hg19: chr19-5827909; API