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chr19-5827953-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_004558.5(NRTN):ā€‹c.374T>Cā€‹(p.Val125Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000947 in 1,489,396 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000079 ( 0 hom., cov: 32)
Exomes š‘“: 0.000096 ( 0 hom. )

Consequence

NRTN
NM_004558.5 missense

Scores

5
10
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.52
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 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.746

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NRTNNM_004558.5 linkuse as main transcriptc.374T>C p.Val125Ala missense_variant 3/3 ENST00000303212.3
NRTNXM_047438890.1 linkuse as main transcriptc.374T>C p.Val125Ala missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NRTNENST00000303212.3 linkuse as main transcriptc.374T>C p.Val125Ala missense_variant 3/31 NM_004558.5 P1

Frequencies

GnomAD3 genomes
AF:
0.0000794
AC:
12
AN:
151046
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000146
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000738
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000125
AC:
17
AN:
136216
Hom.:
0
AF XY:
0.000141
AC XY:
11
AN XY:
77872
show subpopulations
Gnomad AFR exome
AF:
0.000186
Gnomad AMR exome
AF:
0.0000961
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000131
Gnomad SAS exome
AF:
0.000344
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000948
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000964
AC:
129
AN:
1338350
Hom.:
0
Cov.:
32
AF XY:
0.000113
AC XY:
75
AN XY:
663878
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.0000636
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000234
Gnomad4 SAS exome
AF:
0.000449
Gnomad4 FIN exome
AF:
0.0000852
Gnomad4 NFE exome
AF:
0.0000699
Gnomad4 OTH exome
AF:
0.0000732
GnomAD4 genome
AF:
0.0000794
AC:
12
AN:
151046
Hom.:
0
Cov.:
32
AF XY:
0.0000678
AC XY:
5
AN XY:
73728
show subpopulations
Gnomad4 AFR
AF:
0.000146
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000738
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000185
Hom.:
0
Bravo
AF:
0.0000831
ExAC
AF:
0.000107
AC:
12

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 10, 2023The c.374T>C (p.V125A) alteration is located in exon 2 (coding exon 2) of the NRTN gene. This alteration results from a T to C substitution at nucleotide position 374, causing the valine (V) at amino acid position 125 to be replaced by an alanine (A). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.86
BayesDel_addAF
Benign
-0.098
T
BayesDel_noAF
Uncertain
-0.070
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.94
D
Eigen
Uncertain
0.34
Eigen_PC
Uncertain
0.27
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.74
T
M_CAP
Pathogenic
0.87
D
MetaRNN
Pathogenic
0.75
D
MetaSVM
Uncertain
0.11
D
MutationAssessor
Benign
1.8
L
MutationTaster
Benign
0.93
D
PrimateAI
Pathogenic
0.96
D
PROVEAN
Uncertain
-3.4
D
REVEL
Uncertain
0.53
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0020
D
Polyphen
0.96
D
Vest4
0.50
MutPred
0.69
Loss of sheet (P = 0.0181);
MVP
0.88
MPC
0.73
ClinPred
0.30
T
GERP RS
2.3
Varity_R
0.88
gMVP
0.63

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: rs748453602; hg19: chr19-5827964; COSMIC: COSV54607643; COSMIC: COSV54607643; API