chr21-34521627-G-A
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2
The NM_004414.7(RCAN1):c.458C>T(p.Pro153Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000951 in 1,613,508 control chromosomes in the GnomAD database, including 3 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.00053 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0010 ( 2 hom. )
Consequence
RCAN1
NM_004414.7 missense
NM_004414.7 missense
Scores
6
6
7
Clinical Significance
Conservation
PhyloP100: 9.59
Genes affected
RCAN1 (HGNC:3040): (regulator of calcineurin 1) The protein encoded by this gene interacts with calcineurin A and inhibits calcineurin-dependent signaling pathways, possibly affecting central nervous system development. This gene is located in the minimal candidate region for the Down syndrome phenotype, and is overexpressed in the brain of Down syndrome fetuses. Chronic overexpression of this gene may lead to neurofibrillary tangles such as those associated with Alzheimer disease. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Nov 2013]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -4 ACMG points.
BS2
High Homozygotes in GnomAdExome4 at 2 gene
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
RCAN1 | ENST00000313806.9 | c.458C>T | p.Pro153Leu | missense_variant | 3/4 | 1 | NM_004414.7 | ENSP00000320768.4 | ||
ENSG00000288711 | ENST00000684114.1 | n.359C>T | non_coding_transcript_exon_variant | 3/5 | ENSP00000507841.1 |
Frequencies
GnomAD3 genomes AF: 0.000526 AC: 80AN: 152226Hom.: 1 Cov.: 33
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GnomAD3 exomes AF: 0.000541 AC: 135AN: 249410Hom.: 0 AF XY: 0.000542 AC XY: 73AN XY: 134716
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GnomAD4 exome AF: 0.000996 AC: 1455AN: 1461164Hom.: 2 Cov.: 33 AF XY: 0.000959 AC XY: 697AN XY: 726874
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GnomAD4 genome AF: 0.000525 AC: 80AN: 152344Hom.: 1 Cov.: 33 AF XY: 0.000403 AC XY: 30AN XY: 74490
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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 submitter | clinical testing | Ambry Genetics | Jun 18, 2021 | The c.458C>T (p.P153L) alteration is located in exon 3 (coding exon 3) of the RCAN1 gene. This alteration results from a C to T substitution at nucleotide position 458, causing the proline (P) at amino acid position 153 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Uncertain
D
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Uncertain
DEOGEN2
Benign
.;T;.;.;.;.;.;.;D;.
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Pathogenic
D
LIST_S2
Uncertain
D;D;.;.;D;D;.;D;D;D
M_CAP
Benign
T
MetaRNN
Uncertain
T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
T
MutationAssessor
Benign
.;.;.;.;.;.;.;.;L;.
PrimateAI
Uncertain
T
PROVEAN
Pathogenic
.;.;D;D;D;D;D;D;D;.
REVEL
Uncertain
Sift
Benign
.;.;T;T;T;T;T;T;T;.
Sift4G
Benign
T;T;T;T;T;T;T;T;T;T
Polyphen
1.0
.;.;.;.;.;.;.;D;D;.
Vest4
MVP
MPC
1.3
ClinPred
D
GERP RS
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gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at