chr22-20241757-G-C

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The ENST00000043402.8(RTN4R):ā€‹c.1376C>Gā€‹(p.Pro459Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000116 in 1,552,774 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000066 ( 0 hom., cov: 33)
Exomes š‘“: 0.0000057 ( 0 hom. )

Consequence

RTN4R
ENST00000043402.8 missense

Scores

1
4
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.115
Variant links:
Genes affected
RTN4R (HGNC:18601): (reticulon 4 receptor) This gene encodes the receptor for reticulon 4, oligodendrocyte myelin glycoprotein and myelin-associated glycoprotein. This receptor mediates axonal growth inhibition and may play a role in regulating axonal regeneration and plasticity in the adult central nervous system. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.31395054).
BS2
High AC in GnomAd4 at 10 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RTN4RNM_023004.6 linkuse as main transcriptc.1376C>G p.Pro459Arg missense_variant 2/2 ENST00000043402.8 NP_075380.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RTN4RENST00000043402.8 linkuse as main transcriptc.1376C>G p.Pro459Arg missense_variant 2/21 NM_023004.6 ENSP00000043402 P1
RTN4RENST00000425986.1 linkuse as main transcriptc.1634C>G p.Pro545Arg missense_variant 2/22 ENSP00000403535
RTN4RENST00000416372.5 linkuse as main transcriptc.1436C>G p.Pro479Arg missense_variant 2/23 ENSP00000396872

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152232
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000655
AC:
1
AN:
152712
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
81722
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000399
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000571
AC:
8
AN:
1400542
Hom.:
0
Cov.:
31
AF XY:
0.00000145
AC XY:
1
AN XY:
691112
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000831
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.26e-7
Gnomad4 OTH exome
AF:
0.0000689
GnomAD4 genome
AF:
0.0000657
AC:
10
AN:
152232
Hom.:
0
Cov.:
33
AF XY:
0.0000941
AC XY:
7
AN XY:
74368
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000982

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 GeneticsNov 14, 2023The c.1376C>G (p.P459R) alteration is located in exon 2 (coding exon 2) of the RTN4R gene. This alteration results from a C to G substitution at nucleotide position 1376, causing the proline (P) at amino acid position 459 to be replaced by an arginine (R). 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
Benign
0.12
BayesDel_addAF
Benign
-0.098
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.18
T
Eigen
Benign
-0.057
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.40
N
LIST_S2
Benign
0.73
T
M_CAP
Uncertain
0.20
D
MetaRNN
Benign
0.31
T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
1.8
L
MutationTaster
Benign
0.93
N
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.11
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0070
D
Polyphen
1.0
D
Vest4
0.32
MutPred
0.31
Gain of helix (P = 0.0022);
MVP
0.39
MPC
0.48
ClinPred
0.44
T
GERP RS
2.5
Varity_R
0.11
gMVP
0.74

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: rs994098884; hg19: chr22-20229280; API