chr22-29048441-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001206998.2(ZNRF3):​c.965C>T​(p.Pro322Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000274 in 1,461,866 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 (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

ZNRF3
NM_001206998.2 missense

Scores

8
7
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.57
Variant links:
Genes affected
ZNRF3 (HGNC:18126): (zinc and ring finger 3) Enables frizzled binding activity and ubiquitin-protein transferase activity. Involved in cellular protein metabolic process and negative regulation of Wnt signaling pathway. Is integral component of plasma membrane. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.885

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ZNRF3NM_001206998.2 linkc.965C>T p.Pro322Leu missense_variant 7/9 ENST00000544604.7 NP_001193927.1
ZNRF3NM_032173.4 linkc.665C>T p.Pro222Leu missense_variant 7/9 NP_115549.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ZNRF3ENST00000544604.7 linkc.965C>T p.Pro322Leu missense_variant 7/91 NM_001206998.2 ENSP00000443824.2 Q9ULT6-1
ZNRF3ENST00000406323.3 linkc.665C>T p.Pro222Leu missense_variant 6/81 ENSP00000384553.3 Q9ULT6-2
ZNRF3ENST00000402174.5 linkc.665C>T p.Pro222Leu missense_variant 7/92 ENSP00000384456.1 Q9ULT6-2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1461866
Hom.:
0
Cov.:
30
AF XY:
0.00000413
AC XY:
3
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
33

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 GeneticsSep 20, 2024The c.965C>T (p.P322L) alteration is located in exon 7 (coding exon 7) of the ZNRF3 gene. This alteration results from a C to T substitution at nucleotide position 965, causing the proline (P) at amino acid position 322 to be replaced by a leucine (L). 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
0.96
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Uncertain
0.11
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T;.;.
Eigen
Uncertain
0.48
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.99
D;.;D
M_CAP
Uncertain
0.13
D
MetaRNN
Pathogenic
0.88
D;D;D
MetaSVM
Benign
-0.44
T
MutationAssessor
Benign
0.33
N;.;.
PrimateAI
Pathogenic
0.84
D
PROVEAN
Pathogenic
-9.3
D;D;D
REVEL
Pathogenic
0.65
Sift
Uncertain
0.017
D;D;D
Sift4G
Uncertain
0.0070
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.92
MutPred
0.57
Loss of helix (P = 0.0626);.;.;
MVP
0.81
MPC
1.2
ClinPred
1.0
D
GERP RS
5.5
Varity_R
0.59
gMVP
0.77

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr22-29444429; COSMIC: COSV104654421; API