chr4-89909317-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_007351.3(MMRN1):ā€‹c.665T>Cā€‹(p.Val222Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000686 in 1,458,326 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.9e-7 ( 0 hom. )

Consequence

MMRN1
NM_007351.3 missense

Scores

7
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.17
Variant links:
Genes affected
MMRN1 (HGNC:7178): (multimerin 1) Multimerin is a massive, soluble protein found in platelets and in the endothelium of blood vessels. It is comprised of subunits linked by interchain disulfide bonds to form large, variably sized homomultimers. Multimerin is a factor V/Va-binding protein and may function as a carrier protein for platelet factor V. It may also have functions as an extracellular matrix or adhesive protein. Recently, patients with an unusual autosomal-dominant bleeding disorder (factor V Quebec) were found to have a deficiency of platelet multimerin. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MMRN1NM_007351.3 linkc.665T>C p.Val222Ala missense_variant 2/8 ENST00000264790.7 NP_031377.2 Q13201-1
MMRN1NM_001371403.1 linkc.665T>C p.Val222Ala missense_variant 3/9 NP_001358332.1
MMRN1XM_047449831.1 linkc.665T>C p.Val222Ala missense_variant 3/8 XP_047305787.1
MMRN1NM_001410735.1 linkc.-110T>C 5_prime_UTR_variant 2/8 NP_001397664.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MMRN1ENST00000264790.7 linkc.665T>C p.Val222Ala missense_variant 2/81 NM_007351.3 ENSP00000264790.2 Q13201-1
MMRN1ENST00000394980.5 linkc.665T>C p.Val222Ala missense_variant 3/95 ENSP00000378431.1 Q13201-1
MMRN1ENST00000508372 linkc.-110T>C 5_prime_UTR_variant 2/82 ENSP00000426461.1 E7EPG1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000400
AC:
1
AN:
249980
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135120
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000291
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:
6.86e-7
AC:
1
AN:
1458326
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
725514
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000225
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsJun 09, 2022The c.665T>C (p.V222A) alteration is located in exon 2 (coding exon 2) of the MMRN1 gene. This alteration results from a T to C substitution at nucleotide position 665, causing the valine (V) at amino acid position 222 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
Benign
0.19
BayesDel_addAF
Benign
-0.036
T
BayesDel_noAF
Benign
-0.21
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T;T
Eigen
Uncertain
0.45
Eigen_PC
Uncertain
0.47
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.59
.;T
M_CAP
Benign
0.016
T
MetaRNN
Uncertain
0.51
D;D
MetaSVM
Benign
-0.77
T
MutationAssessor
Benign
1.4
L;L
PrimateAI
Uncertain
0.63
T
PROVEAN
Uncertain
-2.9
D;D
REVEL
Benign
0.18
Sift
Benign
0.037
D;D
Sift4G
Benign
0.15
T;T
Polyphen
1.0
D;D
Vest4
0.27
MutPred
0.69
Loss of stability (P = 0.0092);Loss of stability (P = 0.0092);
MVP
0.56
MPC
0.014
ClinPred
0.55
D
GERP RS
5.3
Varity_R
0.24
gMVP
0.26

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: rs1262394417; hg19: chr4-90830468; API