chr5-177292072-A-T

Variant names:

• chr5-177292072-A-T
• rs587784193
• NM_022455.5:c.6377A>T

Variant summary

Our verdict is Likely pathogenic. The variant received 8 ACMG points: 8P and 0B. PM1 PM2 PP3_Moderate PP5_Moderate

The NM_022455.5(NSD1):​c.6377A>T​(p.Asp2126Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 13/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D2126G) has been classified as Uncertain significance.

• Frequency: Genomes: not found (cov: 32)
• Consequence: NSD1 NM_022455.5 missense
• Clinical Significance: Pathogenic criteria provided, single submitter P:1
• Conservation: PhyloP100: 9.32
• Publications: 1 publications found

Genes affected

NSD1 (HGNC:14234): (nuclear receptor binding SET domain protein 1) This gene encodes a protein containing a SET domain, 2 LXXLL motifs, 3 nuclear translocation signals (NLSs), 4 plant homeodomain (PHD) finger regions, and a proline-rich region. The encoded protein enhances androgen receptor (AR) transactivation, and this enhancement can be increased further in the presence of other androgen receptor associated coregulators. This protein may act as a nucleus-localized, basic transcriptional factor and also as a bifunctional transcriptional regulator. Mutations of this gene have been associated with Sotos syndrome and Weaver syndrome. One version of childhood acute myeloid leukemia is the result of a cryptic translocation with the breakpoints occurring within nuclear receptor-binding Su-var, enhancer of zeste, and trithorax domain protein 1 on chromosome 5 and nucleoporin, 98-kd on chromosome 11. Multiple transcript variants encoding distinct isoforms have been identified for this gene. [provided by RefSeq, Sep 2018]

NSD1 Gene-Disease associations (from GenCC):

• Beckwith-Wiedemann syndrome due to NSD1 mutation

  Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
• Sotos syndrome

  Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P, ClinGen
• Sotos syndrome 1

  Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics

ACMG classification

Our verdict: Likely_pathogenic. The variant received 8 ACMG points.

• PM1: In a hotspot region, there are 4 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 5 uncertain in NM_022455.5
• PM2: Very rare variant in population databases, with high coverage
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.927
• PP5: Variant 5-177292072-A-T is Pathogenic according to our data. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr5-177292072-A-T is described in CliVar as Pathogenic. Clinvar id is 159415.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
NSD1	NM_022455.5	c.6377A>T	p.Asp2126Val	missense_variant	Exon 22 of 23	ENST00000439151.7	NP_071900.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
NSD1	ENST00000439151.7	c.6377A>T	p.Asp2126Val	missense_variant	Exon 22 of 23	1	NM_022455.5	ENSP00000395929.2

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 32

GnomAD4 genome Cov.: 32

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1

Revision: criteria provided, single submitter

Submissions by phenotype

Sotos syndrome Pathogenic:1

Feb 08, 2013

Genetic Services Laboratory, University of Chicago

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Pathogenic	1.0
BayesDel_addAF	Pathogenic	0.54	D
BayesDel_noAF	Pathogenic	0.54
CADD	Pathogenic	30
DANN	Uncertain	0.99
DEOGEN2	Uncertain	0.67	.;D;.
Eigen	Pathogenic	0.93
Eigen_PC	Pathogenic	0.87
FATHMM_MKL	Uncertain	0.97	D
LIST_S2	Pathogenic	0.98	D;D;.
M_CAP	Pathogenic	0.74	D
MetaRNN	Pathogenic	0.93	D;D;D
MetaSVM	Pathogenic	1.1	D
MutationAssessor	Pathogenic	3.1	.;M;.
PhyloP100		9.3
PrimateAI	Pathogenic	0.84	D
PROVEAN	Pathogenic	-7.0	D;D;D
REVEL	Pathogenic	0.96
Sift	Pathogenic	0.0	D;D;D
Sift4G	Pathogenic	0.0010	D;D;D
Polyphen		1.0	D;D;D
Vest4		0.88
MutPred		0.60		.;Gain of sheet (P = 0.0344);.;
MVP		0.99
MPC		3.1
ClinPred		1.0	D
GERP RS		5.4
Varity_R		0.80
gMVP		0.90
Mutation Taster		=1/99	disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs587784193; hg19: chr5-176719073;