chr7-150996504-T-G

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_000603.5(NOS3):ā€‹c.371T>Gā€‹(p.Leu124Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000131 in 1,606,142 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000054 ( 0 hom., cov: 27)
Exomes š‘“: 0.0000089 ( 0 hom. )

Consequence

NOS3
NM_000603.5 missense

Scores

8
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.32
Variant links:
Genes affected
NOS3 (HGNC:7876): (nitric oxide synthase 3) Nitric oxide is a reactive free radical which acts as a biologic mediator in several processes, including neurotransmission and antimicrobial and antitumoral activities. Nitric oxide is synthesized from L-arginine by nitric oxide synthases. Variations in this gene are associated with susceptibility to coronary spasm. Alternative splicing and the use of alternative promoters results in multiple transcript variants. [provided by RefSeq, Oct 2016]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAd4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOS3NM_000603.5 linkuse as main transcriptc.371T>G p.Leu124Arg missense_variant 4/27 ENST00000297494.8 NP_000594.2
NOS3NM_001160111.1 linkuse as main transcriptc.371T>G p.Leu124Arg missense_variant 3/14 NP_001153583.1
NOS3NM_001160110.1 linkuse as main transcriptc.371T>G p.Leu124Arg missense_variant 3/14 NP_001153582.1
NOS3NM_001160109.2 linkuse as main transcriptc.371T>G p.Leu124Arg missense_variant 3/14 NP_001153581.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOS3ENST00000297494.8 linkuse as main transcriptc.371T>G p.Leu124Arg missense_variant 4/271 NM_000603.5 ENSP00000297494 P1P29474-1
NOS3ENST00000484524.5 linkuse as main transcriptc.371T>G p.Leu124Arg missense_variant 3/141 ENSP00000420215 P29474-2
NOS3ENST00000467517.1 linkuse as main transcriptc.371T>G p.Leu124Arg missense_variant 3/141 ENSP00000420551 P29474-3
NOS3ENST00000461406.5 linkuse as main transcriptc.-37+1190T>G intron_variant 2 ENSP00000417143

Frequencies

GnomAD3 genomes
AF:
0.0000542
AC:
8
AN:
147610
Hom.:
0
Cov.:
27
show subpopulations
Gnomad AFR
AF:
0.000177
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.000498
GnomAD3 exomes
AF:
0.00000413
AC:
1
AN:
242398
Hom.:
0
AF XY:
0.00000756
AC XY:
1
AN XY:
132258
show subpopulations
Gnomad AFR exome
AF:
0.0000648
Gnomad AMR exome
AF:
0.00
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:
0.00000891
AC:
13
AN:
1458532
Hom.:
0
Cov.:
34
AF XY:
0.00000965
AC XY:
7
AN XY:
725382
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
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:
0.00
Gnomad4 OTH exome
AF:
0.0000829
GnomAD4 genome
AF:
0.0000542
AC:
8
AN:
147610
Hom.:
0
Cov.:
27
AF XY:
0.0000557
AC XY:
4
AN XY:
71776
show subpopulations
Gnomad4 AFR
AF:
0.000177
Gnomad4 AMR
AF:
0.00
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:
0.000498
Bravo
AF:
0.0000718

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 GeneticsApr 12, 2022The c.371T>G (p.L124R) alteration is located in exon 4 (coding exon 3) of the NOS3 gene. This alteration results from a T to G substitution at nucleotide position 371, causing the leucine (L) at amino acid position 124 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
0.11
BayesDel_addAF
Uncertain
0.080
D
BayesDel_noAF
Benign
-0.12
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.27
T;.;.
Eigen
Uncertain
0.19
Eigen_PC
Uncertain
0.27
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.84
T;T;T
M_CAP
Benign
0.033
D
MetaRNN
Uncertain
0.70
D;D;D
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.5
L;L;L
MutationTaster
Benign
0.99
D;D;D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-4.1
D;D;D
REVEL
Benign
0.26
Sift
Benign
0.034
D;D;D
Sift4G
Benign
0.066
T;T;T
Polyphen
0.74
P;.;.
Vest4
0.60
MutPred
0.74
Gain of MoRF binding (P = 0.0189);Gain of MoRF binding (P = 0.0189);Gain of MoRF binding (P = 0.0189);
MVP
0.71
MPC
0.47
ClinPred
0.87
D
GERP RS
5.0
Varity_R
0.84
gMVP
0.85

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs767114986; hg19: chr7-150693592; API