rs1043996

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000435.3(NOTCH3):​c.2538C>T​(p.Cys846=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.682 in 1,613,270 control chromosomes in the GnomAD database, including 385,251 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.57 ( 27881 hom., cov: 31)
Exomes 𝑓: 0.69 ( 357370 hom. )

Consequence

NOTCH3
NM_000435.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12O:1

Conservation

PhyloP100: 0.347
Variant links:
Genes affected
NOTCH3 (HGNC:7883): (notch receptor 3) This gene encodes the third discovered human homologue of the Drosophilia melanogaster type I membrane protein notch. In Drosophilia, notch interaction with its cell-bound ligands (delta, serrate) establishes an intercellular signalling pathway that plays a key role in neural development. Homologues of the notch-ligands have also been identified in human, but precise interactions between these ligands and the human notch homologues remains to be determined. Mutations in NOTCH3 have been identified as the underlying cause of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56).
BP6
Variant 19-15184323-G-A is Benign according to our data. Variant chr19-15184323-G-A is described in ClinVar as [Benign]. Clinvar id is 256129.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-15184323-G-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=0.347 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.713 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOTCH3NM_000435.3 linkuse as main transcriptc.2538C>T p.Cys846= synonymous_variant 16/33 ENST00000263388.7 NP_000426.2
NOTCH3XM_005259924.5 linkuse as main transcriptc.2410+583C>T intron_variant XP_005259981.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOTCH3ENST00000263388.7 linkuse as main transcriptc.2538C>T p.Cys846= synonymous_variant 16/331 NM_000435.3 ENSP00000263388 P1
NOTCH3ENST00000601011.1 linkuse as main transcriptc.2407+583C>T intron_variant 5 ENSP00000473138

Frequencies

GnomAD3 genomes
AF:
0.572
AC:
86879
AN:
151898
Hom.:
27883
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.264
Gnomad AMI
AF:
0.627
Gnomad AMR
AF:
0.556
Gnomad ASJ
AF:
0.669
Gnomad EAS
AF:
0.598
Gnomad SAS
AF:
0.662
Gnomad FIN
AF:
0.761
Gnomad MID
AF:
0.627
Gnomad NFE
AF:
0.718
Gnomad OTH
AF:
0.595
GnomAD3 exomes
AF:
0.641
AC:
160953
AN:
251120
Hom.:
53670
AF XY:
0.653
AC XY:
88659
AN XY:
135800
show subpopulations
Gnomad AFR exome
AF:
0.256
Gnomad AMR exome
AF:
0.504
Gnomad ASJ exome
AF:
0.675
Gnomad EAS exome
AF:
0.606
Gnomad SAS exome
AF:
0.648
Gnomad FIN exome
AF:
0.756
Gnomad NFE exome
AF:
0.716
Gnomad OTH exome
AF:
0.653
GnomAD4 exome
AF:
0.694
AC:
1013564
AN:
1461254
Hom.:
357370
Cov.:
50
AF XY:
0.694
AC XY:
504333
AN XY:
726964
show subpopulations
Gnomad4 AFR exome
AF:
0.244
Gnomad4 AMR exome
AF:
0.510
Gnomad4 ASJ exome
AF:
0.676
Gnomad4 EAS exome
AF:
0.613
Gnomad4 SAS exome
AF:
0.646
Gnomad4 FIN exome
AF:
0.758
Gnomad4 NFE exome
AF:
0.721
Gnomad4 OTH exome
AF:
0.657
GnomAD4 genome
AF:
0.572
AC:
86891
AN:
152016
Hom.:
27881
Cov.:
31
AF XY:
0.574
AC XY:
42671
AN XY:
74278
show subpopulations
Gnomad4 AFR
AF:
0.263
Gnomad4 AMR
AF:
0.556
Gnomad4 ASJ
AF:
0.669
Gnomad4 EAS
AF:
0.599
Gnomad4 SAS
AF:
0.663
Gnomad4 FIN
AF:
0.761
Gnomad4 NFE
AF:
0.718
Gnomad4 OTH
AF:
0.595
Alfa
AF:
0.680
Hom.:
57003
Bravo
AF:
0.541
Asia WGS
AF:
0.602
AC:
2091
AN:
3478
EpiCase
AF:
0.705
EpiControl
AF:
0.698

ClinVar

Significance: Benign
Submissions summary: Benign:12Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:4
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesJan 14, 2021- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 01, 2019- -
Cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1 Benign:3Other:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabSep 05, 2021- -
not provided, no classification providedphenotyping onlyGenomeConnect - CureCADASIL-Variant interpreted as Benign and reported on 06-21-2005 by Lab or GTR ID 1012. GenomeConnect-CureCADASIL assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. Registry team members make no attempt to reinterpret the clinical significance of the variant. -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 17, 2017- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Lateral meningocele syndrome Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabSep 05, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.56
CADD
Benign
6.1
DANN
Benign
0.38

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1043996; hg19: chr19-15295134; COSMIC: COSV54643242; COSMIC: COSV54643242; API