rs104895112

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_StrongBP6BS2_Supporting

The NM_000243.3(MEFV):​c.986G>A​(p.Arg329His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00227 in 1,613,764 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R329C) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0024 ( 10 hom. )

Consequence

MEFV
NM_000243.3 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:10B:5O:3

Conservation

PhyloP100: -1.76

Publications

17 publications found
Variant links:
Genes affected
MEFV (HGNC:6998): (MEFV innate immunity regulator, pyrin) This gene encodes a protein, also known as pyrin or marenostrin, that is an important modulator of innate immunity. Mutations in this gene are associated with Mediterranean fever, a hereditary periodic fever syndrome. [provided by RefSeq, Jul 2008]
MEFV Gene-Disease associations (from GenCC):
  • autosomal recessive familial Mediterranean fever
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • familial Mediterranean fever
    Inheritance: AR, SD, AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Myriad Women’s Health, ClinGen, Orphanet
  • familial Mediterranean fever, autosomal dominant
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004503727).
BP6
Variant 16-3249705-C-T is Benign according to our data. Variant chr16-3249705-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 97557.
BS2
High Homozygotes in GnomAdExome4 at 10 AR,AD,SD geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000243.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MEFV
NM_000243.3
MANE Select
c.986G>Ap.Arg329His
missense
Exon 3 of 10NP_000234.1O15553-2
MEFV
NM_001198536.2
c.353G>Ap.Arg118His
missense
Exon 2 of 9NP_001185465.2O15553-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MEFV
ENST00000219596.6
TSL:1 MANE Select
c.986G>Ap.Arg329His
missense
Exon 3 of 10ENSP00000219596.1O15553-2
MEFV
ENST00000541159.5
TSL:1
c.353G>Ap.Arg118His
missense
Exon 2 of 9ENSP00000438711.1O15553-3
MEFV
ENST00000539145.5
TSL:1
n.278-2459G>A
intron
N/AENSP00000444471.1D2DTW1

Frequencies

GnomAD3 genomes
AF:
0.00131
AC:
199
AN:
152206
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000338
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.0147
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00207
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00163
Gnomad OTH
AF:
0.00287
GnomAD2 exomes
AF:
0.00163
AC:
405
AN:
248242
AF XY:
0.00178
show subpopulations
Gnomad AFR exome
AF:
0.000370
Gnomad AMR exome
AF:
0.000434
Gnomad ASJ exome
AF:
0.0113
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.00178
Gnomad OTH exome
AF:
0.00148
GnomAD4 exome
AF:
0.00238
AC:
3471
AN:
1461440
Hom.:
10
Cov.:
32
AF XY:
0.00239
AC XY:
1734
AN XY:
727008
show subpopulations
African (AFR)
AF:
0.000388
AC:
13
AN:
33476
American (AMR)
AF:
0.000447
AC:
20
AN:
44696
Ashkenazi Jewish (ASJ)
AF:
0.0113
AC:
294
AN:
26074
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39688
South Asian (SAS)
AF:
0.00180
AC:
155
AN:
86204
European-Finnish (FIN)
AF:
0.000112
AC:
6
AN:
53396
Middle Eastern (MID)
AF:
0.000694
AC:
4
AN:
5762
European-Non Finnish (NFE)
AF:
0.00254
AC:
2823
AN:
1111764
Other (OTH)
AF:
0.00258
AC:
156
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
214
428
642
856
1070
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
118
236
354
472
590
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00131
AC:
199
AN:
152324
Hom.:
0
Cov.:
33
AF XY:
0.00114
AC XY:
85
AN XY:
74480
show subpopulations
African (AFR)
AF:
0.000337
AC:
14
AN:
41572
American (AMR)
AF:
0.000392
AC:
6
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0147
AC:
51
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00207
AC:
10
AN:
4824
European-Finnish (FIN)
AF:
0.0000941
AC:
1
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00163
AC:
111
AN:
68026
Other (OTH)
AF:
0.00284
AC:
6
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
11
23
34
46
57
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00195
Hom.:
3
Bravo
AF:
0.00124
TwinsUK
AF:
0.00351
AC:
13
ALSPAC
AF:
0.00363
AC:
14
ESP6500AA
AF:
0.000455
AC:
2
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.00161
AC:
195
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00218
EpiControl
AF:
0.00190

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
4
3
not provided (7)
-
3
1
Familial Mediterranean fever (7)
-
1
-
Autoinflammatory syndrome (1)
-
1
-
Familial Mediterranean fever;C0085077:Acute febrile neutrophilic dermatosis;C1851347:Familial Mediterranean fever, autosomal dominant (1)
-
1
-
Familial Mediterranean fever;C1851347:Familial Mediterranean fever, autosomal dominant (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
0.37
DANN
Benign
0.26
DEOGEN2
Benign
0.27
T
Eigen
Benign
-2.3
Eigen_PC
Benign
-2.4
FATHMM_MKL
Benign
0.0058
N
LIST_S2
Benign
0.66
T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.0045
T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
-0.42
N
PhyloP100
-1.8
PrimateAI
Benign
0.24
T
PROVEAN
Benign
3.6
N
REVEL
Benign
0.17
Sift
Benign
1.0
T
Sift4G
Benign
0.81
T
Polyphen
0.0
B
Vest4
0.090
MVP
0.39
MPC
0.14
ClinPred
0.0030
T
GERP RS
-8.6
Varity_R
0.017
gMVP
0.33
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.15
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs104895112; hg19: chr16-3299705; API