rs10810249

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001379081.2(FREM1):​c.3089-4G>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.226 in 1,565,898 control chromosomes in the GnomAD database, including 42,120 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.19 ( 3329 hom., cov: 32)
Exomes 𝑓: 0.23 ( 38791 hom. )

Consequence

FREM1
NM_001379081.2 splice_region, intron

Scores

2
Splicing: ADA: 0.000007089
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.641

Publications

12 publications found
Variant links:
Genes affected
FREM1 (HGNC:23399): (FRAS1 related extracellular matrix 1) This gene encodes a basement membrane protein that may play a role in craniofacial and renal development. Mutations in this gene have been associated with bifid nose with or without anorectal and renal anomalies. Alternatively spliced transcript variants encoding different isoforms have been described. PubMed ID 19940113 describes one such variant that initiates transcription within a distinct, internal exon; the resulting shorter isoform (named Toll-like/interleukin-1 receptor regulator, TILRR) is suggested to be a co-receptor of the interleukin 1 receptor family and may regulate receptor function and Toll-like receptor/interleukin 1 receptor signal transduction, contributing to the control of inflammatory response activation. [provided by RefSeq, Apr 2011]
FREM1 Gene-Disease associations (from GenCC):
  • oculotrichoanal syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet
  • BNAR syndrome
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • isolated trigonocephaly
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • renal agenesis, unilateral
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • trigonocephaly 2
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, PanelApp Australia, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.52).
BP6
Variant 9-14806850-C-A is Benign according to our data. Variant chr9-14806850-C-A is described in ClinVar as Benign. ClinVar VariationId is 262536.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.245 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FREM1NM_001379081.2 linkc.3089-4G>T splice_region_variant, intron_variant Intron 17 of 36 ENST00000380880.4 NP_001366010.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FREM1ENST00000380880.4 linkc.3089-4G>T splice_region_variant, intron_variant Intron 17 of 36 5 NM_001379081.2 ENSP00000370262.3 Q5H8C1-1
FREM1ENST00000380875.7 linkn.3089-4G>T splice_region_variant, intron_variant Intron 18 of 30 1 ENSP00000370257.3 F8WE85

Frequencies

GnomAD3 genomes
AF:
0.192
AC:
29248
AN:
151998
Hom.:
3329
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0766
Gnomad AMI
AF:
0.199
Gnomad AMR
AF:
0.252
Gnomad ASJ
AF:
0.263
Gnomad EAS
AF:
0.0882
Gnomad SAS
AF:
0.198
Gnomad FIN
AF:
0.248
Gnomad MID
AF:
0.294
Gnomad NFE
AF:
0.243
Gnomad OTH
AF:
0.231
GnomAD2 exomes
AF:
0.228
AC:
49526
AN:
216886
AF XY:
0.228
show subpopulations
Gnomad AFR exome
AF:
0.0711
Gnomad AMR exome
AF:
0.292
Gnomad ASJ exome
AF:
0.274
Gnomad EAS exome
AF:
0.0997
Gnomad FIN exome
AF:
0.245
Gnomad NFE exome
AF:
0.245
Gnomad OTH exome
AF:
0.242
GnomAD4 exome
AF:
0.229
AC:
324234
AN:
1413782
Hom.:
38791
Cov.:
24
AF XY:
0.230
AC XY:
161039
AN XY:
701640
show subpopulations
African (AFR)
AF:
0.0718
AC:
2320
AN:
32316
American (AMR)
AF:
0.282
AC:
11366
AN:
40322
Ashkenazi Jewish (ASJ)
AF:
0.269
AC:
6717
AN:
24960
East Asian (EAS)
AF:
0.0964
AC:
3768
AN:
39084
South Asian (SAS)
AF:
0.219
AC:
17790
AN:
81072
European-Finnish (FIN)
AF:
0.242
AC:
12615
AN:
52200
Middle Eastern (MID)
AF:
0.311
AC:
1747
AN:
5624
European-Non Finnish (NFE)
AF:
0.236
AC:
254916
AN:
1079468
Other (OTH)
AF:
0.221
AC:
12995
AN:
58736
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
10181
20363
30544
40726
50907
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
8644
17288
25932
34576
43220
<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:
0.192
AC:
29249
AN:
152116
Hom.:
3329
Cov.:
32
AF XY:
0.192
AC XY:
14278
AN XY:
74356
show subpopulations
African (AFR)
AF:
0.0765
AC:
3177
AN:
41506
American (AMR)
AF:
0.252
AC:
3846
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.263
AC:
913
AN:
3470
East Asian (EAS)
AF:
0.0882
AC:
456
AN:
5168
South Asian (SAS)
AF:
0.197
AC:
953
AN:
4826
European-Finnish (FIN)
AF:
0.248
AC:
2626
AN:
10582
Middle Eastern (MID)
AF:
0.289
AC:
85
AN:
294
European-Non Finnish (NFE)
AF:
0.243
AC:
16528
AN:
67972
Other (OTH)
AF:
0.229
AC:
484
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1149
2299
3448
4598
5747
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
326
652
978
1304
1630
<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:
0.202
Hom.:
1618
Bravo
AF:
0.190
Asia WGS
AF:
0.151
AC:
528
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
May 04, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Oculotrichoanal syndrome Benign:2
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Benign
1.2
DANN
Benign
0.36
PhyloP100
-0.64
Mutation Taster
=89/11
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0000071
dbscSNV1_RF
Benign
0.0
SpliceAI score (max)
0.040
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: rs10810249; hg19: chr9-14806848; COSMIC: COSV66524500; API