rs1131691089

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PVS1_ModeratePP5

The NM_001042492.3(NF1):​c.3198-2A>C variant causes a splice acceptor, intron change involving the alteration of a conserved nucleotide. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0 ( 0 hom., cov: 16)
Exomes 𝑓: 0.0000046 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

NF1
NM_001042492.3 splice_acceptor, intron

Scores

4
2
Splicing: ADA: 1.000
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1

Conservation

PhyloP100: 8.85

Publications

1 publications found
Variant links:
Genes affected
NF1 (HGNC:7765): (neurofibromin 1) This gene product appears to function as a negative regulator of the ras signal transduction pathway. Mutations in this gene have been linked to neurofibromatosis type 1, juvenile myelomonocytic leukemia and Watson syndrome. The mRNA for this gene is subject to RNA editing (CGA>UGA->Arg1306Term) resulting in premature translation termination. Alternatively spliced transcript variants encoding different isoforms have also been described for this gene. [provided by RefSeq, Jul 2008]
NF1 Gene-Disease associations (from GenCC):
  • neurofibromatosis type 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), G2P, Genomics England PanelApp
  • neurofibromatosis-Noonan syndrome
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
  • Moyamoya disease
    Inheritance: AD Classification: MODERATE Submitted by: Genomics England PanelApp
  • hereditary pheochromocytoma-paraganglioma
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial ovarian cancer
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.013732394 fraction of the gene. Cryptic splice site detected, with MaxEntScore 4, offset of 2, new splice context is: tttttttttttttttccgAGatt. Cryptic site results in frameshift change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
PP5
Variant 17-31232071-A-C is Pathogenic according to our data. Variant chr17-31232071-A-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 2736538.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001042492.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NF1
NM_001042492.3
MANE Select
c.3198-2A>C
splice_acceptor intron
N/ANP_001035957.1P21359-1
NF1
NM_000267.4
c.3198-2A>C
splice_acceptor intron
N/ANP_000258.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NF1
ENST00000358273.9
TSL:1 MANE Select
c.3198-2A>C
splice_acceptor intron
N/AENSP00000351015.4P21359-1
NF1
ENST00000356175.7
TSL:1
c.3198-2A>C
splice_acceptor intron
N/AENSP00000348498.3P21359-2
NF1
ENST00000579081.6
TSL:1
n.3198-2A>C
splice_acceptor intron
N/AENSP00000462408.2J3KSB5

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
0
AN:
71202
Hom.:
0
Cov.:
16
Gnomad AFR
AF:
0.00
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:
0.00
GnomAD4 exome
AF:
0.00000464
AC:
2
AN:
431086
Hom.:
0
Cov.:
13
AF XY:
0.00000459
AC XY:
1
AN XY:
217810
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
8786
American (AMR)
AF:
0.00
AC:
0
AN:
9422
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
10146
East Asian (EAS)
AF:
0.00
AC:
0
AN:
15954
South Asian (SAS)
AF:
0.0000557
AC:
1
AN:
17942
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
25778
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
1508
European-Non Finnish (NFE)
AF:
0.00000309
AC:
1
AN:
323104
Other (OTH)
AF:
0.00
AC:
0
AN:
18446
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.275
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
71202
Hom.:
0
Cov.:
16
AF XY:
0.00
AC XY:
0
AN XY:
32870
African (AFR)
AF:
0.00
AC:
0
AN:
14364
American (AMR)
AF:
0.00
AC:
0
AN:
5570
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2254
East Asian (EAS)
AF:
0.00
AC:
0
AN:
2520
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2462
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
3002
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
92
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
39538
Other (OTH)
AF:
0.00
AC:
0
AN:
968

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Neurofibromatosis, type 1 (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.090
CADD
Pathogenic
34
DANN
Uncertain
0.99
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.86
FATHMM_MKL
Pathogenic
1.0
D
PhyloP100
8.8
GERP RS
5.3
Mutation Taster
=1/99
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.93
SpliceAI score (max)
0.97
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.66
Position offset: 4
DS_AL_spliceai
0.97
Position offset: 2

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

Publications

Other links and lift over

dbSNP: rs1131691089; hg19: chr17-29559089; COSMIC: COSV62219542; API