rs114447350

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000435.3(NOTCH3):​c.6221C>T​(p.Pro2074Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00476 in 1,525,304 control chromosomes in the GnomAD database, including 287 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.025 ( 148 hom., cov: 32)
Exomes 𝑓: 0.0025 ( 139 hom. )

Consequence

NOTCH3
NM_000435.3 missense

Scores

3
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 3.61
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.001966834).
BP6
Variant 19-15161407-G-A is Benign according to our data. Variant chr19-15161407-G-A is described in ClinVar as [Benign]. Clinvar id is 256150.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-15161407-G-A is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0845 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOTCH3NM_000435.3 linkuse as main transcriptc.6221C>T p.Pro2074Leu missense_variant 33/33 ENST00000263388.7 NP_000426.2
NOTCH3XM_005259924.5 linkuse as main transcriptc.6065C>T p.Pro2022Leu missense_variant 32/32 XP_005259981.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOTCH3ENST00000263388.7 linkuse as main transcriptc.6221C>T p.Pro2074Leu missense_variant 33/331 NM_000435.3 ENSP00000263388 P1

Frequencies

GnomAD3 genomes
AF:
0.0247
AC:
3761
AN:
152082
Hom.:
146
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0866
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00740
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000368
Gnomad OTH
AF:
0.0148
GnomAD3 exomes
AF:
0.00563
AC:
702
AN:
124650
Hom.:
30
AF XY:
0.00415
AC XY:
283
AN XY:
68138
show subpopulations
Gnomad AFR exome
AF:
0.0935
Gnomad AMR exome
AF:
0.00393
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000984
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000376
Gnomad OTH exome
AF:
0.00385
GnomAD4 exome
AF:
0.00254
AC:
3485
AN:
1373104
Hom.:
139
Cov.:
36
AF XY:
0.00221
AC XY:
1491
AN XY:
675262
show subpopulations
Gnomad4 AFR exome
AF:
0.0918
Gnomad4 AMR exome
AF:
0.00425
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000282
Gnomad4 SAS exome
AF:
0.000142
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000171
Gnomad4 OTH exome
AF:
0.00569
GnomAD4 genome
AF:
0.0248
AC:
3778
AN:
152200
Hom.:
148
Cov.:
32
AF XY:
0.0238
AC XY:
1773
AN XY:
74406
show subpopulations
Gnomad4 AFR
AF:
0.0868
Gnomad4 AMR
AF:
0.00732
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000194
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000368
Gnomad4 OTH
AF:
0.0147
Alfa
AF:
0.00745
Hom.:
12
Bravo
AF:
0.0289
ESP6500AA
AF:
0.0483
AC:
128
ESP6500EA
AF:
0.000332
AC:
2
ExAC
AF:
0.00251
AC:
240
Asia WGS
AF:
0.00404
AC:
14
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:6
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 22, 2023- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 05, 2021- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 18, 2021- -
Pulmonary arterial hypertension Benign:1
Benign, no assertion criteria providedclinical testingJohn Welsh Cardiovascular Diagnostic Laboratory, Baylor College of MedicineSep 26, 2022- -
Cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
19
DANN
Uncertain
0.98
DEOGEN2
Benign
0.28
T
Eigen
Benign
-0.23
Eigen_PC
Benign
-0.11
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.75
T
MetaRNN
Benign
0.0020
T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
0.55
N
MutationTaster
Benign
0.99
D
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-2.3
N
REVEL
Benign
0.15
Sift
Benign
0.17
T
Sift4G
Benign
0.28
T
Polyphen
0.051
B
Vest4
0.15
MVP
0.90
MPC
0.57
ClinPred
0.0081
T
GERP RS
3.8
Varity_R
0.086
gMVP
0.55

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs114447350; hg19: chr19-15272218; COSMIC: COSV54633767; COSMIC: COSV54633767; API