rs116440123

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_198271.5(LMOD3):​c.1493G>A​(p.Arg498Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0009 in 1,610,134 control chromosomes in the GnomAD database, including 17 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0047 ( 7 hom., cov: 30)
Exomes 𝑓: 0.00052 ( 10 hom. )

Consequence

LMOD3
NM_198271.5 missense

Scores

2
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 2.33
Variant links:
Genes affected
LMOD3 (HGNC:6649): (leiomodin 3) The protein encoded by this gene is a member of the leiomodin family of proteins. This protein contains three actin-binding domains, a tropomyosin domain, a leucine-rich repeat domain, and a Wiskott-Aldrich syndrome protein homology 2 domain (WH2). Localization of this protein to the pointed ends of thin filaments has been observed, and there is evidence that this protein acts as a catalyst of actin nucleation, and is important to the organization of sarcomeric thin filaments in skeletal muscles. Mutations in this gene have been associated as one cause of Nemaline myopathy, as other genes have also been linked to this disorder. Nemaline myopathy is a disorder characterized by nonprogressive generalized muscle weakness and protein inclusions (nemaline bodies) in skeletal myofibers. Patients with mutations in this gene often present with a severe congenital form of the disorder. [provided by RefSeq, Jan 2015]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0041202903).
BP6
Variant 3-69118862-C-T is Benign according to our data. Variant chr3-69118862-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 475307.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00465 (691/148564) while in subpopulation AFR AF= 0.0163 (656/40186). AF 95% confidence interval is 0.0153. There are 7 homozygotes in gnomad4. There are 315 alleles in male gnomad4 subpopulation. Median coverage is 30. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LMOD3NM_198271.5 linkuse as main transcriptc.1493G>A p.Arg498Gln missense_variant 2/3 ENST00000420581.7 NP_938012.2 Q0VAK6-1
LMOD3NM_001304418.3 linkuse as main transcriptc.1493G>A p.Arg498Gln missense_variant 3/4 NP_001291347.1 Q0VAK6-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LMOD3ENST00000420581.7 linkuse as main transcriptc.1493G>A p.Arg498Gln missense_variant 2/31 NM_198271.5 ENSP00000414670.3 Q0VAK6-1
LMOD3ENST00000475434.1 linkuse as main transcriptc.1493G>A p.Arg498Gln missense_variant 3/45 ENSP00000418645.1 Q0VAK6-1
LMOD3ENST00000489031.5 linkuse as main transcriptc.1493G>A p.Arg498Gln missense_variant 3/42 ENSP00000417210.1 Q0VAK6-1

Frequencies

GnomAD3 genomes
AF:
0.00466
AC:
692
AN:
148446
Hom.:
7
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0164
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00136
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000227
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000104
Gnomad OTH
AF:
0.00299
GnomAD3 exomes
AF:
0.00128
AC:
318
AN:
248434
Hom.:
7
AF XY:
0.000964
AC XY:
130
AN XY:
134786
show subpopulations
Gnomad AFR exome
AF:
0.0174
Gnomad AMR exome
AF:
0.000986
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000560
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000889
Gnomad OTH exome
AF:
0.000664
GnomAD4 exome
AF:
0.000519
AC:
758
AN:
1461570
Hom.:
10
Cov.:
33
AF XY:
0.000433
AC XY:
315
AN XY:
727072
show subpopulations
Gnomad4 AFR exome
AF:
0.0165
Gnomad4 AMR exome
AF:
0.000962
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000666
Gnomad4 OTH exome
AF:
0.00124
GnomAD4 genome
AF:
0.00465
AC:
691
AN:
148564
Hom.:
7
Cov.:
30
AF XY:
0.00437
AC XY:
315
AN XY:
72112
show subpopulations
Gnomad4 AFR
AF:
0.0163
Gnomad4 AMR
AF:
0.00136
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000227
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000104
Gnomad4 OTH
AF:
0.00296
Alfa
AF:
0.000776
Hom.:
1
Bravo
AF:
0.00548
ESP6500AA
AF:
0.0157
AC:
63
ESP6500EA
AF:
0.000359
AC:
3
ExAC
AF:
0.00145
AC:
176
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000296

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingGeneDxApr 29, 2022See Variant Classification Assertion Criteria. -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Nemaline myopathy 10 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 30, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.013
T;T;T
Eigen
Benign
0.067
Eigen_PC
Benign
0.090
FATHMM_MKL
Benign
0.33
N
LIST_S2
Benign
0.83
.;.;T
MetaRNN
Benign
0.0041
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.1
M;M;M
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.070
N;N;N
REVEL
Benign
0.058
Sift
Benign
0.047
D;D;D
Sift4G
Benign
0.14
T;T;T
Polyphen
0.96
D;D;D
Vest4
0.18
MVP
0.25
MPC
0.068
ClinPred
0.020
T
GERP RS
5.0
Varity_R
0.059
gMVP
0.21

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: rs116440123; hg19: chr3-69168013; COSMIC: COSV70455778; API