rs121917742

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP5

The ENST00000272190.9(REN):​c.689G>A​(p.Arg230Lys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00000137 in 1,461,784 control chromosomes in the GnomAD database, with no homozygous occurrence. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

REN
ENST00000272190.9 missense, splice_region

Scores

1
8
10
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 4.74
Variant links:
Genes affected
REN (HGNC:9958): (renin) This gene encodes renin, an aspartic protease that is secreted by the kidneys. Renin is a part of the renin-angiotensin-aldosterone system involved in regulation of blood pressure, and electrolyte balance. This enzyme catalyzes the first step in the activation pathway of angiotensinogen by cleaving angiotensinogen to form angiotensin I, which is then converted to angiotensin II by angiotensin I converting enzyme. This cascade can result in aldosterone release, narrowing of blood vessels, and increase in blood pressure as angiotension II is a vasoconstrictive peptide. Transcript variants that encode different protein isoforms and that arise from alternative splicing and the use of alternative promoters have been described, but their full-length nature has not been determined. Mutations in this gene have been shown to cause hyperuricemic nephropathy familial juvenile 2, familial hyperproreninemia, and renal tubular dysgenesis. [provided by RefSeq, May 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 1-204159399-C-T is Pathogenic according to our data. Variant chr1-204159399-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 13124.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-204159399-C-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RENNM_000537.4 linkuse as main transcriptc.689G>A p.Arg230Lys missense_variant, splice_region_variant 5/10 ENST00000272190.9 NP_000528.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RENENST00000272190.9 linkuse as main transcriptc.689G>A p.Arg230Lys missense_variant, splice_region_variant 5/101 NM_000537.4 ENSP00000272190 P1P00797-1
RENENST00000638118.1 linkuse as main transcriptc.575G>A p.Arg192Lys missense_variant, splice_region_variant 7/125 ENSP00000490307

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251446
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135906
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461784
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
727204
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Renal tubular dysgenesis Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMSep 01, 2005- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Benign
-0.36
CADD
Pathogenic
33
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.66
D;T
Eigen
Uncertain
0.21
Eigen_PC
Benign
0.20
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.48
T;T
M_CAP
Benign
0.083
D
MetaRNN
Uncertain
0.64
D;D
MetaSVM
Benign
-0.57
T
MutationAssessor
Uncertain
2.0
M;.
MutationTaster
Benign
1.0
A;A
PrimateAI
Benign
0.38
T
PROVEAN
Uncertain
-2.9
D;.
REVEL
Benign
0.25
Sift
Uncertain
0.0020
D;.
Sift4G
Uncertain
0.0050
D;.
Polyphen
0.58
P;.
Vest4
0.21
MutPred
0.72
Gain of ubiquitination at R230 (P = 0.009);.;
MVP
0.78
MPC
0.48
ClinPred
0.97
D
GERP RS
4.4
Varity_R
0.91
gMVP
0.87

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.99
SpliceAI score (max)
0.35
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.31
Position offset: -27
DS_DL_spliceai
0.35
Position offset: 0

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: rs121917742; hg19: chr1-204128527; API