rs1302861734

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PM1PM2PP2

The NM_000266.4(NDP):​c.346C>T​(p.Leu116Phe) variant causes a missense change. The variant allele was found at a frequency of 0.00000185 in 1,078,178 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.0000019 ( 0 hom. 1 hem. )

Consequence

NDP
NM_000266.4 missense

Scores

3
9
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.86

Publications

0 publications found
Variant links:
Genes affected
NDP (HGNC:7678): (norrin cystine knot growth factor NDP) This gene encodes a secreted protein with a cystein-knot motif that activates the Wnt/beta-catenin pathway. The protein forms disulfide-linked oligomers in the extracellular matrix. Mutations in this gene result in Norrie disease and X-linked exudative vitreoretinopathy. [provided by RefSeq, Feb 2009]
NDP-AS1 (HGNC:40395): (NDP antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PM1
In a hotspot region, there are 7 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 3 uncertain in NM_000266.4
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 32 curated pathogenic missense variants (we use a threshold of 10). The gene has 2 curated benign missense variants. Trascript score misZ: NaN (below the threshold of 3.09). GenCC associations: The gene is linked to Norrie disease, exudative vitreoretinopathy 2, X-linked, exudative vitreoretinopathy, persistent hyperplastic primary vitreous.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NDPNM_000266.4 linkc.346C>T p.Leu116Phe missense_variant Exon 3 of 3 ENST00000642620.1 NP_000257.1 Q00604
NDP-AS1NR_046631.1 linkn.124G>A non_coding_transcript_exon_variant Exon 1 of 6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NDPENST00000642620.1 linkc.346C>T p.Leu116Phe missense_variant Exon 3 of 3 NM_000266.4 ENSP00000495972.1 Q00604
NDPENST00000647044.1 linkc.346C>T p.Leu116Phe missense_variant Exon 4 of 4 ENSP00000495811.1 Q00604
NDP-AS1ENST00000435093.1 linkn.124G>A non_coding_transcript_exon_variant Exon 1 of 5 3
NDPENST00000470584.1 linkn.390C>T non_coding_transcript_exon_variant Exon 3 of 3 2

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD2 exomes
AF:
0.00000690
AC:
1
AN:
144865
AF XY:
0.0000225
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000164
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000185
AC:
2
AN:
1078178
Hom.:
0
Cov.:
30
AF XY:
0.00000284
AC XY:
1
AN XY:
351546
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25997
American (AMR)
AF:
0.00
AC:
0
AN:
32092
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18957
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29065
South Asian (SAS)
AF:
0.00
AC:
0
AN:
51329
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39126
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4111
European-Non Finnish (NFE)
AF:
0.00000240
AC:
2
AN:
832131
Other (OTH)
AF:
0.00
AC:
0
AN:
45370
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
22
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Nov 13, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. This sequence change replaces leucine, which is neutral and non-polar, with phenylalanine, which is neutral and non-polar, at codon 116 of the NDP protein (p.Leu116Phe). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with NDP-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on NDP protein function. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.59
BayesDel_addAF
Uncertain
0.078
D
BayesDel_noAF
Benign
-0.13
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.88
D;D;D
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.90
.;.;D
M_CAP
Pathogenic
0.57
D
MetaRNN
Uncertain
0.52
D;D;D
MetaSVM
Uncertain
0.24
D
MutationAssessor
Benign
0.55
N;N;N
PhyloP100
4.9
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-2.2
.;N;.
REVEL
Uncertain
0.36
Sift
Uncertain
0.017
.;D;.
Sift4G
Benign
0.072
.;T;.
Polyphen
0.92
P;P;P
Vest4
0.31
MutPred
0.25
Loss of catalytic residue at M114 (P = 0.0154);Loss of catalytic residue at M114 (P = 0.0154);Loss of catalytic residue at M114 (P = 0.0154);
MVP
0.83
MPC
1.1
ClinPred
0.56
D
GERP RS
6.0
Varity_R
0.68
gMVP
0.94
Mutation Taster
=71/29
polymorphism

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

Other links and lift over

dbSNP: rs1302861734; hg19: chrX-43809101; API