rs1376744526

Variant summary

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

The NM_001164507.2(NEB):​c.12769C>T​(p.Arg4257Cys) variant causes a missense change. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R4257H) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000049 ( 0 hom., cov: 8)
Exomes 𝑓: 0.000029 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

NEB
NM_001164507.2 missense

Scores

1
5
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: 3.82

Publications

0 publications found
Variant links:
Genes affected
NEB (HGNC:7720): (nebulin) This gene encodes nebulin, a giant protein component of the cytoskeletal matrix that coexists with the thick and thin filaments within the sarcomeres of skeletal muscle. In most vertebrates, nebulin accounts for 3 to 4% of the total myofibrillar protein. The encoded protein contains approximately 30-amino acid long modules that can be classified into 7 types and other repeated modules. Protein isoform sizes vary from 600 to 800 kD due to alternative splicing that is tissue-, species-,and developmental stage-specific. Of the 183 exons in the nebulin gene, at least 43 are alternatively spliced, although exons 143 and 144 are not found in the same transcript. Of the several thousand transcript variants predicted for nebulin, the RefSeq Project has decided to create three representative RefSeq records. Mutations in this gene are associated with recessive nemaline myopathy. [provided by RefSeq, Sep 2009]
NEB Gene-Disease associations (from GenCC):
  • nemaline myopathy 2
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Myriad Women’s Health, G2P, Ambry Genetics
  • childhood-onset nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • intermediate nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • typical nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • lethal multiple pterygium syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • severe congenital nemaline myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NEBNM_001164507.2 linkc.12769C>T p.Arg4257Cys missense_variant Exon 85 of 182 ENST00000427231.7 NP_001157979.2
NEBNM_001164508.2 linkc.12769C>T p.Arg4257Cys missense_variant Exon 85 of 182 ENST00000397345.8 NP_001157980.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NEBENST00000397345.8 linkc.12769C>T p.Arg4257Cys missense_variant Exon 85 of 182 5 NM_001164508.2 ENSP00000380505.3 P20929-2
NEBENST00000427231.7 linkc.12769C>T p.Arg4257Cys missense_variant Exon 85 of 182 5 NM_001164507.2 ENSP00000416578.2 P20929-3
NEBENST00000409198.5 linkc.11601+4959C>T intron_variant Intron 78 of 149 5 ENSP00000386259.1 P20929-4

Frequencies

GnomAD3 genomes
AF:
0.0000485
AC:
3
AN:
61820
Hom.:
0
Cov.:
8
show subpopulations
Gnomad AFR
AF:
0.0000799
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:
0.0000580
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000595
AC:
3
AN:
50390
AF XY:
0.0000394
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000111
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000507
Gnomad OTH exome
AF:
0.000572
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000294
AC:
13
AN:
441778
Hom.:
0
Cov.:
5
AF XY:
0.0000215
AC XY:
5
AN XY:
232596
show subpopulations
African (AFR)
AF:
0.0000984
AC:
1
AN:
10166
American (AMR)
AF:
0.000170
AC:
3
AN:
17642
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
11548
East Asian (EAS)
AF:
0.0000455
AC:
1
AN:
21978
South Asian (SAS)
AF:
0.00
AC:
0
AN:
43630
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
22528
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
1638
European-Non Finnish (NFE)
AF:
0.0000241
AC:
7
AN:
290174
Other (OTH)
AF:
0.0000445
AC:
1
AN:
22474
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.410
Heterozygous variant carriers
0
1
2
3
4
5
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: AS_VQSR
AF:
0.0000485
AC:
3
AN:
61820
Hom.:
0
Cov.:
8
AF XY:
0.0000693
AC XY:
2
AN XY:
28858
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000799
AC:
1
AN:
12518
American (AMR)
AF:
0.00
AC:
0
AN:
4660
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
1714
East Asian (EAS)
AF:
0.00
AC:
0
AN:
1900
South Asian (SAS)
AF:
0.00
AC:
0
AN:
1480
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
3866
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
136
European-Non Finnish (NFE)
AF:
0.0000580
AC:
2
AN:
34488
Other (OTH)
AF:
0.00
AC:
0
AN:
738
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.358
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

Genome 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
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Nemaline myopathy 2 Uncertain:2
Nov 11, 2019
Natera, Inc.
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Oct 02, 2017
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Uncertain
0.033
T
BayesDel_noAF
Benign
-0.19
CADD
Uncertain
24
DANN
Benign
0.73
DEOGEN2
Benign
0.036
.;T;.;.;.
Eigen
Benign
-0.075
Eigen_PC
Benign
-0.11
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.96
D;D;D;.;.
M_CAP
Benign
0.056
D
MetaRNN
Uncertain
0.51
D;D;D;D;D
MetaSVM
Benign
-0.87
T
PhyloP100
3.8
PROVEAN
Benign
-2.0
N;.;N;.;.
REVEL
Benign
0.20
Sift
Uncertain
0.0070
D;.;D;.;.
Sift4G
Pathogenic
0.0
D;D;D;D;D
Vest4
0.53
MutPred
0.65
Loss of MoRF binding (P = 0.0126);Loss of MoRF binding (P = 0.0126);Loss of MoRF binding (P = 0.0126);Loss of MoRF binding (P = 0.0126);Loss of MoRF binding (P = 0.0126);
MVP
0.62
MPC
0.37
ClinPred
0.25
T
GERP RS
2.3
gMVP
0.0029
Mutation Taster
=97/3
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: rs1376744526; hg19: chr2-152461364; API