rs137853291

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PM5PP3_Moderate

The NM_000326.5(RLBP1):​c.677T>G​(p.Met226Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,576 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M226K) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

RLBP1
NM_000326.5 missense

Scores

9
6
4

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 8.93

Publications

0 publications found
Variant links:
Genes affected
RLBP1 (HGNC:10024): (retinaldehyde binding protein 1) The protein encoded by this gene is a 36-kD water-soluble protein which carries 11-cis-retinaldehyde or 11-cis-retinal as physiologic ligands. It may be a functional component of the visual cycle. Mutations of this gene have been associated with severe rod-cone dystrophy, Bothnia dystrophy (nonsyndromic autosomal recessive retinitis pigmentosa) and retinitis punctata albescens. [provided by RefSeq, Jul 2008]
RLBP1 Gene-Disease associations (from GenCC):
  • Bothnia retinal dystrophy
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • RLBP1-related retinopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • fundus albipunctatus
    Inheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • Newfoundland cone-rod dystrophy
    Inheritance: AR Classification: STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • retinitis pigmentosa
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • retinitis punctata albescens
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr15-89211750-A-T is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 13101.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.926

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RLBP1NM_000326.5 linkc.677T>G p.Met226Arg missense_variant Exon 7 of 9 ENST00000268125.10 NP_000317.1
RLBP1XM_011521870.3 linkc.677T>G p.Met226Arg missense_variant Exon 7 of 9 XP_011520172.1
RLBP1XM_047432927.1 linkc.677T>G p.Met226Arg missense_variant Exon 5 of 7 XP_047288883.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RLBP1ENST00000268125.10 linkc.677T>G p.Met226Arg missense_variant Exon 7 of 9 1 NM_000326.5 ENSP00000268125.5
RLBP1ENST00000563254.1 linkc.92T>G p.Met31Arg missense_variant Exon 1 of 3 2 ENSP00000454740.1
RLBP1ENST00000567787.1 linkn.*255T>G non_coding_transcript_exon_variant Exon 7 of 8 5 ENSP00000457251.1
RLBP1ENST00000567787.1 linkn.*255T>G 3_prime_UTR_variant Exon 7 of 8 5 ENSP00000457251.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461576
Hom.:
0
Cov.:
33
AF XY:
0.00000138
AC XY:
1
AN XY:
727100
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33468
American (AMR)
AF:
0.00
AC:
0
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86244
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53392
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5572
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111982
Other (OTH)
AF:
0.00
AC:
0
AN:
60364
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.97
BayesDel_addAF
Pathogenic
0.34
D
BayesDel_noAF
Pathogenic
0.25
CADD
Pathogenic
28
DANN
Uncertain
0.98
DEOGEN2
Pathogenic
0.88
D
Eigen
Uncertain
0.66
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.079
D
MetaRNN
Pathogenic
0.93
D
MetaSVM
Uncertain
-0.22
T
MutationAssessor
Benign
1.9
L
PhyloP100
8.9
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-2.5
N
REVEL
Pathogenic
0.68
Sift
Benign
0.084
T
Sift4G
Uncertain
0.023
D
Polyphen
1.0
D
Vest4
0.98
MutPred
0.76
Gain of MoRF binding (P = 0.0387);
MVP
0.85
MPC
1.0
ClinPred
0.95
D
GERP RS
5.5
PromoterAI
-0.026
Neutral
Varity_R
0.97
gMVP
0.98

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: rs137853291; hg19: chr15-89754981; API