rs139171143

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_ModerateBP6_Moderate

The NM_000080.4(CHRNE):​c.1402G>T​(p.Val468Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V468M) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CHRNE
NM_000080.4 missense

Scores

19

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.492

Publications

11 publications found
Variant links:
Genes affected
CHRNE (HGNC:1966): (cholinergic receptor nicotinic epsilon subunit) Acetylcholine receptors at mature mammalian neuromuscular junctions are pentameric protein complexes composed of four subunits in the ratio of two alpha subunits to one beta, one epsilon, and one delta subunit. The acetylcholine receptor changes subunit composition shortly after birth when the epsilon subunit replaces the gamma subunit seen in embryonic receptors. Mutations in the epsilon subunit are associated with congenital myasthenic syndrome. [provided by RefSeq, Sep 2009]
CHRNE Gene-Disease associations (from GenCC):
  • congenital myasthenic syndrome
    Inheritance: AR Classification: DEFINITIVE Submitted by: Illumina
  • congenital myasthenic syndrome 4A
    Inheritance: AD, AR Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), PanelApp Australia
  • congenital myasthenic syndrome 4B
    Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), PanelApp Australia
  • congenital myasthenic syndrome 4C
    Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp
  • postsynaptic congenital myasthenic syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.12414622).
BP6
Variant 17-4898816-C-A is Benign according to our data. Variant chr17-4898816-C-A is described in ClinVar as Benign. ClinVar VariationId is 2201526.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CHRNENM_000080.4 linkc.1402G>T p.Val468Leu missense_variant Exon 12 of 12 ENST00000649488.2 NP_000071.1
CHRNEXM_017024115.2 linkc.1366G>T p.Val456Leu missense_variant Exon 13 of 13 XP_016879604.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CHRNEENST00000649488.2 linkc.1402G>T p.Val468Leu missense_variant Exon 12 of 12 NM_000080.4 ENSP00000497829.1
CHRNEENST00000572438.1 linkn.1088G>T non_coding_transcript_exon_variant Exon 7 of 7 5
CHRNEENST00000652550.1 linkn.1128G>T non_coding_transcript_exon_variant Exon 4 of 4
CHRNEENST00000649830.1 linkc.*38G>T 3_prime_UTR_variant Exon 11 of 11 ENSP00000496907.1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1451196
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
720804
African (AFR)
AF:
0.00
AC:
0
AN:
33388
American (AMR)
AF:
0.00
AC:
0
AN:
42430
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25844
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39356
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84318
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52304
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5754
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1107738
Other (OTH)
AF:
0.00
AC:
0
AN:
60064
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0

ClinVar

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

Submissions by phenotype

Congenital myasthenic syndrome 4A Benign:1
Oct 20, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.082
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
14
DANN
Benign
0.94
DEOGEN2
Benign
0.12
T;T
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.71
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.57
.;T
M_CAP
Benign
0.030
D
MetaRNN
Benign
0.12
T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
-1.0
N;N
PhyloP100
-0.49
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.040
N;.
REVEL
Benign
0.20
Sift
Benign
0.44
T;.
Sift4G
Benign
0.78
T;.
Polyphen
0.0060
B;B
Vest4
0.026
MutPred
0.52
Loss of sheet (P = 0.0457);Loss of sheet (P = 0.0457);
MVP
0.74
MPC
0.17
ClinPred
0.11
T
GERP RS
0.89
Varity_R
0.084
gMVP
0.51

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: rs139171143; hg19: chr17-4802111; API