rs140023380

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM1BP4_Moderate

The NM_000080.4(CHRNE):​c.901G>A​(p.Val301Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000579 in 1,613,810 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V301L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00042 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00060 ( 1 hom. )

Consequence

CHRNE
NM_000080.4 missense

Scores

2
13
3

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:2B:4

Conservation

PhyloP100: 2.17

Publications

3 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]
C17orf107 (HGNC:37238): (chromosome 17 open reading frame 107)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PM1
In a hotspot region, there are 8 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 10 uncertain in NM_000080.4
BP4
Computational evidence support a benign effect (MetaRNN=0.08342728).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000080.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHRNE
NM_000080.4
MANE Select
c.901G>Ap.Val301Met
missense
Exon 8 of 12NP_000071.1Q04844
C17orf107
NM_001145536.2
MANE Select
c.*276C>T
3_prime_UTR
Exon 3 of 3NP_001139008.1Q6ZR85

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHRNE
ENST00000649488.2
MANE Select
c.901G>Ap.Val301Met
missense
Exon 8 of 12ENSP00000497829.1Q04844
C17orf107
ENST00000381365.4
TSL:2 MANE Select
c.*276C>T
3_prime_UTR
Exon 3 of 3ENSP00000370770.3Q6ZR85
CHRNE
ENST00000649830.1
c.-33G>A
5_prime_UTR_premature_start_codon_gain
Exon 8 of 11ENSP00000496907.1A0A3B3IRM1

Frequencies

GnomAD3 genomes
AF:
0.000420
AC:
64
AN:
152236
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000314
Gnomad AMI
AF:
0.00329
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000558
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000705
AC:
175
AN:
248052
AF XY:
0.000728
show subpopulations
Gnomad AFR exome
AF:
0.000435
Gnomad AMR exome
AF:
0.000232
Gnomad ASJ exome
AF:
0.00400
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000325
Gnomad NFE exome
AF:
0.000893
Gnomad OTH exome
AF:
0.00115
GnomAD4 exome
AF:
0.000596
AC:
871
AN:
1461574
Hom.:
1
Cov.:
33
AF XY:
0.000602
AC XY:
438
AN XY:
727090
show subpopulations
African (AFR)
AF:
0.000239
AC:
8
AN:
33472
American (AMR)
AF:
0.000291
AC:
13
AN:
44700
Ashkenazi Jewish (ASJ)
AF:
0.00379
AC:
99
AN:
26124
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39686
South Asian (SAS)
AF:
0.0000928
AC:
8
AN:
86246
European-Finnish (FIN)
AF:
0.000150
AC:
8
AN:
53372
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5768
European-Non Finnish (NFE)
AF:
0.000638
AC:
709
AN:
1111830
Other (OTH)
AF:
0.000398
AC:
24
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
53
106
160
213
266
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
24
48
72
96
120
<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
AF:
0.000420
AC:
64
AN:
152236
Hom.:
0
Cov.:
33
AF XY:
0.000363
AC XY:
27
AN XY:
74378
show subpopulations
African (AFR)
AF:
0.000314
AC:
13
AN:
41464
American (AMR)
AF:
0.000131
AC:
2
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00173
AC:
6
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4836
European-Finnish (FIN)
AF:
0.0000941
AC:
1
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000558
AC:
38
AN:
68042
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
4
8
11
15
19
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:
0.000733
Hom.:
0
Bravo
AF:
0.000601
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000667
AC:
81
EpiCase
AF:
0.00120
EpiControl
AF:
0.000949

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
Congenital myasthenic syndrome (2)
-
-
1
CHRNE-related disorder (1)
-
-
1
Congenital myasthenic syndrome 4A (1)
-
1
-
not provided (1)
-
-
1
not specified (1)
1
-
-
Tip-toe gait (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.071
T
BayesDel_noAF
Uncertain
0.060
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.71
D
Eigen
Uncertain
0.58
Eigen_PC
Uncertain
0.56
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.90
D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.083
T
MetaSVM
Uncertain
0.56
D
MutationAssessor
Pathogenic
3.1
M
PhyloP100
2.2
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-2.7
D
REVEL
Pathogenic
0.68
Sift
Uncertain
0.024
D
Sift4G
Uncertain
0.0020
D
Polyphen
0.95
P
Vest4
0.43
MVP
0.90
MPC
0.34
ClinPred
0.14
T
GERP RS
5.0
Varity_R
0.71
gMVP
0.71
Mutation Taster
=93/7
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs140023380; hg19: chr17-4804104; COSMIC: COSV99036234; COSMIC: COSV99036234; API