rs146605798
Variant summary
Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6BP7BS1
The NM_002485.5(NBN):c.1035C>T(p.Gly345Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000136 in 1,613,764 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).
Frequency
Consequence
NM_002485.5 synonymous
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -10 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000151 AC: 23AN: 152158Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.000430 AC: 108AN: 251366Hom.: 0 AF XY: 0.000339 AC XY: 46AN XY: 135850
GnomAD4 exome AF: 0.000135 AC: 197AN: 1461488Hom.: 1 Cov.: 32 AF XY: 0.000118 AC XY: 86AN XY: 727066
GnomAD4 genome AF: 0.000151 AC: 23AN: 152276Hom.: 0 Cov.: 32 AF XY: 0.000134 AC XY: 10AN XY: 74460
ClinVar
Submissions by phenotype
not provided Uncertain:1Benign:4
Variant summary: The NBN c.1035C>T (p.Gly345Gly) variant involves the alteration of a non-conserved nucleotide, resulting in a synonymous change. One in silico tool predicts a benign outcome for this variant. multiple in silico models predict the formation of a cryptic donor site with a higher score than the canonocal splice donor site, however, these predictions have yet to be confirmed by functional studies. This variant was found in 59/121358 control chromosomes, predominantly observed in the East Asian subpopulation at a frequency of 0.0067021 (58/8654). This frequency is about 54 times the estimated maximal expected allele frequency of a pathogenic NBN variant (0.000125), suggesting this is likely a benign polymorphism found primarily in the populations of East Asian origin. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as benign/likely benign. The variant of interest has not, to our knowledge, been reported in affected individuals via publications nor evaluated for functional impact by in vivo/vitro studies. Taken together, this variant is classified as benign. -
This variant is associated with the following publications: (PMID: 25980754) -
NBN: BP4, BP7 -
The NBN p.Gly345Gly variant was not identified in the literature nor was it identified in the Cosmic, LOVD 3.0, Zhejiang Colon Cancer databases. The variant was also identified in the following databases: dbSNP (ID: rs146605798) as “With Likely benign, Uncertain significance allele”, ClinVar (3x, as Benign by Invitae, likely benign by Amby Genetics and uncertain significance by GeneDx), Clinvitae (3x). The variant was identified in control databases in 109 of 277086 chromosomes at a frequency of 0.000393 in the following populations: “other” in 1 of 6466 chromosomes (freq. 0.00015), European in 1 of 126612 chromosomes (freq. 0.000008), East Asian in 104 of 18868 chromosomes (freq. 0.0055), Finnish in 3 of 25794 chromosomes (freq. 0.000116) (Genome Aggregation Consortium Feb 27, 2017). The p.Gly345Gly variant is not expected to have clinical significance because it does not result in a change of amino acid. The variant occurs outside of the splicing consensus sequence and 3 of 5 in silico or computational prediction software programs (SpliceSiteFinder, MaxEntScan, NNSPLICE, GeneSplicer, HumanSpliceFinder) predict a greater than 10% difference in splicing. However, this information is not predictive enough to assume pathogenicity. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as uncertain significance. -
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Hereditary cancer-predisposing syndrome Benign:3
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This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
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Microcephaly, normal intelligence and immunodeficiency Benign:2
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This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
not specified Uncertain:1
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NBN-related disorder Benign:1
This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at