rs147654123

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_012156.2(EPB41L1):​c.1451C>T​(p.Pro484Leu) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0035 in 1,613,990 control chromosomes in the GnomAD database, including 11 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0020 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0037 ( 10 hom. )

Consequence

EPB41L1
NM_012156.2 missense, splice_region

Scores

3
15
Splicing: ADA: 0.9398
2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 2.05

Publications

3 publications found
Variant links:
Genes affected
EPB41L1 (HGNC:3378): (erythrocyte membrane protein band 4.1 like 1) Erythrocyte membrane protein band 4.1 (EPB41) is a multifunctional protein that mediates interactions between the erythrocyte cytoskeleton and the overlying plasma membrane. The encoded protein binds and stabilizes D2 and D3 dopamine receptors at the neuronal plasma membrane. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2015]
EPB41L1 Gene-Disease associations (from GenCC):
  • autosomal dominant non-syndromic intellectual disability
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • complex neurodevelopmental disorder
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • intellectual disability, autosomal dominant 11
    Inheritance: AD Classification: LIMITED Submitted by: G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0068655014).
BP6
Variant 20-36195330-C-T is Benign according to our data. Variant chr20-36195330-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 210943.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 304 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_012156.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPB41L1
NM_012156.2
MANE Select
c.1451C>Tp.Pro484Leu
missense splice_region
Exon 13 of 22NP_036288.2Q9H4G0-1
EPB41L1
NM_001433605.1
c.1451C>Tp.Pro484Leu
missense splice_region
Exon 13 of 23NP_001420534.1
EPB41L1
NM_001258329.1
c.1451C>Tp.Pro484Leu
missense splice_region
Exon 14 of 23NP_001245258.1A0A0C4DH22

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPB41L1
ENST00000338074.7
TSL:1 MANE Select
c.1451C>Tp.Pro484Leu
missense splice_region
Exon 13 of 22ENSP00000337168.2Q9H4G0-1
EPB41L1
ENST00000373946.7
TSL:1
c.1451C>Tp.Pro484Leu
missense splice_region
Exon 14 of 23ENSP00000363057.4A0A0C4DH22
EPB41L1
ENST00000202028.9
TSL:1
c.1263+970C>T
intron
N/AENSP00000202028.5Q9H4G0-2

Frequencies

GnomAD3 genomes
AF:
0.00199
AC:
303
AN:
152036
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00102
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00366
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.00172
AC:
433
AN:
251384
AF XY:
0.00167
show subpopulations
Gnomad AFR exome
AF:
0.000923
Gnomad AMR exome
AF:
0.000549
Gnomad ASJ exome
AF:
0.00109
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.000463
Gnomad NFE exome
AF:
0.00321
Gnomad OTH exome
AF:
0.00196
GnomAD4 exome
AF:
0.00365
AC:
5337
AN:
1461836
Hom.:
10
Cov.:
32
AF XY:
0.00348
AC XY:
2534
AN XY:
727228
show subpopulations
African (AFR)
AF:
0.000657
AC:
22
AN:
33480
American (AMR)
AF:
0.000648
AC:
29
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00107
AC:
28
AN:
26136
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39698
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86256
European-Finnish (FIN)
AF:
0.000449
AC:
24
AN:
53394
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5768
European-Non Finnish (NFE)
AF:
0.00452
AC:
5026
AN:
1111984
Other (OTH)
AF:
0.00339
AC:
205
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
286
573
859
1146
1432
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
202
404
606
808
1010
<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:
0.00200
AC:
304
AN:
152154
Hom.:
1
Cov.:
32
AF XY:
0.00167
AC XY:
124
AN XY:
74404
show subpopulations
African (AFR)
AF:
0.00104
AC:
43
AN:
41478
American (AMR)
AF:
0.000458
AC:
7
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.000576
AC:
2
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5162
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4818
European-Finnish (FIN)
AF:
0.000188
AC:
2
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00366
AC:
249
AN:
68002
Other (OTH)
AF:
0.000474
AC:
1
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
15
31
46
62
77
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.00272
Hom.:
3
Bravo
AF:
0.00186
TwinsUK
AF:
0.00512
AC:
19
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00314
AC:
27
ExAC
AF:
0.00162
AC:
197
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00289
EpiControl
AF:
0.00326

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
-
1
EPB41L1-related disorder (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.082
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.30
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.083
T
Eigen
Benign
-0.14
Eigen_PC
Benign
0.056
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.83
T
M_CAP
Benign
0.031
D
MetaRNN
Benign
0.0069
T
MetaSVM
Benign
-0.67
T
MutationAssessor
Benign
0.69
N
PhyloP100
2.0
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-0.89
N
REVEL
Benign
0.18
Sift
Benign
0.17
T
Sift4G
Benign
0.36
T
Polyphen
0.015
B
Vest4
0.25
MVP
0.29
MPC
0.23
ClinPred
0.016
T
GERP RS
5.2
Varity_R
0.090
gMVP
0.28
Mutation Taster
=77/23
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.94
dbscSNV1_RF
Benign
0.66
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: rs147654123; hg19: chr20-34783252; COSMIC: COSV52442752; COSMIC: COSV52442752; API