rs148556640

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBS1BS2

The NM_206933.4(USH2A):ā€‹c.12608A>Gā€‹(p.Gln4203Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00203 in 1,614,126 control chromosomes in the GnomAD database, including 55 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: š‘“ 0.0026 ( 9 hom., cov: 32)
Exomes š‘“: 0.0020 ( 46 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: -0.100
Variant links:
Genes affected
USH2A (HGNC:12601): (usherin) This gene encodes a protein that contains laminin EGF motifs, a pentaxin domain, and many fibronectin type III motifs. The protein is found in the basement membrane, and may be important in development and homeostasis of the inner ear and retina. Mutations within this gene have been associated with Usher syndrome type IIa and retinitis pigmentosa. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a domain Fibronectin type-III 27 (size 104) in uniprot entity USH2A_HUMAN there are 22 pathogenic changes around while only 7 benign (76%) in NM_206933.4
BP4
Computational evidence support a benign effect (MetaRNN=0.0027201176).
BP6
Variant 1-215675303-T-C is Benign according to our data. Variant chr1-215675303-T-C is described in ClinVar as [Benign]. Clinvar id is 48402.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-215675303-T-C is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population eas. gnomad4_exome allele frequency = 0.00198 (2889/1461774) while in subpopulation EAS AF= 0.0298 (1184/39696). AF 95% confidence interval is 0.0284. There are 46 homozygotes in gnomad4_exome. There are 1408 alleles in male gnomad4_exome subpopulation. Median coverage is 37. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 9 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
USH2ANM_206933.4 linkuse as main transcriptc.12608A>G p.Gln4203Arg missense_variant 63/72 ENST00000307340.8 NP_996816.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkuse as main transcriptc.12608A>G p.Gln4203Arg missense_variant 63/721 NM_206933.4 ENSP00000305941 P1O75445-1
USH2AENST00000674083.1 linkuse as main transcriptc.12608A>G p.Gln4203Arg missense_variant 63/73 ENSP00000501296 O75445-3

Frequencies

GnomAD3 genomes
AF:
0.00256
AC:
390
AN:
152234
Hom.:
9
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0115
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.0259
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000691
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.00349
AC:
870
AN:
249220
Hom.:
10
AF XY:
0.00331
AC XY:
446
AN XY:
134884
show subpopulations
Gnomad AFR exome
AF:
0.0000621
Gnomad AMR exome
AF:
0.000203
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00937
Gnomad SAS exome
AF:
0.00101
Gnomad FIN exome
AF:
0.0249
Gnomad NFE exome
AF:
0.000911
Gnomad OTH exome
AF:
0.00295
GnomAD4 exome
AF:
0.00198
AC:
2889
AN:
1461774
Hom.:
46
Cov.:
37
AF XY:
0.00194
AC XY:
1408
AN XY:
727176
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000246
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0298
Gnomad4 SAS exome
AF:
0.00103
Gnomad4 FIN exome
AF:
0.0222
Gnomad4 NFE exome
AF:
0.000292
Gnomad4 OTH exome
AF:
0.00151
GnomAD4 genome
AF:
0.00256
AC:
390
AN:
152352
Hom.:
9
Cov.:
32
AF XY:
0.00384
AC XY:
286
AN XY:
74506
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0116
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.0259
Gnomad4 NFE
AF:
0.000691
Gnomad4 OTH
AF:
0.000947
Alfa
AF:
0.000993
Hom.:
0
Bravo
AF:
0.000468
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000581
AC:
5
ExAC
AF:
0.00352
AC:
427
Asia WGS
AF:
0.00635
AC:
22
AN:
3478
EpiCase
AF:
0.000273
EpiControl
AF:
0.000237

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Benign, criteria provided, single submitterclinical testingGeneDxJul 05, 2019This variant is associated with the following publications: (PMID: 19737284, 21835308, 25133751) -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 28, 2024- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2022USH2A: BP4, BS1, BS2 -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 12, 2015- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineSep 11, 2012Gln4203Arg in exon 63 of USH2A: This variant is not expected to have clinical si gnificance because it is has been identified in 3.4% (6/178) of Asian chromosome s in a broad population by the 1000 Genomes Project. (http://www.ncbi.nlm.nih.go v/variation/tools/1000genomes/; dbSNP rs148556640). -
Retinitis pigmentosa 39 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabNov 04, 2023- -
Usher syndrome type 2A Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabNov 04, 2023- -
Retinal dystrophy Benign:1
Benign, criteria provided, single submitterresearchDept Of Ophthalmology, Nagoya UniversityOct 01, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
3.5
DANN
Benign
0.70
DEOGEN2
Benign
0.023
T
Eigen
Benign
-0.93
Eigen_PC
Benign
-0.89
FATHMM_MKL
Benign
0.023
N
LIST_S2
Benign
0.48
T
MetaRNN
Benign
0.0027
T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
0.51
N
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.21
T
PROVEAN
Benign
-0.030
N
REVEL
Benign
0.043
Sift
Benign
0.63
T
Sift4G
Benign
0.53
T
Polyphen
0.0020
B
Vest4
0.029
MVP
0.81
MPC
0.032
ClinPred
0.0077
T
GERP RS
-0.25
Varity_R
0.048
gMVP
0.45

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs148556640; hg19: chr1-215848645; COSMIC: COSV56329232; API