rs149025191

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001164507.2(NEB):​c.11148G>C​(p.Met3716Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.016 in 1,564,866 control chromosomes in the GnomAD database, including 269 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M3716T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.014 ( 29 hom., cov: 31)
Exomes 𝑓: 0.016 ( 240 hom. )

Consequence

NEB
NM_001164507.2 missense

Scores

4
14

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.485

Publications

7 publications found
Variant links:
Genes affected
NEB (HGNC:7720): (nebulin) This gene encodes nebulin, a giant protein component of the cytoskeletal matrix that coexists with the thick and thin filaments within the sarcomeres of skeletal muscle. In most vertebrates, nebulin accounts for 3 to 4% of the total myofibrillar protein. The encoded protein contains approximately 30-amino acid long modules that can be classified into 7 types and other repeated modules. Protein isoform sizes vary from 600 to 800 kD due to alternative splicing that is tissue-, species-,and developmental stage-specific. Of the 183 exons in the nebulin gene, at least 43 are alternatively spliced, although exons 143 and 144 are not found in the same transcript. Of the several thousand transcript variants predicted for nebulin, the RefSeq Project has decided to create three representative RefSeq records. Mutations in this gene are associated with recessive nemaline myopathy. [provided by RefSeq, Sep 2009]
NEB Gene-Disease associations (from GenCC):
  • nemaline myopathy 2
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Myriad Women’s Health, G2P, Ambry Genetics
  • childhood-onset nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • intermediate nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • typical nemaline myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • lethal multiple pterygium syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • severe congenital nemaline myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006017059).
BP6
Variant 2-151617397-C-G is Benign according to our data. Variant chr2-151617397-C-G is described in ClinVar as Benign. ClinVar VariationId is 129706.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0136 (2035/149722) while in subpopulation NFE AF = 0.0185 (1257/67786). AF 95% confidence interval is 0.0177. There are 29 homozygotes in GnomAd4. There are 1043 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 29 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NEBNM_001164507.2 linkc.11148G>C p.Met3716Ile missense_variant Exon 75 of 182 ENST00000427231.7 NP_001157979.2
NEBNM_001164508.2 linkc.11148G>C p.Met3716Ile missense_variant Exon 75 of 182 ENST00000397345.8 NP_001157980.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NEBENST00000397345.8 linkc.11148G>C p.Met3716Ile missense_variant Exon 75 of 182 5 NM_001164508.2 ENSP00000380505.3
NEBENST00000427231.7 linkc.11148G>C p.Met3716Ile missense_variant Exon 75 of 182 5 NM_001164507.2 ENSP00000416578.2
NEBENST00000409198.5 linkc.10419G>C p.Met3473Ile missense_variant Exon 72 of 150 5 ENSP00000386259.1
NEBENST00000486320.1 linkn.89G>C non_coding_transcript_exon_variant Exon 1 of 2 2

Frequencies

GnomAD3 genomes
AF:
0.0136
AC:
2037
AN:
149610
Hom.:
29
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00302
Gnomad AMI
AF:
0.0144
Gnomad AMR
AF:
0.0127
Gnomad ASJ
AF:
0.00896
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0149
Gnomad FIN
AF:
0.0325
Gnomad MID
AF:
0.00641
Gnomad NFE
AF:
0.0185
Gnomad OTH
AF:
0.0145
GnomAD2 exomes
AF:
0.0135
AC:
2609
AN:
192764
AF XY:
0.0143
show subpopulations
Gnomad AFR exome
AF:
0.00235
Gnomad AMR exome
AF:
0.00726
Gnomad ASJ exome
AF:
0.0110
Gnomad EAS exome
AF:
0.0000679
Gnomad FIN exome
AF:
0.0299
Gnomad NFE exome
AF:
0.0152
Gnomad OTH exome
AF:
0.0161
GnomAD4 exome
AF:
0.0162
AC:
22937
AN:
1415144
Hom.:
240
Cov.:
31
AF XY:
0.0162
AC XY:
11347
AN XY:
700108
show subpopulations
African (AFR)
AF:
0.00254
AC:
83
AN:
32710
American (AMR)
AF:
0.00822
AC:
322
AN:
39180
Ashkenazi Jewish (ASJ)
AF:
0.0111
AC:
280
AN:
25334
East Asian (EAS)
AF:
0.0000262
AC:
1
AN:
38152
South Asian (SAS)
AF:
0.0156
AC:
1267
AN:
81076
European-Finnish (FIN)
AF:
0.0303
AC:
1507
AN:
49740
Middle Eastern (MID)
AF:
0.0102
AC:
58
AN:
5684
European-Non Finnish (NFE)
AF:
0.0171
AC:
18563
AN:
1084858
Other (OTH)
AF:
0.0147
AC:
856
AN:
58410
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.451
Heterozygous variant carriers
0
1016
2032
3049
4065
5081
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
694
1388
2082
2776
3470
<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:
0.0136
AC:
2035
AN:
149722
Hom.:
29
Cov.:
31
AF XY:
0.0143
AC XY:
1043
AN XY:
72936
show subpopulations
African (AFR)
AF:
0.00301
AC:
122
AN:
40540
American (AMR)
AF:
0.0127
AC:
190
AN:
14986
Ashkenazi Jewish (ASJ)
AF:
0.00896
AC:
31
AN:
3460
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5040
South Asian (SAS)
AF:
0.0145
AC:
69
AN:
4758
European-Finnish (FIN)
AF:
0.0325
AC:
321
AN:
9862
Middle Eastern (MID)
AF:
0.00685
AC:
2
AN:
292
European-Non Finnish (NFE)
AF:
0.0185
AC:
1257
AN:
67786
Other (OTH)
AF:
0.0143
AC:
30
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
91
181
272
362
453
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.0151
Hom.:
18
Bravo
AF:
0.0112
TwinsUK
AF:
0.0200
AC:
74
ALSPAC
AF:
0.0148
AC:
57
ESP6500AA
AF:
0.00346
AC:
13
ESP6500EA
AF:
0.0178
AC:
146
ExAC
AF:
0.00932
AC:
1106
Asia WGS
AF:
0.00751
AC:
26
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 14, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Nemaline myopathy 2 Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Benign
0.013
.;.;T;.;T;.;.
Eigen
Benign
-0.54
Eigen_PC
Benign
-0.33
FATHMM_MKL
Benign
0.38
N
LIST_S2
Uncertain
0.87
D;T;T;T;D;.;.
MetaRNN
Benign
0.0060
T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.33
N;.;.;.;N;.;.
PhyloP100
0.48
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-1.1
N;N;.;N;N;.;.
REVEL
Benign
0.11
Sift
Benign
0.41
T;T;.;T;T;.;.
Sift4G
Uncertain
0.049
D;T;T;T;D;T;T
Polyphen
0.060
.;.;.;.;B;.;.
Vest4
0.39
MutPred
0.52
Loss of ubiquitination at K3476 (P = 0.0957);.;.;.;Loss of ubiquitination at K3476 (P = 0.0957);.;.;
MPC
0.061
ClinPred
0.018
T
GERP RS
5.2
Varity_R
0.23
gMVP
0.11
Mutation Taster
=96/4
polymorphism

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: rs149025191; hg19: chr2-152473911; COSMIC: COSV50807099; API