rs150207592

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP3

The NM_005055.5(RAPSN):​c.775C>T​(p.Arg259Cys) variant causes a missense change. The variant allele was found at a frequency of 0.000036 in 1,306,446 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R259H) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000081 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000032 ( 0 hom. )

Consequence

RAPSN
NM_005055.5 missense

Scores

8
9
1

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 5.87

Publications

1 publications found
Variant links:
Genes affected
RAPSN (HGNC:9863): (receptor associated protein of the synapse) This gene encodes a member of a family of proteins that are receptor associated proteins of the synapse. The encoded protein contains a conserved cAMP-dependent protein kinase phosphorylation site, and plays a critical role in clustering and anchoring nicotinic acetylcholine receptors at synaptic sites by linking the receptors to the underlying postsynaptic cytoskeleton, possibly by direct association with actin or spectrin. Mutations in this gene may play a role in postsynaptic congenital myasthenic syndromes. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Apr 2011]
RAPSN Gene-Disease associations (from GenCC):
  • fetal akinesia deformation sequence 2
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • neuromuscular disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: Ambry Genetics
  • congenital myasthenic syndrome 11
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • fetal akinesia deformation sequence 1
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • postsynaptic congenital myasthenic syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.753

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005055.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RAPSN
NM_005055.5
MANE Select
c.775C>Tp.Arg259Cys
missense
Exon 4 of 8NP_005046.2
RAPSN
NM_001440490.1
c.775C>Tp.Arg259Cys
missense
Exon 4 of 8NP_001427419.1
RAPSN
NM_001440491.1
c.775C>Tp.Arg259Cys
missense
Exon 4 of 8NP_001427420.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RAPSN
ENST00000298854.7
TSL:1 MANE Select
c.775C>Tp.Arg259Cys
missense
Exon 4 of 8ENSP00000298854.2Q13702-1
RAPSN
ENST00000352508.7
TSL:1
c.775C>Tp.Arg259Cys
missense
Exon 4 of 6ENSP00000298853.3Q13702-2
RAPSN
ENST00000529341.1
TSL:1
c.775C>Tp.Arg259Cys
missense
Exon 4 of 5ENSP00000431732.1E9PK11

Frequencies

GnomAD3 genomes
AF:
0.0000806
AC:
9
AN:
111672
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.000277
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000174
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000678
AC:
14
AN:
206340
AF XY:
0.0000530
show subpopulations
Gnomad AFR exome
AF:
0.000405
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000123
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000538
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000318
AC:
38
AN:
1194774
Hom.:
0
Cov.:
75
AF XY:
0.0000254
AC XY:
15
AN XY:
590264
show subpopulations
African (AFR)
AF:
0.000381
AC:
10
AN:
26270
American (AMR)
AF:
0.00
AC:
0
AN:
34324
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
16622
East Asian (EAS)
AF:
0.000180
AC:
3
AN:
16698
South Asian (SAS)
AF:
0.0000746
AC:
6
AN:
80412
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
24028
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2898
European-Non Finnish (NFE)
AF:
0.0000168
AC:
16
AN:
950000
Other (OTH)
AF:
0.0000689
AC:
3
AN:
43522
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000806
AC:
9
AN:
111672
Hom.:
0
Cov.:
29
AF XY:
0.0000962
AC XY:
5
AN XY:
51972
show subpopulations
African (AFR)
AF:
0.000277
AC:
8
AN:
28914
American (AMR)
AF:
0.00
AC:
0
AN:
8816
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3038
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3294
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3026
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
4620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
222
European-Non Finnish (NFE)
AF:
0.0000174
AC:
1
AN:
57454
Other (OTH)
AF:
0.00
AC:
0
AN:
1510
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.464
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.000100
Hom.:
0
ESP6500AA
AF:
0.000456
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000581
AC:
7

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Congenital myasthenic syndrome (1)
-
1
-
Fetal akinesia deformation sequence 1;C4225367:Congenital myasthenic syndrome 11 (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Uncertain
0.090
D
BayesDel_noAF
Pathogenic
0.19
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.70
D
Eigen
Uncertain
0.67
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.97
D
M_CAP
Uncertain
0.26
D
MetaRNN
Pathogenic
0.75
D
MetaSVM
Pathogenic
0.91
D
MutationAssessor
Uncertain
2.1
M
PhyloP100
5.9
PrimateAI
Uncertain
0.66
T
PROVEAN
Uncertain
-3.5
D
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0040
D
Sift4G
Pathogenic
0.0010
D
Polyphen
1.0
D
Vest4
0.75
MVP
0.98
MPC
0.76
ClinPred
0.35
T
GERP RS
5.2
Varity_R
0.46
gMVP
0.59
Mutation Taster
=79/21
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: rs150207592; hg19: chr11-47463389; API