rs150982499

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM3_SupportingPP4

This summary comes from the ClinGen Evidence Repository: The variant NM_206933.4:c.5039A>G in USH2A is a missense variant predicted to cause substitution of lysine by arginine at amino acid 1680 (p.Lys1680Arg). The highest population minor allele frequency in gnomAD v2.1.1 is 0.00057 (20/35312 alleles, 0 homozygotes) for the Latino population, which meets no codes. The REVEL computational prediction analysis tool produced a score of 0.252, which also meets no codes. It has been reported in one homozygous proband, who was diagnosed with Usher syndrome (PM3_Supporting, PP4; PMID:36909829). In summary, this variant meets the criteria to be classified as uncertain significance for AR Usher syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen Hearing Loss VCEP: PM3_Supporting, PP4. (ClinGen Hearing Loss VCEP specifications version 2; 9/26/2023). LINK:https://erepo.genome.network/evrepo/ui/classification/CA179559/MONDO:0019501/005

Frequency

Genomes: 𝑓 0.00022 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000095 ( 0 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

3
16

Clinical Significance

Uncertain significance reviewed by expert panel U:6B:1

Conservation

PhyloP100: 2.19
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]
USH2A-AS2 (HGNC:40605): (USH2A antisense RNA 2)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM3
For more information check the summary or visit ClinGen Evidence Repository.
PP4
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
USH2ANM_206933.4 linkc.5039A>G p.Lys1680Arg missense_variant Exon 25 of 72 ENST00000307340.8 NP_996816.3 O75445-1
USH2A-AS2NR_125992.1 linkn.266-1896T>C intron_variant Intron 2 of 2
USH2A-AS2NR_125993.1 linkn.137-1896T>C intron_variant Intron 1 of 1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkc.5039A>G p.Lys1680Arg missense_variant Exon 25 of 72 1 NM_206933.4 ENSP00000305941.3 O75445-1

Frequencies

GnomAD3 genomes
AF:
0.000217
AC:
33
AN:
152204
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00151
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:
0.000118
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000128
AC:
32
AN:
250788
Hom.:
0
AF XY:
0.0000885
AC XY:
12
AN XY:
135530
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000551
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000106
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.0000951
AC:
139
AN:
1461240
Hom.:
0
Cov.:
30
AF XY:
0.0000894
AC XY:
65
AN XY:
726916
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000560
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000864
Gnomad4 OTH exome
AF:
0.000298
GnomAD4 genome
AF:
0.000217
AC:
33
AN:
152322
Hom.:
0
Cov.:
32
AF XY:
0.000255
AC XY:
19
AN XY:
74484
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00150
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.0000851
Hom.:
0
Bravo
AF:
0.000200
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000824
AC:
10
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:6Benign:1
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:1
Jan 20, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 09, 2022
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Classified as a variant of uncertain significance by the ClinGen Hearing Loss Expert Panel (ClinVar SCV001334309.1; Oza et al., 2018); In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge; This variant is associated with the following publications: (PMID: 30311386) -

Jan 22, 2015
Eurofins Ntd Llc (ga)
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Usher syndrome Uncertain:2
Jul 24, 2023
Ophthalmic Genetics Group, Institute of Molecular and Clinical Ophthalmology Basel
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: research

Clinical significance based on ACMG v2.0 -

Sep 26, 2023
ClinGen Hearing Loss Variant Curation Expert Panel
Significance: Uncertain significance
Review Status: reviewed by expert panel
Collection Method: curation

The variant NM_206933.4:c.5039A>G in USH2A is a missense variant predicted to cause substitution of lysine by arginine at amino acid 1680 (p.Lys1680Arg). The highest population minor allele frequency in gnomAD v2.1.1 is 0.00057 (20/35312 alleles, 0 homozygotes) for the Latino population, which meets no codes. The REVEL computational prediction analysis tool produced a score of 0.252, which also meets no codes. It has been reported in one homozygous proband, who was diagnosed with Usher syndrome (PM3_Supporting, PP4; PMID: 36909829). In summary, this variant meets the criteria to be classified as uncertain significance for AR Usher syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen Hearing Loss VCEP: PM3_Supporting, PP4. (ClinGen Hearing Loss VCEP specifications version 2; 9/26/2023). -

not specified Uncertain:1
Aug 10, 2017
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant classified as Uncertain Significance - Favor Benign. The p.Lys1680Arg va riant in USH2A has been previously reported by our laboratory in the heterozygou s state in 1 individual with hearing loss, but a variant affecting the remaining copy of the gene has not been identified. This variant has been identified in 2 0/34268 Latino chromosomes by the Genome Aggregation Database (gnomAD, http://gn omad.broadinstitute.org/; dbSNP rs150982499). Although this variant has been see n in the general population, its frequency is not high enough to rule out a path ogenic role. Computational prediction tools and conservation analyses suggest th at this variant may not impact the protein, though this information is not predi ctive enough to rule out pathogenicity. In summary, while the clinical significa nce of the p.Lys1680Arg variant is uncertain, available data suggest that it is more likely to be benign. -

Usher syndrome type 2A Uncertain:1
Sep 16, 2020
Natera, Inc.
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.091
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.067
T
Eigen
Benign
0.015
Eigen_PC
Benign
0.13
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.75
T
M_CAP
Uncertain
0.22
D
MetaRNN
Benign
0.060
T
MetaSVM
Benign
-0.66
T
MutationAssessor
Benign
1.7
L
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.80
N
REVEL
Benign
0.25
Sift
Benign
0.28
T
Sift4G
Benign
0.24
T
Polyphen
0.54
P
Vest4
0.28
MVP
0.90
MPC
0.043
ClinPred
0.14
T
GERP RS
4.9
Varity_R
0.095
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
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

LitVar

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

Other links and lift over

dbSNP: rs150982499; hg19: chr1-216258168; API