rs150986176
Variant summary
Our verdict is Uncertain significance. The variant received 3 ACMG points: 4P and 1B. PM1PM2BP4
The NM_001042432.2(CLN3):c.1033A>T(p.Thr345Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000335 in 1,612,846 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. T345T) has been classified as Likely benign.
Frequency
Consequence
NM_001042432.2 missense
Scores
Clinical Significance
Conservation
Publications
- inherited retinal dystrophyInheritance: AR Classification: DEFINITIVE Submitted by: G2P
- neuronal ceroid lipofuscinosisInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- neuronal ceroid lipofuscinosis 3Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Genomics England PanelApp, G2P, Labcorp Genetics (formerly Invitae), Myriad Women’s Health
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ACMG classification
Our verdict: Uncertain_significance. The variant received 3 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| CLN3 | NM_001042432.2 | c.1033A>T | p.Thr345Ser | missense_variant | Exon 14 of 16 | ENST00000636147.2 | NP_001035897.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| CLN3 | ENST00000636147.2 | c.1033A>T | p.Thr345Ser | missense_variant | Exon 14 of 16 | 1 | NM_001042432.2 | ENSP00000490105.1 | ||
| ENSG00000261832 | ENST00000637378.1 | c.205A>T | p.Thr69Ser | missense_variant | Exon 4 of 10 | 5 | ENSP00000490831.1 | 
Frequencies
GnomAD3 genomes  0.00000659  AC: 1AN: 151632Hom.:  0  Cov.: 31 show subpopulations 
GnomAD2 exomes  AF:  0.0000201  AC: 5AN: 248462 AF XY:  0.0000149   show subpopulations 
GnomAD4 exome  AF:  0.0000363  AC: 53AN: 1461214Hom.:  0  Cov.: 33 AF XY:  0.0000371  AC XY: 27AN XY: 726866 show subpopulations 
Age Distribution
GnomAD4 genome  0.00000659  AC: 1AN: 151632Hom.:  0  Cov.: 31 AF XY:  0.0000135  AC XY: 1AN XY: 74040 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Neuronal ceroid lipofuscinosis 3    Uncertain:2 
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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
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Inborn genetic diseases    Uncertain:1 
The p.T345S variant (also known as c.1033A>T), located in coding exon 13 of the CLN3 gene, results from an A to T substitution at nucleotide position 1033. The threonine at codon 345 is replaced by serine, an amino acid with similar properties. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
not provided    Uncertain:1 
Not observed at a significant frequency in large population cohorts (Lek et al., 2016); In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Neuronal Ceroid-Lipofuscinosis, Dominant/Recessive    Uncertain:1 
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Neuronal ceroid lipofuscinosis    Uncertain:1 
This sequence change replaces threonine, which is neutral and polar, with serine, which is neutral and polar, at codon 345 of the CLN3 protein (p.Thr345Ser). This variant is present in population databases (rs150986176, gnomAD 0.005%). This variant has not been reported in the literature in individuals affected with CLN3-related conditions. ClinVar contains an entry for this variant (Variation ID: 318718). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt CLN3 protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at