rs1553871982
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP4
The NM_001164507.2(NEB):c.12922A>G(p.Met4308Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 13/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
 Genomes: 𝑓 0.000040   (  0   hom.,  cov: 5) 
 Failed GnomAD Quality Control 
Consequence
 NEB
NM_001164507.2 missense
NM_001164507.2 missense
Scores
 1
 15
Clinical Significance
Conservation
 PhyloP100:  -2.91  
Publications
0 publications found 
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 2Inheritance: AR, AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Myriad Women’s Health, G2P, Ambry Genetics
- childhood-onset nemaline myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- intermediate nemaline myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- typical nemaline myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- lethal multiple pterygium syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- severe congenital nemaline myopathyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -1 ACMG points.
BP4
Computational evidence support a benign effect (MetaRNN=0.28140587). 
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| NEB | ENST00000397345.8 | c.12922A>G | p.Met4308Val | missense_variant | Exon 85 of 182 | 5 | NM_001164508.2 | ENSP00000380505.3 | ||
| NEB | ENST00000427231.7 | c.12922A>G | p.Met4308Val | missense_variant | Exon 85 of 182 | 5 | NM_001164507.2 | ENSP00000416578.2 | ||
| NEB | ENST00000409198.5 | c.11601+5112A>G | intron_variant | Intron 78 of 149 | 5 | ENSP00000386259.1 | 
Frequencies
GnomAD3 genomes  0.0000400  AC: 1AN: 24972Hom.:  0  Cov.: 5 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
1
AN: 
24972
Hom.: 
Cov.: 
5
Gnomad AFR 
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Gnomad AMI 
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Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad FIN 
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Gnomad MID 
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Gnomad NFE 
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Gnomad OTH 
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GnomAD4 exome Cov.: 2 
GnomAD4 exome 
Cov.: 
2
GnomAD4 genome  0.0000400  AC: 1AN: 24972Hom.:  0  Cov.: 5 AF XY:  0.00  AC XY: 0AN XY: 11040 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. 
GnomAD4 genome 
Data not reliable, filtered out with message: AS_VQSR
 AF: 
AC: 
1
AN: 
24972
Hom.: 
Cov.: 
5
 AF XY: 
AC XY: 
0
AN XY: 
11040
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
1
AN: 
3744
American (AMR) 
 AF: 
AC: 
0
AN: 
1986
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
608
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
1180
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
776
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
1810
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
120
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
14322
Other (OTH) 
 AF: 
AC: 
0
AN: 
346
 ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.325 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
ClinVar
Significance: Uncertain significance 
Submissions summary: Uncertain:2 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Nemaline myopathy 2    Uncertain:2 
Apr 28, 2017
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Sep 16, 2020
Natera, Inc.
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_addAF 
 Benign 
T 
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 DEOGEN2 
 Benign 
.;T;.;.;. 
 Eigen 
 Benign 
 Eigen_PC 
 Benign 
 FATHMM_MKL 
 Benign 
N 
 LIST_S2 
 Benign 
T;T;T;.;. 
 M_CAP 
 Benign 
T 
 MetaRNN 
 Benign 
T;T;T;T;T 
 MetaSVM 
 Benign 
T 
 PhyloP100 
 PROVEAN 
 Benign 
N;.;N;.;. 
 REVEL 
 Benign 
 Sift 
 Benign 
T;.;T;.;. 
 Sift4G 
 Uncertain 
D;D;D;D;D 
 Vest4 
 MutPred 
Loss of disorder (P = 0.171);Loss of disorder (P = 0.171);Loss of disorder (P = 0.171);Loss of disorder (P = 0.171);Loss of disorder (P = 0.171);
 MVP 
 MPC 
 0.083 
 ClinPred 
T 
 GERP RS 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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