rs1553896522

Positions:

• chr2-151614290-CAT-CG

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1 PM2 PP5_Moderate

The NM_001164507.2(NEB):​c.11585_11586delinsC​(p.Tyr3862SerfsTer16) variant causes a frameshift change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (★). Synonymous variant affecting the same amino acid position (i.e. Y3862Y) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.

• Frequency: Genomes: not found (cov: 32)
• Consequence: NEB NM_001164507.2 frameshift
• Clinical Significance: Pathogenic criteria provided, single submitter P:1
• Conservation: PhyloP100: 6.10

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]

ACMG classification

Verdict is Pathogenic. Variant got 12 ACMG points.

• PVS1: Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
• PM2: Very rare variant in population databases, with high coverage
• PP5: Variant 2-151614291-AT-G is Pathogenic according to our data. Variant chr2-151614291-AT-G is described in ClinVar as [Pathogenic]. Clinvar id is 465439.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
NEB	NM_001164507.2	c.11585_11586delinsC	p.Tyr3862SerfsTer16	frameshift_variant	77/182	ENST00000427231.7
NEB	NM_001164508.2	c.11585_11586delinsC	p.Tyr3862SerfsTer16	frameshift_variant	77/182	ENST00000397345.8

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
NEB	ENST00000397345.8	c.11585_11586delinsC	p.Tyr3862SerfsTer16	frameshift_variant	77/182	5	NM_001164508.2	P5
NEB	ENST00000427231.7	c.11585_11586delinsC	p.Tyr3862SerfsTer16	frameshift_variant	77/182	5	NM_001164507.2	A2
NEB	ENST00000409198.5	c.10856_10857delinsC	p.Tyr3619SerfsTer16	frameshift_variant	74/150	5

Frequencies

GnomAD3 genomes Cov.: 32

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome Cov.: 32

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1

Revision: criteria provided, single submitter

Submissions by phenotype

Nemaline myopathy 2 Pathogenic:1

Pathogenic, criteria provided, single submitter

clinical testing

Invitae

Oct 09, 2016

For these reasons, this variant has been classified as Pathogenic. Loss-of-function variants in NEB are known to be pathogenic. This particular variant has been reported in the literature (PMID: 16917880). This sequence change deletes 2 nucleotides and inserts 1 nucleotide in exon 77 of the NEB mRNA (c.11585_11586delinsC), causing a frameshift at codon 3862. This creates a premature translational stop signal (p.Tyr3862Serfs*16) and is expected to result in an absent or disrupted protein product. -

Computational scores

Source: dbNSFP v4.3

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Other links and lift over

dbSNP: rs1553896522; hg19: chr2-152470805;