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rs1736219

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_144997.7(FLCN):c.397-14C>T variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.471 in 1,566,246 control chromosomes in the GnomAD database, including 181,520 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.41 ( 15061 hom., cov: 33)
Exomes 𝑓: 0.48 ( 166459 hom. )

Consequence

FLCN
NM_144997.7 splice_polypyrimidine_tract, intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: -0.00600
Variant links:
Genes affected
FLCN (HGNC:27310): (folliculin) This gene is located within the Smith-Magenis syndrome region on chromosome 17. Mutations in this gene are associated with Birt-Hogg-Dube syndrome, which is characterized by fibrofolliculomas, renal tumors, lung cysts, and pneumothorax. Alternative splicing of this gene results in two transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.9).
BP6
Variant 17-17224157-G-A is Benign according to our data. Variant chr17-17224157-G-A is described in ClinVar as [Benign]. Clinvar id is 96486.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17224157-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.644 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FLCNNM_144997.7 linkuse as main transcriptc.397-14C>T splice_polypyrimidine_tract_variant, intron_variant ENST00000285071.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FLCNENST00000285071.9 linkuse as main transcriptc.397-14C>T splice_polypyrimidine_tract_variant, intron_variant 1 NM_144997.7 P1Q8NFG4-1
FLCNENST00000389169.9 linkuse as main transcriptc.397-14C>T splice_polypyrimidine_tract_variant, intron_variant 1 Q8NFG4-2
FLCNENST00000417064.1 linkuse as main transcriptc.238-14C>T splice_polypyrimidine_tract_variant, intron_variant 2
FLCNENST00000480316.1 linkuse as main transcriptn.349C>T non_coding_transcript_exon_variant 1/32

Frequencies

GnomAD3 genomes
AF:
0.407
AC:
61935
AN:
152008
Hom.:
15063
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.150
Gnomad AMI
AF:
0.681
Gnomad AMR
AF:
0.469
Gnomad ASJ
AF:
0.423
Gnomad EAS
AF:
0.663
Gnomad SAS
AF:
0.368
Gnomad FIN
AF:
0.668
Gnomad MID
AF:
0.294
Gnomad NFE
AF:
0.490
Gnomad OTH
AF:
0.396
GnomAD3 exomes
AF:
0.482
AC:
84710
AN:
175706
Hom.:
21671
AF XY:
0.474
AC XY:
44425
AN XY:
93770
show subpopulations
Gnomad AFR exome
AF:
0.149
Gnomad AMR exome
AF:
0.548
Gnomad ASJ exome
AF:
0.417
Gnomad EAS exome
AF:
0.658
Gnomad SAS exome
AF:
0.352
Gnomad FIN exome
AF:
0.661
Gnomad NFE exome
AF:
0.487
Gnomad OTH exome
AF:
0.457
GnomAD4 exome
AF:
0.478
AC:
676428
AN:
1414120
Hom.:
166459
Cov.:
33
AF XY:
0.475
AC XY:
332177
AN XY:
699100
show subpopulations
Gnomad4 AFR exome
AF:
0.136
Gnomad4 AMR exome
AF:
0.530
Gnomad4 ASJ exome
AF:
0.415
Gnomad4 EAS exome
AF:
0.648
Gnomad4 SAS exome
AF:
0.353
Gnomad4 FIN exome
AF:
0.644
Gnomad4 NFE exome
AF:
0.486
Gnomad4 OTH exome
AF:
0.453
GnomAD4 genome
AF:
0.407
AC:
61943
AN:
152126
Hom.:
15061
Cov.:
33
AF XY:
0.415
AC XY:
30842
AN XY:
74366
show subpopulations
Gnomad4 AFR
AF:
0.150
Gnomad4 AMR
AF:
0.469
Gnomad4 ASJ
AF:
0.423
Gnomad4 EAS
AF:
0.663
Gnomad4 SAS
AF:
0.368
Gnomad4 FIN
AF:
0.668
Gnomad4 NFE
AF:
0.490
Gnomad4 OTH
AF:
0.392
Alfa
AF:
0.461
Hom.:
17348
Bravo
AF:
0.385
Asia WGS
AF:
0.521
AC:
1809
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Apr 10, 2017- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineFeb 21, 2013397-14C>T in intron 5 of FLCN: This variant is not expected to have clinical sig nificance because it has been identified in 48.5% (4163/8588) of European Americ an chromosomes from a broad population by the NHLBI Exome Sequencing Project (ht tp://evs.gs.washington.edu/EVS; dbSNP rs1736219). -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Birt-Hogg-Dube syndrome Benign:4
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 10, 2021- -
Familial spontaneous pneumothorax Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 10, 2021- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMay 04, 2016Variant summary: The FLCN variant, c.397-14C>T is located at a non-conserved intronic position, not widely known to affect splicing, with 5/5 in silico programs via Alamut predicting no significant effect on splicing, although these predictions have yet to be functionally assessed. The variant of interest is observed in the large, broad control population, ExAC, with an allele frequency of 20124/41572 (1/2 including 4822 homozygotes), which significantly exceeds the estimated maximum expected allele frequency for a pathogenic FLCN variant of 1/769230. The variant of interest has also been reported by multiple reputable clinical laboratories as "benign." Therefore, the variant of interest has been classified as Benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.90
Cadd
Benign
0.71
Dann
Benign
0.57
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs1736219; hg19: chr17-17127471; COSMIC: COSV53256759; COSMIC: COSV53256759; API