rs1800956

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_001114753.3(ENG):​c.1096G>C​(p.Asp366His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00399 in 1,613,884 control chromosomes in the GnomAD database, including 233 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D366N) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0047 ( 35 hom., cov: 30)
Exomes 𝑓: 0.0039 ( 198 hom. )

Consequence

ENG
NM_001114753.3 missense

Scores

6
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: 1.23

Publications

31 publications found
Variant links:
Genes affected
ENG (HGNC:3349): (endoglin) This gene encodes a homodimeric transmembrane protein which is a major glycoprotein of the vascular endothelium. This protein is a component of the transforming growth factor beta receptor complex and it binds to the beta1 and beta3 peptides with high affinity. Mutations in this gene cause hereditary hemorrhagic telangiectasia, also known as Osler-Rendu-Weber syndrome 1, an autosomal dominant multisystemic vascular dysplasia. This gene may also be involved in preeclampsia and several types of cancer. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2013]
ENG Gene-Disease associations (from GenCC):
  • telangiectasia, hereditary hemorrhagic, type 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, Genomics England PanelApp, ClinGen
  • hereditary hemorrhagic telangiectasia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • juvenile polyposis syndrome
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

PM1
In a hotspot region, there are 8 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 4 benign, 11 uncertain in NM_001114753.3
BP4
Computational evidence support a benign effect (MetaRNN=0.0020808578).
BP6
Variant 9-127824342-C-G is Benign according to our data. Variant chr9-127824342-C-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 163406.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0929 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ENGNM_001114753.3 linkc.1096G>C p.Asp366His missense_variant Exon 8 of 15 ENST00000373203.9 NP_001108225.1 P17813-1Q96CG0A0A024R878
ENGNM_000118.4 linkc.1096G>C p.Asp366His missense_variant Exon 8 of 14 NP_000109.1 P17813-2Q5T9B9
ENGNM_001278138.2 linkc.550G>C p.Asp184His missense_variant Exon 8 of 15 NP_001265067.1 P17813Q96CG0F5GX88B7Z6Y5
ENGNM_001406715.1 linkc.1096G>C p.Asp366His missense_variant Exon 8 of 8 NP_001393644.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ENGENST00000373203.9 linkc.1096G>C p.Asp366His missense_variant Exon 8 of 15 1 NM_001114753.3 ENSP00000362299.4 P17813-1

Frequencies

GnomAD3 genomes
AF:
0.00472
AC:
717
AN:
151896
Hom.:
35
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00119
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00217
Gnomad ASJ
AF:
0.00260
Gnomad EAS
AF:
0.100
Gnomad SAS
AF:
0.00374
Gnomad FIN
AF:
0.000756
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000926
Gnomad OTH
AF:
0.00962
GnomAD2 exomes
AF:
0.00919
AC:
2311
AN:
251480
AF XY:
0.00839
show subpopulations
Gnomad AFR exome
AF:
0.00148
Gnomad AMR exome
AF:
0.000405
Gnomad ASJ exome
AF:
0.00337
Gnomad EAS exome
AF:
0.108
Gnomad FIN exome
AF:
0.000647
Gnomad NFE exome
AF:
0.00101
Gnomad OTH exome
AF:
0.00619
GnomAD4 exome
AF:
0.00391
AC:
5723
AN:
1461870
Hom.:
198
Cov.:
33
AF XY:
0.00379
AC XY:
2755
AN XY:
727240
show subpopulations
African (AFR)
AF:
0.00108
AC:
36
AN:
33480
American (AMR)
AF:
0.000425
AC:
19
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00272
AC:
71
AN:
26134
East Asian (EAS)
AF:
0.0829
AC:
3293
AN:
39700
South Asian (SAS)
AF:
0.00306
AC:
264
AN:
86252
European-Finnish (FIN)
AF:
0.000543
AC:
29
AN:
53418
Middle Eastern (MID)
AF:
0.00121
AC:
7
AN:
5768
European-Non Finnish (NFE)
AF:
0.00126
AC:
1403
AN:
1112000
Other (OTH)
AF:
0.00995
AC:
601
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
314
628
942
1256
1570
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
128
256
384
512
640
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00470
AC:
715
AN:
152014
Hom.:
35
Cov.:
30
AF XY:
0.00502
AC XY:
373
AN XY:
74294
show subpopulations
African (AFR)
AF:
0.00118
AC:
49
AN:
41460
American (AMR)
AF:
0.00216
AC:
33
AN:
15260
Ashkenazi Jewish (ASJ)
AF:
0.00260
AC:
9
AN:
3468
East Asian (EAS)
AF:
0.100
AC:
514
AN:
5138
South Asian (SAS)
AF:
0.00354
AC:
17
AN:
4808
European-Finnish (FIN)
AF:
0.000756
AC:
8
AN:
10584
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000927
AC:
63
AN:
67990
Other (OTH)
AF:
0.0105
AC:
22
AN:
2100
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.509
Heterozygous variant carriers
0
36
72
108
144
180
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00423
Hom.:
14
Bravo
AF:
0.00529
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00337
AC:
13
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.000581
AC:
5
ExAC
AF:
0.00850
AC:
1032
Asia WGS
AF:
0.0500
AC:
172
AN:
3478
EpiCase
AF:
0.000872
EpiControl
AF:
0.000711

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Sep 04, 2014
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Asp366His in exon 8 of ENG: This variant is not expected to have clinical signif icance because it has been identified in 10.5% (60/572) of Asian chromosomes by the 1000 Genomes Project (dbSNP rs1800956). -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 07, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Telangiectasia, hereditary hemorrhagic, type 1 Benign:2
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 23, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Pulmonary arterial hypertension Benign:1
Sep 26, 2022
John Welsh Cardiovascular Diagnostic Laboratory, Baylor College of Medicine
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

ENG-related disorder Benign:1
Aug 07, 2022
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Cardiovascular phenotype Benign:1
Sep 16, 2015
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Hereditary hemorrhagic telangiectasia Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.78
D;D;.
Eigen
Benign
-0.14
Eigen_PC
Benign
-0.34
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.54
T;T;T
MetaRNN
Benign
0.0021
T;T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Uncertain
2.1
M;.;M
PhyloP100
1.2
PrimateAI
Benign
0.40
T
PROVEAN
Uncertain
-3.1
D;.;D
REVEL
Benign
0.25
Sift
Uncertain
0.021
D;.;D
Sift4G
Uncertain
0.0060
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.30
MVP
0.83
MPC
0.87
ClinPred
0.023
T
GERP RS
3.6
Varity_R
0.23
gMVP
0.92
Mutation Taster
=87/13
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs1800956; hg19: chr9-130586621; COSMIC: COSV100785221; COSMIC: COSV100785221; API