rs193920996
Variant names: 
Variant summary
Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong
The NM_015938.5(NMD3):c.503C>T(p.Thr168Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000146 in 1,370,036 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (no stars).
Frequency
 Genomes: not found (cov: 31) 
 Exomes 𝑓:  0.0000015   (  0   hom.  ) 
Consequence
 NMD3
NM_015938.5 missense
NM_015938.5 missense
Scores
 11
 5
 3
Clinical Significance
Conservation
 PhyloP100:  7.36  
Publications
2 publications found 
Genes affected
 NMD3  (HGNC:24250):  (NMD3 ribosome export adaptor) Ribosomal 40S and 60S subunits associate in the nucleolus and are exported to the cytoplasm. The protein encoded by this gene is involved in the passage of the 60S subunit through the nuclear pore complex and into the cytoplasm. Several transcript variants exist for this gene, but the full-length natures of only two have been described to date. [provided by RefSeq, Feb 2016] 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_pathogenic. The variant received 6 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
PP3
MetaRNN computational evidence supports a deleterious effect, 0.967
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
31
GnomAD4 exome  AF:  0.00000146  AC: 2AN: 1370036Hom.:  0  Cov.: 21 AF XY:  0.00000146  AC XY: 1AN XY: 684874 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
2
AN: 
1370036
Hom.: 
Cov.: 
21
 AF XY: 
AC XY: 
1
AN XY: 
684874
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
1
AN: 
30442
American (AMR) 
 AF: 
AC: 
0
AN: 
36458
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
24242
East Asian (EAS) 
 AF: 
AC: 
1
AN: 
38956
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
78632
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
52772
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5434
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1046062
Other (OTH) 
 AF: 
AC: 
0
AN: 
57038
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 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: 0.300 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 <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  
GnomAD4 genome 
Cov.: 
31
ClinVar
Significance: Uncertain significance 
Submissions summary: Uncertain:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
Prostate cancer    Uncertain:1 
-
Science for Life laboratory, Karolinska Institutet
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:literature only
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Pathogenic 
D 
 BayesDel_noAF 
 Pathogenic 
 DANN 
 Uncertain 
 DEOGEN2 
 Benign 
T;T;.;T;T 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Pathogenic 
 FATHMM_MKL 
 Uncertain 
D 
 LIST_S2 
 Uncertain 
.;.;D;D;D 
 M_CAP 
 Benign 
D 
 MetaRNN 
 Pathogenic 
D;D;D;D;D 
 MetaSVM 
 Uncertain 
D 
 MutationAssessor 
 Pathogenic 
.;M;.;.;M 
 PhyloP100 
 PrimateAI 
 Pathogenic 
D 
 PROVEAN 
 Pathogenic 
D;D;D;D;D 
 REVEL 
 Uncertain 
 Sift 
 Pathogenic 
D;D;D;D;D 
 Sift4G 
 Pathogenic 
D;D;D;D;D 
 Polyphen 
 0.98, 1.0 
.;D;D;.;D 
 Vest4 
 0.96, 0.96 
 MutPred 
Gain of MoRF binding (P = 0.0686);Gain of MoRF binding (P = 0.0686);Gain of MoRF binding (P = 0.0686);Gain of MoRF binding (P = 0.0686);Gain of MoRF binding (P = 0.0686);
 MVP 
 MPC 
 0.17 
 ClinPred 
D 
 GERP RS 
 Varity_R 
 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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