rs199553777

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 1P and 9B. PP2BP6BS1BS2

The NM_005045.4(RELN):​c.5225G>A​(p.Arg1742Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00036 in 1,420,866 control chromosomes in the GnomAD database, including 2 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., cov: 28)
Exomes 𝑓: 0.00037 ( 2 hom. )

Consequence

RELN
NM_005045.4 missense

Scores

7
4
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: 7.36
Variant links:
Genes affected
RELN (HGNC:9957): (reelin) This gene encodes a large secreted extracellular matrix protein thought to control cell-cell interactions critical for cell positioning and neuronal migration during brain development. This protein may be involved in schizophrenia, autism, bipolar disorder, major depression and in migration defects associated with temporal lobe epilepsy. Mutations of this gene are associated with autosomal recessive lissencephaly with cerebellar hypoplasia. Two transcript variants encoding distinct isoforms have been identified for this gene. Other transcript variants have been described but their full length nature has not been determined. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RELN. . Gene score misZ 2.2497 (greater than the threshold 3.09). Trascript score misZ 4.2638 (greater than threshold 3.09). GenCC has associacion of gene with ankylosing spondylitis, lissencephaly with cerebellar hypoplasia, Norman-Roberts syndrome, complex neurodevelopmental disorder, autosomal dominant epilepsy with auditory features, familial temporal lobe epilepsy 7.
BP6
Variant 7-103561939-C-T is Benign according to our data. Variant chr7-103561939-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 475970.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=3}.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000299 (39/130344) while in subpopulation AMR AF= 0.00142 (17/11930). AF 95% confidence interval is 0.000908. There are 0 homozygotes in gnomad4. There are 20 alleles in male gnomad4 subpopulation. Median coverage is 28. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 2 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RELNNM_005045.4 linkuse as main transcriptc.5225G>A p.Arg1742Gln missense_variant 35/65 ENST00000428762.6 NP_005036.2 P78509-1
RELNNM_173054.3 linkuse as main transcriptc.5225G>A p.Arg1742Gln missense_variant 35/64 NP_774959.1 P78509-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RELNENST00000428762.6 linkuse as main transcriptc.5225G>A p.Arg1742Gln missense_variant 35/655 NM_005045.4 ENSP00000392423.1 P78509-1

Frequencies

GnomAD3 genomes
AF:
0.000299
AC:
39
AN:
130344
Hom.:
0
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.0000584
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00142
Gnomad ASJ
AF:
0.000618
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000287
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000296
AC:
73
AN:
246256
Hom.:
1
AF XY:
0.000255
AC XY:
34
AN XY:
133134
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000760
Gnomad ASJ exome
AF:
0.000201
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000332
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000361
Gnomad OTH exome
AF:
0.000670
GnomAD4 exome
AF:
0.000367
AC:
473
AN:
1290522
Hom.:
2
Cov.:
39
AF XY:
0.000332
AC XY:
215
AN XY:
646878
show subpopulations
Gnomad4 AFR exome
AF:
0.000170
Gnomad4 AMR exome
AF:
0.000760
Gnomad4 ASJ exome
AF:
0.000268
Gnomad4 EAS exome
AF:
0.0000630
Gnomad4 SAS exome
AF:
0.0000120
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000414
Gnomad4 OTH exome
AF:
0.000367
GnomAD4 genome
AF:
0.000299
AC:
39
AN:
130344
Hom.:
0
Cov.:
28
AF XY:
0.000322
AC XY:
20
AN XY:
62054
show subpopulations
Gnomad4 AFR
AF:
0.0000584
Gnomad4 AMR
AF:
0.00142
Gnomad4 ASJ
AF:
0.000618
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000287
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000245
Hom.:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000255
AC:
31

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Norman-Roberts syndrome;C4225327:Familial temporal lobe epilepsy 7;C4551957:Epilepsy, familial temporal lobe, 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 31, 2018- -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 05, 2021Unlikely to be causative of RELN-related lateral temporal epilepsy (AD) based on population frequency in gnomAD. However, the clinical significance for RELN-related lissencephaly (AR) remains unclear (Bonora, 2003; Lammert, 2017). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Norman-Roberts syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 28, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
Norman-Roberts syndrome;C4225327:Familial temporal lobe epilepsy 7 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 28, 2024- -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2023RELN: BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.78
BayesDel_addAF
Benign
-0.092
T
BayesDel_noAF
Uncertain
0.010
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.38
T;.;.
Eigen
Pathogenic
0.76
Eigen_PC
Pathogenic
0.78
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.97
D;D;D
M_CAP
Benign
0.024
T
MetaRNN
Uncertain
0.49
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
L;L;.
PrimateAI
Pathogenic
0.79
T
PROVEAN
Benign
-2.1
N;N;N
REVEL
Uncertain
0.33
Sift
Benign
0.12
T;T;T
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.83
MVP
0.72
MPC
0.74
ClinPred
0.14
T
GERP RS
5.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.31
gMVP
0.85

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs199553777; hg19: chr7-103202386; COSMIC: COSV59008967; API