rs200756166

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_006393.3(NEBL):ā€‹c.1954A>Cā€‹(p.Ile652Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000207 in 1,601,832 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.00014 ( 0 hom., cov: 32)
Exomes š‘“: 0.00021 ( 2 hom. )

Consequence

NEBL
NM_006393.3 missense

Scores

2
17

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.310
Variant links:
Genes affected
NEBL (HGNC:16932): (nebulette) This gene encodes a nebulin like protein that is abundantly expressed in cardiac muscle. The encoded protein binds actin and interacts with thin filaments and Z-line associated proteins in striated muscle. This protein may be involved in cardiac myofibril assembly. A shorter isoform of this protein termed LIM nebulette is expressed in non-muscle cells and may function as a component of focal adhesion complexes. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Mar 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.018383563).
BP6
Variant 10-20823216-T-G is Benign according to our data. Variant chr10-20823216-T-G is described in ClinVar as [Likely_benign]. Clinvar id is 178095.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NEBLNM_006393.3 linkuse as main transcriptc.1954A>C p.Ile652Leu missense_variant 19/28 ENST00000377122.9 NP_006384.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NEBLENST00000377122.9 linkuse as main transcriptc.1954A>C p.Ile652Leu missense_variant 19/281 NM_006393.3 ENSP00000366326 O76041-1

Frequencies

GnomAD3 genomes
AF:
0.000138
AC:
21
AN:
152224
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00248
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000437
AC:
109
AN:
249282
Hom.:
1
AF XY:
0.000601
AC XY:
81
AN XY:
134854
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000290
Gnomad ASJ exome
AF:
0.00119
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00222
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000115
Gnomad OTH exome
AF:
0.000985
GnomAD4 exome
AF:
0.000214
AC:
310
AN:
1449490
Hom.:
2
Cov.:
29
AF XY:
0.000299
AC XY:
216
AN XY:
721714
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000269
Gnomad4 ASJ exome
AF:
0.00138
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00213
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000399
Gnomad4 OTH exome
AF:
0.000267
GnomAD4 genome
AF:
0.000138
AC:
21
AN:
152342
Hom.:
0
Cov.:
32
AF XY:
0.000175
AC XY:
13
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00248
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000190
Hom.:
0
Bravo
AF:
0.0000718
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000445
AC:
54
EpiCase
AF:
0.0000547
EpiControl
AF:
0.000415

ClinVar

Significance: Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Likely benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 18, 2015p.Ile652Leu in exon 19 of NEBL: This variant is not expected to have clinical si gnificance due to a lack of conservation across species, including mammals. Of n ote, pig, alpaca, camel, and hedgehog have a leucine (Leu) at this position desp ite high nearby amino acid conservation. In addition, computational prediction t ools do not suggest a high likelihood of impact to the protein. It has also been identified in 0.2% (30/16404) of South Asian chromosomes by the Exome Aggregati on Consortium (ExAC, http://exac.broadinstitute.org; dbSNP rs200756166). -
Likely benign, criteria provided, single submitterclinical testingGenomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of PhiladelphiaJul 10, 2015- -
not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingGeneDxFeb 23, 2021This variant is associated with the following publications: (PMID: 27186169) -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
NEBL-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 04, 2024This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Primary dilated cardiomyopathy Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 22, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
14
DANN
Benign
0.97
DEOGEN2
Benign
0.0043
T
Eigen
Benign
-0.48
Eigen_PC
Benign
-0.38
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.58
T
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.018
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.6
M
MutationTaster
Benign
0.97
D;D;D
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-1.2
N
REVEL
Benign
0.10
Sift
Benign
0.10
T
Sift4G
Benign
0.45
T
Polyphen
0.0020
B
Vest4
0.19
MVP
0.50
MPC
0.016
ClinPred
0.029
T
GERP RS
-0.10
Varity_R
0.10
gMVP
0.22

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: rs200756166; hg19: chr10-21112145; COSMIC: COSV65805145; COSMIC: COSV65805145; API