rs201047984

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001134363.3(RBM20):​c.1093G>A​(p.Gly365Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000282 in 1,550,684 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00017 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00029 ( 5 hom. )

Consequence

RBM20
NM_001134363.3 missense

Scores

1
8
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 3.04
Variant links:
Genes affected
RBM20 (HGNC:27424): (RNA binding motif protein 20) This gene encodes a protein that binds RNA and regulates splicing. Mutations in this gene have been associated with familial dilated cardiomyopathy. [provided by RefSeq, Apr 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0045996606).
BP6
Variant 10-110781702-G-A is Benign according to our data. Variant chr10-110781702-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 178877.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Benign=1, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.000171 (26/152328) while in subpopulation SAS AF= 0.00394 (19/4826). AF 95% confidence interval is 0.00258. There are 0 homozygotes in gnomad4. There are 17 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 26 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RBM20NM_001134363.3 linkc.1093G>A p.Gly365Arg missense_variant Exon 2 of 14 ENST00000369519.4 NP_001127835.2 Q5T481
RBM20XM_017016103.3 linkc.928G>A p.Gly310Arg missense_variant Exon 2 of 14 XP_016871592.1
RBM20XM_017016104.3 linkc.709G>A p.Gly237Arg missense_variant Exon 2 of 14 XP_016871593.1
RBM20XM_047425116.1 linkc.709G>A p.Gly237Arg missense_variant Exon 2 of 14 XP_047281072.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RBM20ENST00000369519.4 linkc.1093G>A p.Gly365Arg missense_variant Exon 2 of 14 1 NM_001134363.3 ENSP00000358532.3 Q5T481

Frequencies

GnomAD3 genomes
AF:
0.000171
AC:
26
AN:
152210
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00393
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000810
AC:
126
AN:
155630
Hom.:
2
AF XY:
0.00106
AC XY:
87
AN XY:
82312
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00538
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000334
Gnomad OTH exome
AF:
0.000454
GnomAD4 exome
AF:
0.000294
AC:
411
AN:
1398356
Hom.:
5
Cov.:
32
AF XY:
0.000403
AC XY:
278
AN XY:
689484
show subpopulations
Gnomad4 AFR exome
AF:
0.0000633
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000560
Gnomad4 SAS exome
AF:
0.00460
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000250
Gnomad4 OTH exome
AF:
0.000259
GnomAD4 genome
AF:
0.000171
AC:
26
AN:
152328
Hom.:
0
Cov.:
32
AF XY:
0.000228
AC XY:
17
AN XY:
74488
show subpopulations
Gnomad4 AFR
AF:
0.000168
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00394
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000648
Hom.:
0
Bravo
AF:
0.0000756
ExAC
AF:
0.00180
AC:
48
Asia WGS
AF:
0.00260
AC:
9
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
Nov 30, 2012
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Gly365Arg (GGG>AGG):c.1093 G>A in exon 2 of the RBM20 gene (NM_001134363.1). The Gly365Arg variant in the RBM20 gene has not been reported as a disease-causing mutation or as a benign polymorphism to our knowledge. Gly365Arg results in a non-conservative amino acid substitution of a non-polar Glycine with a positively-charged Arginine at a position that is conserved across species. In silico analysis predicts Gly365Arg is probably damaging to the protein structure/function. Gly365Arg was absent from the 1000 Genomes database, and the NHLBI ESP Exome Variant Server reports Gly365Arg was not observed in approximately 2000 samples from individuals of European and African American backgrounds, indicating it is not a common benign variant in these populations. However, data from ethnically-matched control individuals were not available to assess for a population-specific benign variant. In addition, there are no mutations reported near Gly365Arg indicating this region of the protein may be tolerant of change. With the clinical and molecular information available at this time, we cannot definitively determine if Gly365Arg is a disease-causing mutation or a rare benign variant. The variant is found in DCM panel(s). -

not specified Benign:1
May 02, 2017
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

p.Gly365Arg in exon 2 of RBM20: This variant is not expected to have clinical si gnificance because it has been identified in 0.5% (119/22735) of South Asian chr omosomes, including 2 homozygotes, by the Genome Aggregation Database (gnomAD, h ttp://gnomad.broadinstitute.org/; dbSNP rs201047984). -

Dilated cardiomyopathy 1DD Benign:1
Jan 25, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cardiovascular phenotype Benign:1
Jun 19, 2019
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.10
CADD
Pathogenic
27
DANN
Pathogenic
1.0
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Uncertain
0.85
D
M_CAP
Uncertain
0.14
D
MetaRNN
Benign
0.0046
T
MetaSVM
Uncertain
-0.20
T
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-0.79
N
REVEL
Benign
0.26
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0080
D
Vest4
0.43
MutPred
0.21
Gain of methylation at G365 (P = 0.014);
MVP
0.77
ClinPred
0.083
T
GERP RS
3.9
gMVP
0.48

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs201047984; hg19: chr10-112541460; COSMIC: COSV65706317; API