rs201095702

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 5P and 1B. PM2PM5PP2BP4

The NM_004959.5(NR5A1):​c.634G>T​(p.Gly212Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G212S) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

NR5A1
NM_004959.5 missense

Scores

1
4
11

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.0860

Publications

0 publications found
Variant links:
Genes affected
NR5A1 (HGNC:7983): (nuclear receptor subfamily 5 group A member 1) The protein encoded by this gene is a transcriptional activator involved in sex determination. The encoded protein binds DNA as a monomer. Defects in this gene are a cause of XY sex reversal with or without adrenal failure as well as adrenocortical insufficiency without ovarian defect. [provided by RefSeq, Jul 2008]
NR5A1 Gene-Disease associations (from GenCC):
  • 46,XX sex reversal 4
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • 46,XY sex reversal 3
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • premature ovarian failure 7
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • 46 XX gonadal dysgenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • 46,XX ovotesticular disorder of sex development
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • 46,XX sex reversal 1
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • 46,XY complete gonadal dysgenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • 46,XY partial gonadal dysgenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • male infertility with azoospermia or oligozoospermia due to single gene mutation
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • spermatogenic failure 8
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr9-124500326-C-T is described in ClinVar as Pathogenic. ClinVar VariationId is 29895.Status of the report is no_assertion_criteria_provided, 0 stars.
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 46 curated pathogenic missense variants (we use a threshold of 10). The gene has 5 curated benign missense variants. Gene score misZ: 2.3359 (below the threshold of 3.09). Trascript score misZ: 2.4094 (below the threshold of 3.09). GenCC associations: The gene is linked to 46,XY sex reversal 3, 46,XX sex reversal 4, 46,XX ovotesticular disorder of sex development, premature ovarian failure 7, spermatogenic failure 8, 46,XY partial gonadal dysgenesis, 46 XX gonadal dysgenesis, male infertility with azoospermia or oligozoospermia due to single gene mutation, 46,XX sex reversal 1, 46,XY complete gonadal dysgenesis.
BP4
Computational evidence support a benign effect (MetaRNN=0.31619376).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NR5A1NM_004959.5 linkc.634G>T p.Gly212Cys missense_variant Exon 4 of 7 ENST00000373588.9 NP_004950.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NR5A1ENST00000373588.9 linkc.634G>T p.Gly212Cys missense_variant Exon 4 of 7 1 NM_004959.5 ENSP00000362690.4
NR5A1ENST00000620110.4 linkc.634G>T p.Gly212Cys missense_variant Exon 4 of 6 5 ENSP00000483309.1
NR5A1ENST00000373587.3 linkc.40-54G>T intron_variant Intron 1 of 4 3 ENSP00000362689.3
NR5A1ENST00000455734.1 linkc.*101G>T downstream_gene_variant 3 ENSP00000393245.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1405766
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
694180
African (AFR)
AF:
0.00
AC:
0
AN:
31936
American (AMR)
AF:
0.00
AC:
0
AN:
36400
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25240
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36230
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80232
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48424
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5706
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1083330
Other (OTH)
AF:
0.00
AC:
0
AN:
58268
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
0.0047
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
13
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0
.;T
Eigen
Benign
-0.78
Eigen_PC
Benign
-0.85
LIST_S2
Benign
0.74
T;T
M_CAP
Uncertain
0.19
D
MetaRNN
Benign
0.32
T;T
MetaSVM
Uncertain
-0.048
T
MutationAssessor
Benign
0.0
.;L
PhyloP100
-0.086
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.0
.;N
Sift
Pathogenic
0.0
.;D
Sift4G
Uncertain
0.011
D;D
Vest4
0.43
ClinPred
0.35
T
GERP RS
1.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.16
gMVP
0.49
Mutation Taster
=60/40
polymorphism

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: rs201095702; hg19: chr9-127262605; API