rs201148126
Variant summary
Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4BP6BS1BS2
The NM_001134363.3(RBM20):c.850G>A(p.Gly284Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00091 in 1,551,332 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G284E) has been classified as Likely benign.
Frequency
Consequence
NM_001134363.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -10 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
RBM20 | NM_001134363.3 | c.850G>A | p.Gly284Arg | missense_variant | 2/14 | ENST00000369519.4 | |
RBM20 | XM_017016103.3 | c.685G>A | p.Gly229Arg | missense_variant | 2/14 | ||
RBM20 | XM_017016104.3 | c.466G>A | p.Gly156Arg | missense_variant | 2/14 | ||
RBM20 | XM_047425116.1 | c.466G>A | p.Gly156Arg | missense_variant | 2/14 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
RBM20 | ENST00000369519.4 | c.850G>A | p.Gly284Arg | missense_variant | 2/14 | 1 | NM_001134363.3 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000460 AC: 70AN: 152178Hom.: 1 Cov.: 32
GnomAD3 exomes AF: 0.000332 AC: 51AN: 153600Hom.: 0 AF XY: 0.000282 AC XY: 23AN XY: 81524
GnomAD4 exome AF: 0.000959 AC: 1342AN: 1399154Hom.: 0 Cov.: 32 AF XY: 0.000894 AC XY: 617AN XY: 690090
GnomAD4 genome AF: 0.000460 AC: 70AN: 152178Hom.: 1 Cov.: 32 AF XY: 0.000350 AC XY: 26AN XY: 74344
ClinVar
Submissions by phenotype
Dilated cardiomyopathy 1DD Uncertain:3Benign:1
Uncertain significance, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | May 23, 2017 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Jan 13, 2018 | This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. - |
Likely benign, criteria provided, single submitter | clinical testing | Invitae | Jan 17, 2024 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories | Oct 16, 2023 | - - |
not provided Uncertain:2
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Jun 26, 2023 | Reported in patients with cardiomyopathy and in one case of SIDS; however, some of these individuals harbored additional variants in cardiogenetic genes (Lopes et al., 2013; van Lint et al., 2019; Gaertner et al., 2020; Neubauer et al., 2017); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 30847666, 32840935, 30871351, 28074886, 23396983) - |
Uncertain significance, no assertion criteria provided | provider interpretation | Stanford Center for Inherited Cardiovascular Disease, Stanford University | Aug 08, 2017 | - - |
not specified Uncertain:1Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Feb 28, 2022 | Variant summary: RBM20 c.850G>A (p.Gly284Arg) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00033 in 153600 control chromosomes, predominantly at a frequency of 0.00079 within the Non-Finnish European subpopulation in the gnomAD database. The observed variant frequency within Non-Finnish European control individuals in the gnomAD database is approximately 17-fold of the estimated maximal expected allele frequency for a pathogenic variant in RBM20 causing Dilated Cardiomyopathy phenotype (4.7e-05), strongly suggesting that the variant is a benign polymorphism found primarily in populations of Non-Finnish European origin. c.850G>A has been reported in the literature in individuals affected with hypertrophic cardiomyopathy, sudden infant death syndrome and arrhythmogenic right ventricular cardiomyopathy (Lopes_2013, Neubauer_2017, van Lint_2019). These reports do not provide unequivocal conclusions about association of the variant with Dilated Cardiomyopathy. Co-occurrences with pathogenic variants have been reported (MYBPC3 c.1624+4A>T; MYBPC3 c.1624G>C, p.E542Q; Lopes_2013 and Internal testing), providing supporting evidence for a benign role. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Two ClinVar submitters (evaluation after 2014) cite the variant as likely benign and eight ClinVar submitters (evaluation after 2014) cite it as uncertain significance. Based on the evidence outlined above, the variant was classified as likely benign. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Dec 08, 2017 | Variant classified as Uncertain Significance - Favor Benign. The p.Gly284Arg var iant in RBM20 has been identified by our laboratory in 1 Caucasian adult with fe atures of DCM and ARVC. It has also been identified in 0.07% (53/71906) of Europ ean chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadi nstitute.org; dbSNP rs201148126). Computational prediction tools and conservatio n analysis do not provide strong support for or against an impact to the protein . In summary, while the clinical significance of the p.Gly284Arg variant is unce rtain, its frequency suggests that it is more likely to be benign. ACMG/AMP Crit eria applied: BS1. - |
Cardiomyopathy Benign:1
Likely benign, criteria provided, single submitter | clinical testing | CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario | Feb 21, 2023 | - - |
Cardiovascular phenotype Benign:1
Likely benign, criteria provided, single submitter | clinical testing | Ambry Genetics | May 21, 2021 | 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:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at