rs201280723

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The NM_198576.4(AGRN):​c.1238G>A​(p.Arg413His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000108 in 1,610,980 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00017 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00010 ( 0 hom. )

Consequence

AGRN
NM_198576.4 missense

Scores

2
15

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 2.17
Variant links:
Genes affected
AGRN (HGNC:329): (agrin) This gene encodes one of several proteins that are critical in the development of the neuromuscular junction (NMJ), as identified in mouse knock-out studies. The encoded protein contains several laminin G, Kazal type serine protease inhibitor, and epidermal growth factor domains. Additional post-translational modifications occur to add glycosaminoglycans and disulfide bonds. In one family with congenital myasthenic syndrome affecting limb-girdle muscles, a mutation in this gene was found. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Mar 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.03133264).
BP6
Variant 1-1042016-G-A is Benign according to our data. Variant chr1-1042016-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 570656.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AGRNNM_198576.4 linkuse as main transcriptc.1238G>A p.Arg413His missense_variant 7/36 ENST00000379370.7 NP_940978.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AGRNENST00000379370.7 linkuse as main transcriptc.1238G>A p.Arg413His missense_variant 7/361 NM_198576.4 ENSP00000368678 P1O00468-6
AGRNENST00000651234.1 linkuse as main transcriptc.923G>A p.Arg308His missense_variant 6/38 ENSP00000499046
AGRNENST00000652369.1 linkuse as main transcriptc.923G>A p.Arg308His missense_variant 6/35 ENSP00000498543
AGRNENST00000620552.4 linkuse as main transcriptc.824G>A p.Arg275His missense_variant 7/395 ENSP00000484607

Frequencies

GnomAD3 genomes
AF:
0.000171
AC:
26
AN:
152154
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00226
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000245
AC:
60
AN:
245326
Hom.:
0
AF XY:
0.000239
AC XY:
32
AN XY:
133856
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000581
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000554
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00213
Gnomad NFE exome
AF:
0.000118
Gnomad OTH exome
AF:
0.000166
GnomAD4 exome
AF:
0.000101
AC:
148
AN:
1458708
Hom.:
0
Cov.:
75
AF XY:
0.0000978
AC XY:
71
AN XY:
725840
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000448
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00226
Gnomad4 NFE exome
AF:
0.0000180
Gnomad4 OTH exome
AF:
0.000182
GnomAD4 genome
AF:
0.000171
AC:
26
AN:
152272
Hom.:
0
Cov.:
34
AF XY:
0.000269
AC XY:
20
AN XY:
74456
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00226
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000240
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.000215
AC:
26
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Congenital myasthenic syndrome 8 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 27, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
17
DANN
Uncertain
0.98
Eigen
Benign
-0.61
Eigen_PC
Benign
-0.54
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.76
T;T
M_CAP
Benign
0.023
T
MetaRNN
Benign
0.031
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.8
L;.
MutationTaster
Benign
1.0
D
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-1.8
N;.
REVEL
Benign
0.048
Sift
Benign
0.39
T;.
Sift4G
Benign
0.088
T;T
Vest4
0.21
MVP
0.49
MPC
0.98
ClinPred
0.027
T
GERP RS
0.60
RBP_binding_hub_radar
0.97
RBP_regulation_power_radar
3.3
gMVP
0.39

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs201280723; hg19: chr1-977396; API