rs201915239

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_152617.4(RNF168):​c.391C>T​(p.Arg131Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000929 in 1,613,784 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

RNF168
NM_152617.4 stop_gained

Scores

2
4
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 2.52
Variant links:
Genes affected
RNF168 (HGNC:26661): (ring finger protein 168) This gene encodes an E3 ubiquitin ligase protein that contains a RING finger, a motif present in a variety of functionally distinct proteins and known to be involved in protein-DNA and protein-protein interactions. The protein is involved in DNA double-strand break (DSB) repair. Mutations in this gene result in Riddle syndrome. [provided by RefSeq, Sep 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 3-196487566-G-A is Pathogenic according to our data. Variant chr3-196487566-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 140755.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RNF168NM_152617.4 linkuse as main transcriptc.391C>T p.Arg131Ter stop_gained 3/6 ENST00000318037.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RNF168ENST00000318037.3 linkuse as main transcriptc.391C>T p.Arg131Ter stop_gained 3/61 NM_152617.4 P1
RNF168ENST00000437070.1 linkuse as main transcriptc.314C>T p.Ala105Val missense_variant, NMD_transcript_variant 2/52

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152006
Hom.:
0
Cov.:
33
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000119
AC:
3
AN:
251260
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135824
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000578
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000958
AC:
14
AN:
1461778
Hom.:
0
Cov.:
32
AF XY:
0.00000825
AC XY:
6
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000117
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
152006
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74234
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:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000305
Hom.:
0
Bravo
AF:
0.0000151
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:2
Likely pathogenic, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)May 15, 2017- -
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpMay 17, 2022This sequence change creates a premature translational stop signal (p.Arg131*) in the RNF168 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in RNF168 are known to be pathogenic (PMID: 19203578, 21394101). This variant is present in population databases (rs201915239, gnomAD 0.006%). This premature translational stop signal has been observed in individual(s) with RNF168-related conditions (PMID: 21394101). ClinVar contains an entry for this variant (Variation ID: 140755). For these reasons, this variant has been classified as Pathogenic. -
RNF168-related disorder Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 20, 2024The RNF168 c.391C>T variant is predicted to result in premature protein termination (p.Arg131*). This variant has been reported in the homozygous state in an individual with a phenotype consistent with RNF168-related disease (Devgan et al. 2011. PubMed ID: 21394101). Cultured cells from this individual exhibited poor survival following exposure to ionizing radiation, S-phase checkpoint defects, and an impaired response to DNA damage (Devgan et al. 2011. PubMed ID: 21394101). This variant has also been reported in the heterozygous state in an individual with pancreatic cancer who also possessed a heterozygous CFTR missense variant (CFTR: p.Gln1352His, Slavin et al. 2018. PubMed ID: 28687971). This variant is reported in 0.0058% of alleles in individuals of Latino descent in gnomAD. Nonsense variants in RNF168 are expected to be pathogenic. This variant is interpreted as pathogenic. -
RIDDLE syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMSep 01, 2011- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.50
D
BayesDel_noAF
Pathogenic
0.56
CADD
Pathogenic
37
DANN
Uncertain
1.0
Eigen
Uncertain
0.55
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Uncertain
0.78
D
MutationTaster
Benign
1.0
A
Vest4
0.78
GERP RS
2.6
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.6

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: rs201915239; hg19: chr3-196214437; COSMIC: COSV58837249; API