rs202124287

Positions:

• chr2-151677702-C-G
• chr2-151677702-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2 BP4_Moderate

The NM_001164507.2(NEB):​c.3637G>C​(p.Val1213Leu) 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. 14/21 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. V1213I) has been classified as Likely benign.

• Frequency: Genomes: not found (cov: 32)
• Consequence: NEB NM_001164507.2 missense
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 1.41

Genes affected

NEB (HGNC:7720): (nebulin) This gene encodes nebulin, a giant protein component of the cytoskeletal matrix that coexists with the thick and thin filaments within the sarcomeres of skeletal muscle. In most vertebrates, nebulin accounts for 3 to 4% of the total myofibrillar protein. The encoded protein contains approximately 30-amino acid long modules that can be classified into 7 types and other repeated modules. Protein isoform sizes vary from 600 to 800 kD due to alternative splicing that is tissue-, species-,and developmental stage-specific. Of the 183 exons in the nebulin gene, at least 43 are alternatively spliced, although exons 143 and 144 are not found in the same transcript. Of the several thousand transcript variants predicted for nebulin, the RefSeq Project has decided to create three representative RefSeq records. Mutations in this gene are associated with recessive nemaline myopathy. [provided by RefSeq, Sep 2009]

ACMG classification

Verdict is Uncertain_significance. Variant got 0 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• BP4: Computational evidence support a benign effect (MetaRNN=0.10204807).

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
NEB	NM_001164507.2	c.3637G>C	p.Val1213Leu	missense_variant	34/182	ENST00000427231.7	NP_001157979.2
NEB	NM_001164508.2	c.3637G>C	p.Val1213Leu	missense_variant	34/182	ENST00000397345.8	NP_001157980.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
NEB	ENST00000397345.8	c.3637G>C	p.Val1213Leu	missense_variant	34/182	5	NM_001164508.2	ENSP00000380505	P5
NEB	ENST00000427231.7	c.3637G>C	p.Val1213Leu	missense_variant	34/182	5	NM_001164507.2	ENSP00000416578	A2
NEB	ENST00000409198.5	c.3637G>C	p.Val1213Leu	missense_variant	34/150	5		ENSP00000386259

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 31

GnomAD4 genome Cov.: 32

Bravo AF: 0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.21
BayesDel_addAF	Benign	-0.30	T
BayesDel_noAF	Benign	-0.66
CADD	Benign	1.3
DANN	Benign	0.88
DEOGEN2	Benign	0.039	.;.;T;.;T;.;.
Eigen	Benign	-0.87
Eigen_PC	Benign	-0.90
FATHMM_MKL	Benign	0.34	N
LIST_S2	Benign	0.67	T;T;T;T;T;.;.
M_CAP	Benign	0.013	T
MetaRNN	Benign	0.10	T;T;T;T;T;T;T
MetaSVM	Benign	-1.0	T
MutationAssessor	Uncertain	2.5	M;M;.;M;M;M;M
MutationTaster	Benign	1.0	N;N;N;N
PrimateAI	Benign	0.29	T
PROVEAN	Benign	-1.1	N;N;.;N;N;.;.
REVEL	Benign	0.038
Sift	Benign	0.13	T;T;.;T;T;.;.
Sift4G	Uncertain	0.0080	D;D;D;D;D;D;D
Polyphen		0.0030	.;.;.;.;B;.;.
Vest4		0.22
MutPred		0.40		Gain of catalytic residue at V1213 (P = 0.0687);Gain of catalytic residue at V1213 (P = 0.0687);Gain of catalytic residue at V1213 (P = 0.0687);Gain of catalytic residue at V1213 (P = 0.0687);Gain of catalytic residue at V1213 (P = 0.0687);Gain of catalytic residue at V1213 (P = 0.0687);Gain of catalytic residue at V1213 (P = 0.0687);
MVP		0.30
MPC		0.054
ClinPred		0.12	T
GERP RS		2.3
Varity_R		0.055
gMVP		0.35

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

Other links and lift over

dbSNP: rs202124287; hg19: chr2-152534216;