rs2229860

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 1P and 13B. PP2BP4_StrongBP6BS1BS2

The NM_005045.4(RELN):ā€‹c.5108C>Gā€‹(p.Pro1703Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00446 in 1,614,054 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.0035 ( 0 hom., cov: 32)
Exomes š‘“: 0.0046 ( 19 hom. )

Consequence

RELN
NM_005045.4 missense

Scores

6
8
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:9

Conservation

PhyloP100: 9.26
Variant links:
Genes affected
RELN (HGNC:9957): (reelin) This gene encodes a large secreted extracellular matrix protein thought to control cell-cell interactions critical for cell positioning and neuronal migration during brain development. This protein may be involved in schizophrenia, autism, bipolar disorder, major depression and in migration defects associated with temporal lobe epilepsy. Mutations of this gene are associated with autosomal recessive lissencephaly with cerebellar hypoplasia. Two transcript variants encoding distinct isoforms have been identified for this gene. Other transcript variants have been described but their full length nature has not been determined. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), RELN. . Gene score misZ 2.2497 (greater than the threshold 3.09). Trascript score misZ 4.2638 (greater than threshold 3.09). GenCC has associacion of gene with ankylosing spondylitis, lissencephaly with cerebellar hypoplasia, Norman-Roberts syndrome, complex neurodevelopmental disorder, autosomal dominant epilepsy with auditory features, familial temporal lobe epilepsy 7.
BP4
Computational evidence support a benign effect (MetaRNN=0.023003519).
BP6
Variant 7-103565380-G-C is Benign according to our data. Variant chr7-103565380-G-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 130125.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Benign=5, Uncertain_significance=1}. Variant chr7-103565380-G-C is described in Lovd as [Benign]. Variant chr7-103565380-G-C is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00351 (535/152250) while in subpopulation NFE AF= 0.00568 (386/68008). AF 95% confidence interval is 0.00521. There are 0 homozygotes in gnomad4. There are 263 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 19 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RELNNM_005045.4 linkuse as main transcriptc.5108C>G p.Pro1703Arg missense_variant 34/65 ENST00000428762.6 NP_005036.2
RELNNM_173054.3 linkuse as main transcriptc.5108C>G p.Pro1703Arg missense_variant 34/64 NP_774959.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RELNENST00000428762.6 linkuse as main transcriptc.5108C>G p.Pro1703Arg missense_variant 34/655 NM_005045.4 ENSP00000392423 P5P78509-1

Frequencies

GnomAD3 genomes
AF:
0.00352
AC:
535
AN:
152134
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000748
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00288
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000622
Gnomad FIN
AF:
0.00603
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00568
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.00325
AC:
817
AN:
251316
Hom.:
4
AF XY:
0.00331
AC XY:
449
AN XY:
135826
show subpopulations
Gnomad AFR exome
AF:
0.000738
Gnomad AMR exome
AF:
0.00182
Gnomad ASJ exome
AF:
0.00119
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00111
Gnomad FIN exome
AF:
0.00619
Gnomad NFE exome
AF:
0.00474
Gnomad OTH exome
AF:
0.00359
GnomAD4 exome
AF:
0.00455
AC:
6656
AN:
1461804
Hom.:
19
Cov.:
33
AF XY:
0.00454
AC XY:
3301
AN XY:
727206
show subpopulations
Gnomad4 AFR exome
AF:
0.000687
Gnomad4 AMR exome
AF:
0.00183
Gnomad4 ASJ exome
AF:
0.00119
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00108
Gnomad4 FIN exome
AF:
0.00680
Gnomad4 NFE exome
AF:
0.00524
Gnomad4 OTH exome
AF:
0.00389
GnomAD4 genome
AF:
0.00351
AC:
535
AN:
152250
Hom.:
0
Cov.:
32
AF XY:
0.00353
AC XY:
263
AN XY:
74428
show subpopulations
Gnomad4 AFR
AF:
0.000746
Gnomad4 AMR
AF:
0.00288
Gnomad4 ASJ
AF:
0.00115
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000622
Gnomad4 FIN
AF:
0.00603
Gnomad4 NFE
AF:
0.00568
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.00526
Hom.:
0
Bravo
AF:
0.00301
TwinsUK
AF:
0.00405
AC:
15
ALSPAC
AF:
0.00519
AC:
20
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00535
AC:
46
ExAC
AF:
0.00330
AC:
401
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00447
EpiControl
AF:
0.00403

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:9
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 12, 2016- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Mar 26, 2015- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJul 28, 2020- -
not provided Benign:4
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsSep 15, 2016- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingGeneDxDec 17, 2019This variant is associated with the following publications: (PMID: 19435634, 25648840, 17366345, 16311013) -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2024RELN: BS2 -
Norman-Roberts syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
Norman-Roberts syndrome;C4225327:Familial temporal lobe epilepsy 7 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.94
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Uncertain
0.090
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.54
D;.;.
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.98
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.94
D;D;D
M_CAP
Benign
0.057
D
MetaRNN
Benign
0.023
T;T;T
MetaSVM
Benign
-0.87
T
MutationAssessor
Pathogenic
2.9
M;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-4.1
D;D;D
REVEL
Uncertain
0.48
Sift
Uncertain
0.0040
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.94
MVP
0.55
MPC
0.71
ClinPred
0.030
T
GERP RS
6.0
Varity_R
0.46
gMVP
0.82

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: rs2229860; hg19: chr7-103205827; API