rs2287499

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001143992.2(WRAP53):​c.202C>G​(p.Arg68Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.16 in 1,614,002 control chromosomes in the GnomAD database, including 38,182 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R68P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.31 ( 13477 hom., cov: 32)
Exomes 𝑓: 0.14 ( 24705 hom. )

Consequence

WRAP53
NM_001143992.2 missense

Scores

17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.419

Publications

81 publications found
Variant links:
Genes affected
WRAP53 (HGNC:25522): (WD repeat containing antisense to TP53) This gene encodes an essential component of the telomerase holoenzyme complex, a ribonucleoprotein complex required for telomere synthesis. This protein is enriched in Cajal bodies, nuclear sites of RNP processing that are important for telomerase function. It interacts with dyskerin, TERT and TERC, other components of active telomerase, and with small Cajal body RNAs (scaRNAs), which are involved in modifying splicing RNAs. This mRNA also functions as a p53 antisense transcript, that regulates endogenous p53 mRNA levels and further induction of p53 protein by targeting the 5' untranslated region of p53 mRNA. Alternatively spliced transcript variants which differ only in the 5' UTR have been found for this gene. [provided by RefSeq, Mar 2011]
WRAP53 Gene-Disease associations (from GenCC):
  • dyskeratosis congenita, autosomal recessive 3
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • dyskeratosis congenita
    Inheritance: AR, AD Classification: MODERATE, SUPPORTIVE Submitted by: ClinGen, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=9.1231465E-7).
BP6
Variant 17-7688850-C-G is Benign according to our data. Variant chr17-7688850-C-G is described in ClinVar as Benign. ClinVar VariationId is 261001.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.75 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WRAP53NM_001143992.2 linkc.202C>G p.Arg68Gly missense_variant Exon 2 of 11 ENST00000396463.7 NP_001137464.1 Q9BUR4
WRAP53NM_001143990.2 linkc.202C>G p.Arg68Gly missense_variant Exon 2 of 11 NP_001137462.1 Q9BUR4
WRAP53NM_001143991.2 linkc.202C>G p.Arg68Gly missense_variant Exon 2 of 11 NP_001137463.1 Q9BUR4
WRAP53NM_018081.2 linkc.202C>G p.Arg68Gly missense_variant Exon 1 of 10 NP_060551.2 Q9BUR4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WRAP53ENST00000396463.7 linkc.202C>G p.Arg68Gly missense_variant Exon 2 of 11 1 NM_001143992.2 ENSP00000379727.3 Q9BUR4

Frequencies

GnomAD3 genomes
AF:
0.312
AC:
47352
AN:
151998
Hom.:
13437
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.757
Gnomad AMI
AF:
0.0833
Gnomad AMR
AF:
0.228
Gnomad ASJ
AF:
0.113
Gnomad EAS
AF:
0.307
Gnomad SAS
AF:
0.253
Gnomad FIN
AF:
0.0622
Gnomad MID
AF:
0.149
Gnomad NFE
AF:
0.118
Gnomad OTH
AF:
0.266
GnomAD2 exomes
AF:
0.199
AC:
50003
AN:
250972
AF XY:
0.190
show subpopulations
Gnomad AFR exome
AF:
0.773
Gnomad AMR exome
AF:
0.202
Gnomad ASJ exome
AF:
0.113
Gnomad EAS exome
AF:
0.309
Gnomad FIN exome
AF:
0.0609
Gnomad NFE exome
AF:
0.118
Gnomad OTH exome
AF:
0.163
GnomAD4 exome
AF:
0.144
AC:
211092
AN:
1461884
Hom.:
24705
Cov.:
33
AF XY:
0.146
AC XY:
106161
AN XY:
727244
show subpopulations
African (AFR)
AF:
0.783
AC:
26218
AN:
33480
American (AMR)
AF:
0.205
AC:
9173
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.111
AC:
2899
AN:
26136
East Asian (EAS)
AF:
0.285
AC:
11308
AN:
39700
South Asian (SAS)
AF:
0.260
AC:
22470
AN:
86258
European-Finnish (FIN)
AF:
0.0643
AC:
3434
AN:
53412
Middle Eastern (MID)
AF:
0.182
AC:
1049
AN:
5768
European-Non Finnish (NFE)
AF:
0.111
AC:
123787
AN:
1112010
Other (OTH)
AF:
0.178
AC:
10754
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
11970
23940
35910
47880
59850
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4922
9844
14766
19688
24610
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.312
AC:
47448
AN:
152118
Hom.:
13477
Cov.:
32
AF XY:
0.306
AC XY:
22739
AN XY:
74370
show subpopulations
African (AFR)
AF:
0.758
AC:
31420
AN:
41478
American (AMR)
AF:
0.228
AC:
3479
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.113
AC:
393
AN:
3472
East Asian (EAS)
AF:
0.307
AC:
1587
AN:
5168
South Asian (SAS)
AF:
0.252
AC:
1218
AN:
4824
European-Finnish (FIN)
AF:
0.0622
AC:
659
AN:
10600
Middle Eastern (MID)
AF:
0.150
AC:
44
AN:
294
European-Non Finnish (NFE)
AF:
0.118
AC:
8010
AN:
67984
Other (OTH)
AF:
0.267
AC:
562
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1076
2152
3227
4303
5379
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
394
788
1182
1576
1970
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.124
Hom.:
1272
Bravo
AF:
0.341
TwinsUK
AF:
0.110
AC:
408
ALSPAC
AF:
0.116
AC:
446
ESP6500AA
AF:
0.741
AC:
3265
ESP6500EA
AF:
0.116
AC:
998
ExAC
AF:
0.212
AC:
25704
Asia WGS
AF:
0.303
AC:
1051
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Jan 24, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 29% of patients studied by a panel of primary immunodeficiencies. Number of patients: 28. Only high quality variants are reported. -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency, variant associated with breast cancer -

Dyskeratosis congenita, autosomal recessive 3 Benign:3
Nov 22, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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 and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 09, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 25134915, 17683073) -

Li-Fraumeni syndrome Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dyskeratosis congenita Benign:1
Dec 17, 2014
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as 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: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.046
BayesDel_addAF
Benign
-0.76
T
BayesDel_noAF
Benign
-0.71
CADD
Benign
9.9
DANN
Benign
0.61
DEOGEN2
Benign
0.0057
T;T;T;T;T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.0030
N
LIST_S2
Benign
0.11
.;.;.;T;T
MetaRNN
Benign
9.1e-7
T;T;T;T;T
MetaSVM
Benign
-1.0
T
PhyloP100
0.42
PrimateAI
Benign
0.23
T
PROVEAN
Benign
0.36
N;N;N;N;N
REVEL
Benign
0.041
Sift
Benign
0.80
T;T;T;T;T
Sift4G
Benign
0.46
T;T;T;T;T
Polyphen
0.0
B;B;B;B;B
Vest4
0.059
MPC
0.31
ClinPred
0.0018
T
GERP RS
1.1
PromoterAI
0.0042
Neutral
Varity_R
0.040
gMVP
0.11
Mutation Taster
=99/1
polymorphism (auto)

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

Other links and lift over

dbSNP: rs2287499; hg19: chr17-7592168; COSMIC: COSV52834815; COSMIC: COSV52834815; API