rs34320609

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004646.4(NPHS1):​c.1175T>C​(p.Leu392Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00814 in 1,614,128 control chromosomes in the GnomAD database, including 130 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.017 ( 38 hom., cov: 32)
Exomes 𝑓: 0.0072 ( 92 hom. )

Consequence

NPHS1
NM_004646.4 missense

Scores

3
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.986

Publications

13 publications found
Variant links:
Genes affected
NPHS1 (HGNC:7908): (NPHS1 adhesion molecule, nephrin) This gene encodes a member of the immunoglobulin family of cell adhesion molecules that functions in the glomerular filtration barrier in the kidney. The gene is primarily expressed in renal tissues, and the protein is a type-1 transmembrane protein found at the slit diaphragm of glomerular podocytes. The slit diaphragm is thought to function as an ultrafilter to exclude albumin and other plasma macromolecules in the formation of urine. Mutations in this gene result in Finnish-type congenital nephrosis 1, characterized by severe proteinuria and loss of the slit diaphragm and foot processes.[provided by RefSeq, Oct 2009]
NPHS1 Gene-Disease associations (from GenCC):
  • congenital nephrotic syndrome, Finnish type
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Myriad Women’s Health, G2P, Labcorp Genetics (formerly Invitae), ClinGen
  • familial idiopathic steroid-resistant nephrotic syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: 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=0.0051710904).
BP6
Variant 19-35848393-A-G is Benign according to our data. Variant chr19-35848393-A-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 259481.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.0167 (2543/152258) while in subpopulation AFR AF = 0.042 (1744/41544). AF 95% confidence interval is 0.0403. There are 38 homozygotes in GnomAd4. There are 1186 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 38 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NPHS1NM_004646.4 linkc.1175T>C p.Leu392Pro missense_variant Exon 10 of 29 ENST00000378910.10 NP_004637.1 O60500-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NPHS1ENST00000378910.10 linkc.1175T>C p.Leu392Pro missense_variant Exon 10 of 29 1 NM_004646.4 ENSP00000368190.4 O60500-1
NPHS1ENST00000353632.6 linkc.1175T>C p.Leu392Pro missense_variant Exon 10 of 28 5 ENSP00000343634.5 O60500-2
NPHS1ENST00000592132.1 linkn.182T>C non_coding_transcript_exon_variant Exon 3 of 4 3

Frequencies

GnomAD3 genomes
AF:
0.0167
AC:
2539
AN:
152140
Hom.:
38
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0420
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0153
Gnomad ASJ
AF:
0.00490
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00332
Gnomad FIN
AF:
0.000565
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00716
Gnomad OTH
AF:
0.0182
GnomAD2 exomes
AF:
0.00829
AC:
2083
AN:
251344
AF XY:
0.00735
show subpopulations
Gnomad AFR exome
AF:
0.0433
Gnomad AMR exome
AF:
0.0125
Gnomad ASJ exome
AF:
0.00725
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000555
Gnomad NFE exome
AF:
0.00584
Gnomad OTH exome
AF:
0.0134
GnomAD4 exome
AF:
0.00724
AC:
10589
AN:
1461870
Hom.:
92
Cov.:
32
AF XY:
0.00697
AC XY:
5072
AN XY:
727236
show subpopulations
African (AFR)
AF:
0.0454
AC:
1521
AN:
33480
American (AMR)
AF:
0.0124
AC:
555
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00712
AC:
186
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.00428
AC:
369
AN:
86256
European-Finnish (FIN)
AF:
0.000693
AC:
37
AN:
53412
Middle Eastern (MID)
AF:
0.0111
AC:
64
AN:
5768
European-Non Finnish (NFE)
AF:
0.00654
AC:
7278
AN:
1112004
Other (OTH)
AF:
0.00959
AC:
579
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
621
1243
1864
2486
3107
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
294
588
882
1176
1470
<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:
0.0167
AC:
2543
AN:
152258
Hom.:
38
Cov.:
32
AF XY:
0.0159
AC XY:
1186
AN XY:
74458
show subpopulations
African (AFR)
AF:
0.0420
AC:
1744
AN:
41544
American (AMR)
AF:
0.0152
AC:
233
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00490
AC:
17
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00332
AC:
16
AN:
4816
European-Finnish (FIN)
AF:
0.000565
AC:
6
AN:
10624
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.00716
AC:
487
AN:
68014
Other (OTH)
AF:
0.0180
AC:
38
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.511
Heterozygous variant carriers
0
133
266
400
533
666
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
28
56
84
112
140
<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:
0.00979
Hom.:
61
Bravo
AF:
0.0188
TwinsUK
AF:
0.00485
AC:
18
ALSPAC
AF:
0.00441
AC:
17
ESP6500AA
AF:
0.0427
AC:
188
ESP6500EA
AF:
0.00616
AC:
53
ExAC
AF:
0.00876
AC:
1064
Asia WGS
AF:
0.00289
AC:
10
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Jul 21, 2021
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 09, 2018
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

not specified Benign:2
Oct 17, 2019
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: NPHS1 c.1175T>C (p.Leu392Pro) results in a non-conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.0083 in 251344 control chromosomes, predominantly at a frequency of 0.043 within the African or African-American subpopulation in the gnomAD database, including 20 homozygotes. The observed variant frequency within African or African-American control individuals in the gnomAD database is approximately 12.82 fold of the estimated maximal expected allele frequency for a pathogenic variant in NPHS1 causing Nephrotic Syndrome, Type 1 phenotype (0.0034), strongly suggesting that the variant is a benign polymorphism found primarily in populations of African or African-American origin. One clinical diagnostic laboratory has submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. One laboratory classified the variant as benign. Based on the evidence outlined above, the variant was classified as benign. -

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

- -

Focal segmental glomerulosclerosis Benign:1
Jul 11, 2022
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Congenital nephrotic syndrome Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
16
DANN
Uncertain
0.99
DEOGEN2
Benign
0.30
T;.
Eigen
Benign
-0.37
Eigen_PC
Benign
-0.30
FATHMM_MKL
Benign
0.59
D
LIST_S2
Benign
0.55
T;T
MetaRNN
Benign
0.0052
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.3
L;L
PhyloP100
0.99
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
1.8
N;N
REVEL
Benign
0.11
Sift
Benign
0.25
T;T
Sift4G
Uncertain
0.019
D;D
Polyphen
0.32
B;.
Vest4
0.38
MVP
0.56
MPC
0.28
ClinPred
0.0088
T
GERP RS
3.3
Varity_R
0.13
gMVP
0.72
Mutation Taster
=38/62
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: rs34320609; hg19: chr19-36339295; COSMIC: COSV99077616; COSMIC: COSV99077616; API