rs34477820

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000553.6(WRN):ā€‹c.95A>Gā€‹(p.Lys32Arg) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00386 in 1,613,424 control chromosomes in the GnomAD database, including 20 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/23 in silico tools predict a benign outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.0030 ( 1 hom., cov: 33)
Exomes š‘“: 0.0039 ( 19 hom. )

Consequence

WRN
NM_000553.6 missense, splice_region

Scores

1
4
14
Splicing: ADA: 0.9915
1
1

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:8O:1

Conservation

PhyloP100: 5.79
Variant links:
Genes affected
WRN (HGNC:12791): (WRN RecQ like helicase) This gene encodes a member of the RecQ subfamily of DNA helicase proteins. The encoded nuclear protein is important in the maintenance of genome stability and plays a role in DNA repair, replication, transcription and telomere maintenance. This protein contains a N-terminal 3' to 5' exonuclease domain, an ATP-dependent helicase domain and RQC (RecQ helicase conserved region) domain in its central region, and a C-terminal HRDC (helicase RNase D C-terminal) domain and nuclear localization signal. Defects in this gene are the cause of Werner syndrome, an autosomal recessive disorder characterized by accelerated aging and an elevated risk for certain cancers. [provided by RefSeq, Aug 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0048146844).
BP6
Variant 8-31058542-A-G is Benign according to our data. Variant chr8-31058542-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 135423.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, not_provided=1, Benign=3, Uncertain_significance=1}. Variant chr8-31058542-A-G is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.003 (457/152366) while in subpopulation NFE AF= 0.00541 (368/68036). AF 95% confidence interval is 0.00495. There are 1 homozygotes in gnomad4. There are 183 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 19 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
WRNNM_000553.6 linkuse as main transcriptc.95A>G p.Lys32Arg missense_variant, splice_region_variant 2/35 ENST00000298139.7 NP_000544.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
WRNENST00000298139.7 linkuse as main transcriptc.95A>G p.Lys32Arg missense_variant, splice_region_variant 2/351 NM_000553.6 ENSP00000298139 P1
WRNENST00000650667.1 linkuse as main transcriptc.95A>G p.Lys32Arg missense_variant, splice_region_variant, NMD_transcript_variant 2/34 ENSP00000498593

Frequencies

GnomAD3 genomes
AF:
0.00300
AC:
457
AN:
152248
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000796
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00268
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.000471
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00541
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00305
AC:
764
AN:
250438
Hom.:
7
AF XY:
0.00307
AC XY:
416
AN XY:
135362
show subpopulations
Gnomad AFR exome
AF:
0.000555
Gnomad AMR exome
AF:
0.00148
Gnomad ASJ exome
AF:
0.000398
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000622
Gnomad FIN exome
AF:
0.000787
Gnomad NFE exome
AF:
0.00577
Gnomad OTH exome
AF:
0.00196
GnomAD4 exome
AF:
0.00395
AC:
5766
AN:
1461058
Hom.:
19
Cov.:
30
AF XY:
0.00396
AC XY:
2877
AN XY:
726816
show subpopulations
Gnomad4 AFR exome
AF:
0.000658
Gnomad4 AMR exome
AF:
0.00179
Gnomad4 ASJ exome
AF:
0.000345
Gnomad4 EAS exome
AF:
0.0000505
Gnomad4 SAS exome
AF:
0.000859
Gnomad4 FIN exome
AF:
0.00135
Gnomad4 NFE exome
AF:
0.00478
Gnomad4 OTH exome
AF:
0.00310
GnomAD4 genome
AF:
0.00300
AC:
457
AN:
152366
Hom.:
1
Cov.:
33
AF XY:
0.00246
AC XY:
183
AN XY:
74514
show subpopulations
Gnomad4 AFR
AF:
0.000793
Gnomad4 AMR
AF:
0.00268
Gnomad4 ASJ
AF:
0.000865
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.000471
Gnomad4 NFE
AF:
0.00541
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00450
Hom.:
3
Bravo
AF:
0.00286
TwinsUK
AF:
0.00270
AC:
10
ALSPAC
AF:
0.00337
AC:
13
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00395
AC:
34
ExAC
AF:
0.00358
AC:
435
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:8Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:5
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2024WRN: BP4, BS2 -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 20, 2019This variant is associated with the following publications: (PMID: 28063943) -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
not specified Benign:2Other:1
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Apr 24, 2015- -
not provided, no classification providedreference populationITMISep 19, 2013- -
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoOct 05, 2020- -
Werner syndrome Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.40
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T
Eigen
Benign
0.16
Eigen_PC
Benign
0.15
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.69
T
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.0048
T
MetaSVM
Benign
-0.90
T
MutationAssessor
Uncertain
2.4
M
MutationTaster
Benign
0.99
N
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-1.6
N
REVEL
Benign
0.10
Sift
Uncertain
0.017
D
Sift4G
Uncertain
0.020
D
Polyphen
0.70
P
Vest4
0.21
MVP
0.75
MPC
0.28
ClinPred
0.031
T
GERP RS
3.7
Varity_R
0.10
gMVP
0.52

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Benign
0.70
SpliceAI score (max)
0.060
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: rs34477820; hg19: chr8-30916058; COSMIC: COSV99035806; API