rs35910969

Variant summary

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

The NM_004252.5(NHERF1):​c.328C>G​(p.Leu110Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0253 in 1,533,822 control chromosomes in the GnomAD database, including 619 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. L110L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.016 ( 33 hom., cov: 32)
Exomes 𝑓: 0.026 ( 586 hom. )

Consequence

NHERF1
NM_004252.5 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts P:1B:7

Conservation

PhyloP100: -0.0950
Variant links:
Genes affected
NHERF1 (HGNC:11075): (NHERF family PDZ scaffold protein 1) This gene encodes a sodium/hydrogen exchanger regulatory cofactor. The protein interacts with and regulates various proteins including the cystic fibrosis transmembrane conductance regulator and G-protein coupled receptors such as the beta2-adrenergic receptor and the parathyroid hormone 1 receptor. The protein also interacts with proteins that function as linkers between integral membrane and cytoskeletal proteins. The protein localizes to actin-rich structures including membrane ruffles, microvilli, and filopodia. Mutations in this gene result in hypophosphatemic nephrolithiasis/osteoporosis type 2, and loss of heterozygosity of this gene is implicated in breast cancer.[provided by RefSeq, Sep 2009]
SLC9A3R1-AS1 (HGNC:55322): (SLC9A3R1 antisense RNA 1)

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ACMG classification

Classification was made for transcript

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

BP4
Computational evidence support a benign effect (MetaRNN=0.003754735).
BP6
Variant 17-74749174-C-G is Benign according to our data. Variant chr17-74749174-C-G is described in ClinVar as [Benign]. Clinvar id is 5270.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-74749174-C-G is described in Lovd as [Benign]. Variant chr17-74749174-C-G is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0162 (2460/152148) while in subpopulation NFE AF = 0.0279 (1896/67972). AF 95% confidence interval is 0.0268. There are 33 homozygotes in GnomAd4. There are 1119 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position FAILED quality control check.
BS2
High AC in GnomAd4 at 2460 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NHERF1NM_004252.5 linkc.328C>G p.Leu110Val missense_variant Exon 1 of 6 ENST00000262613.10 NP_004243.1 O14745-1
SLC9A3R1-AS1NR_187307.1 linkn.694G>C non_coding_transcript_exon_variant Exon 1 of 3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NHERF1ENST00000262613.10 linkc.328C>G p.Leu110Val missense_variant Exon 1 of 6 1 NM_004252.5 ENSP00000262613.5 O14745-1
NHERF1ENST00000583369.5 linkc.328C>G p.Leu110Val missense_variant Exon 1 of 3 3 ENSP00000464321.1 J3QRP6

Frequencies

GnomAD3 genomes
AF:
0.0162
AC:
2460
AN:
152030
Hom.:
33
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00529
Gnomad AMI
AF:
0.0230
Gnomad AMR
AF:
0.00903
Gnomad ASJ
AF:
0.0147
Gnomad EAS
AF:
0.000388
Gnomad SAS
AF:
0.00333
Gnomad FIN
AF:
0.00858
Gnomad MID
AF:
0.00318
Gnomad NFE
AF:
0.0279
Gnomad OTH
AF:
0.0120
GnomAD2 exomes
AF:
0.0148
AC:
1929
AN:
130476
AF XY:
0.0146
show subpopulations
Gnomad AFR exome
AF:
0.00416
Gnomad AMR exome
AF:
0.00616
Gnomad ASJ exome
AF:
0.0136
Gnomad EAS exome
AF:
0.0000941
Gnomad FIN exome
AF:
0.00713
Gnomad NFE exome
AF:
0.0291
Gnomad OTH exome
AF:
0.0160
GnomAD4 exome
AF:
0.0263
AC:
36341
AN:
1381674
Hom.:
586
Cov.:
32
AF XY:
0.0254
AC XY:
17319
AN XY:
680916
show subpopulations
Gnomad4 AFR exome
AF:
0.00439
AC:
138
AN:
31434
Gnomad4 AMR exome
AF:
0.00705
AC:
246
AN:
34880
Gnomad4 ASJ exome
AF:
0.0133
AC:
331
AN:
24896
Gnomad4 EAS exome
AF:
0.0000277
AC:
1
AN:
36082
Gnomad4 SAS exome
AF:
0.00562
AC:
446
AN:
79302
Gnomad4 FIN exome
AF:
0.00950
AC:
343
AN:
36102
Gnomad4 NFE exome
AF:
0.0311
AC:
33486
AN:
1076058
Gnomad4 Remaining exome
AF:
0.0229
AC:
1319
AN:
57546
Heterozygous variant carriers
0
2134
4269
6403
8538
10672
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
1306
2612
3918
5224
6530
<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:
0.0162
AC:
2460
AN:
152148
Hom.:
33
Cov.:
32
AF XY:
0.0150
AC XY:
1119
AN XY:
74402
show subpopulations
Gnomad4 AFR
AF:
0.00527
AC:
0.00527279
AN:
0.00527279
Gnomad4 AMR
AF:
0.00902
AC:
0.00902197
AN:
0.00902197
Gnomad4 ASJ
AF:
0.0147
AC:
0.0147144
AN:
0.0147144
Gnomad4 EAS
AF:
0.000389
AC:
0.000388651
AN:
0.000388651
Gnomad4 SAS
AF:
0.00333
AC:
0.00332779
AN:
0.00332779
Gnomad4 FIN
AF:
0.00858
AC:
0.0085752
AN:
0.0085752
Gnomad4 NFE
AF:
0.0279
AC:
0.0278938
AN:
0.0278938
Gnomad4 OTH
AF:
0.0118
AC:
0.0118483
AN:
0.0118483
Heterozygous variant carriers
0
118
236
354
472
590
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
32
64
96
128
160
<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:
0.0198
Hom.:
3
Bravo
AF:
0.0161
TwinsUK
AF:
0.0305
AC:
113
ALSPAC
AF:
0.0345
AC:
133
ESP6500AA
AF:
0.00403
AC:
14
ESP6500EA
AF:
0.0190
AC:
137
ExAC
AF:
0.00869
AC:
826
Asia WGS
AF:
0.00231
AC:
8
AN:
3474

ClinVar

Significance: Benign
Submissions summary: Pathogenic:1Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Apr 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

NHERF1: BS1, BS2 -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 15, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 31672324, 18784102, 26787776, 25333069, 22995991, 31171716, 29275531) -

Hypophosphatemic nephrolithiasis/osteoporosis 2 Pathogenic:1Benign:2
Sep 11, 2008
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Feb 04, 2025
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant NM_004252.5(NHERF1):c.328C>G (p.Leu110Val) is an old submission that was updated given new versions of GnomAD. It has GnomAD 4.1.0 frequency of 0.02530 with 619 homozygotes. It was found internally in patients with different phenotypes explained by other variants. Applied assertion criteria redefined it as Benign. -

not specified Benign:1
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.095
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
17
DANN
Benign
0.91
DEOGEN2
Benign
0.022
T;T
Eigen
Benign
-0.52
Eigen_PC
Benign
-0.46
FATHMM_MKL
Benign
0.65
D
LIST_S2
Benign
0.72
T;T
MetaRNN
Benign
0.0038
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.90
.;L
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
-0.86
.;N
REVEL
Benign
0.070
Sift
Benign
0.28
.;T
Sift4G
Benign
0.27
T;T
Polyphen
0.073
.;B
Vest4
0.13
MPC
0.96
ClinPred
0.0061
T
GERP RS
1.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.10
gMVP
0.35
Mutation Taster
=74/26
polymorphism

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: rs35910969; hg19: chr17-72745313; COSMIC: COSV99380087; COSMIC: COSV99380087; API