rs373058941

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_198576.4(AGRN):​c.5370+11G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00144 in 1,557,644 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00098 ( 1 hom., cov: 34)
Exomes 𝑓: 0.0015 ( 2 hom. )

Consequence

AGRN
NM_198576.4 intron

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 1.92

Publications

0 publications found
Variant links:
Genes affected
AGRN (HGNC:329): (agrin) This gene encodes one of several proteins that are critical in the development of the neuromuscular junction (NMJ), as identified in mouse knock-out studies. The encoded protein contains several laminin G, Kazal type serine protease inhibitor, and epidermal growth factor domains. Additional post-translational modifications occur to add glycosaminoglycans and disulfide bonds. In one family with congenital myasthenic syndrome affecting limb-girdle muscles, a mutation in this gene was found. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Mar 2015]
AGRN Gene-Disease associations (from GenCC):
  • congenital myasthenic syndrome 8
    Inheritance: AR Classification: STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • presynaptic congenital myasthenic syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • postsynaptic congenital myasthenic syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 1-1051380-G-A is Benign according to our data. Variant chr1-1051380-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 263198.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAdExome4 at 2 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
AGRNNM_198576.4 linkc.5370+11G>A intron_variant Intron 31 of 35 ENST00000379370.7 NP_940978.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
AGRNENST00000379370.7 linkc.5370+11G>A intron_variant Intron 31 of 35 1 NM_198576.4 ENSP00000368678.2
AGRNENST00000651234.1 linkc.5067+11G>A intron_variant Intron 31 of 37 ENSP00000499046.1
AGRNENST00000652369.2 linkc.5055+11G>A intron_variant Intron 30 of 34 ENSP00000498543.1
AGRNENST00000620552.4 linkc.4968+11G>A intron_variant Intron 32 of 38 5 ENSP00000484607.1

Frequencies

GnomAD3 genomes
AF:
0.000980
AC:
149
AN:
152114
Hom.:
1
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000362
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000524
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00179
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000907
AC:
144
AN:
158752
AF XY:
0.000874
show subpopulations
Gnomad AFR exome
AF:
0.000440
Gnomad AMR exome
AF:
0.000391
Gnomad ASJ exome
AF:
0.000956
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000245
Gnomad NFE exome
AF:
0.00184
Gnomad OTH exome
AF:
0.000452
GnomAD4 exome
AF:
0.00149
AC:
2088
AN:
1405412
Hom.:
2
Cov.:
57
AF XY:
0.00146
AC XY:
1014
AN XY:
694324
show subpopulations
African (AFR)
AF:
0.0000921
AC:
3
AN:
32564
American (AMR)
AF:
0.000406
AC:
15
AN:
36902
Ashkenazi Jewish (ASJ)
AF:
0.00107
AC:
27
AN:
25204
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37440
South Asian (SAS)
AF:
0.000212
AC:
17
AN:
80248
European-Finnish (FIN)
AF:
0.000224
AC:
10
AN:
44592
Middle Eastern (MID)
AF:
0.000785
AC:
4
AN:
5094
European-Non Finnish (NFE)
AF:
0.00178
AC:
1935
AN:
1085042
Other (OTH)
AF:
0.00132
AC:
77
AN:
58326
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.538
Heterozygous variant carriers
0
131
262
393
524
655
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
76
152
228
304
380
<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:
0.000979
AC:
149
AN:
152232
Hom.:
1
Cov.:
34
AF XY:
0.000833
AC XY:
62
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.000361
AC:
15
AN:
41538
American (AMR)
AF:
0.000523
AC:
8
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4826
European-Finnish (FIN)
AF:
0.0000942
AC:
1
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00179
AC:
122
AN:
67976
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.515
Heterozygous variant carriers
0
10
19
29
38
48
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00115
Hom.:
0
Bravo
AF:
0.00110

ClinVar

Significance: Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 13, 2016
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Congenital myasthenic syndrome 8 Benign:1
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
3.2
DANN
Benign
0.82
PhyloP100
1.9
Mutation Taster
=100/0
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

Other links and lift over

dbSNP: rs373058941; hg19: chr1-986760; API