rs374308904

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 2P and 5B. PM2BP4_StrongBP6

The NM_199242.3(UNC13D):​c.271G>A​(p.Val91Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000173 in 1,387,678 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. V91V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000021 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000017 ( 1 hom. )

Consequence

UNC13D
NM_199242.3 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: -0.386

Publications

0 publications found
Variant links:
Genes affected
UNC13D (HGNC:23147): (unc-13 homolog D) This gene encodes a protein that is a member of the UNC13 family, containing similar domain structure as other family members but lacking an N-terminal phorbol ester-binding C1 domain present in other Munc13 proteins. The protein appears to play a role in vesicle maturation during exocytosis and is involved in regulation of cytolytic granules secretion. Mutations in this gene are associated with familial hemophagocytic lymphohistiocytosis type 3, a genetically heterogeneous, rare autosomal recessive disorder. [provided by RefSeq, Jul 2008]
UNC13D Gene-Disease associations (from GenCC):
  • familial hemophagocytic lymphohistiocytosis 3
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, ClinGen, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • hereditary hemophagocytic lymphohistiocytosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.030881017).
BP6
Variant 17-75843064-C-T is Benign according to our data. Variant chr17-75843064-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 235323.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_199242.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
UNC13D
NM_199242.3
MANE Select
c.271G>Ap.Val91Met
missense
Exon 4 of 32NP_954712.1Q70J99-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
UNC13D
ENST00000207549.9
TSL:1 MANE Select
c.271G>Ap.Val91Met
missense
Exon 4 of 32ENSP00000207549.3Q70J99-1
UNC13D
ENST00000412096.6
TSL:2
c.271G>Ap.Val91Met
missense
Exon 4 of 33ENSP00000388093.1Q70J99-3
UNC13D
ENST00000868100.1
c.271G>Ap.Val91Met
missense
Exon 5 of 33ENSP00000538159.1

Frequencies

GnomAD3 genomes
AF:
0.0000211
AC:
3
AN:
142380
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000251
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000309
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000163
AC:
4
AN:
244762
AF XY:
0.0000224
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000906
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000169
AC:
21
AN:
1245298
Hom.:
1
Cov.:
38
AF XY:
0.0000162
AC XY:
10
AN XY:
617952
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
27482
American (AMR)
AF:
0.000131
AC:
5
AN:
38146
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18634
East Asian (EAS)
AF:
0.000110
AC:
3
AN:
27326
South Asian (SAS)
AF:
0.0000119
AC:
1
AN:
84074
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
30896
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4668
European-Non Finnish (NFE)
AF:
0.0000124
AC:
12
AN:
967674
Other (OTH)
AF:
0.00
AC:
0
AN:
46398
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.0000211
AC:
3
AN:
142380
Hom.:
0
Cov.:
32
AF XY:
0.0000145
AC XY:
1
AN XY:
69150
show subpopulations
African (AFR)
AF:
0.0000251
AC:
1
AN:
39874
American (AMR)
AF:
0.00
AC:
0
AN:
14448
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3330
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4118
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3844
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8910
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
306
European-Non Finnish (NFE)
AF:
0.0000309
AC:
2
AN:
64692
Other (OTH)
AF:
0.00
AC:
0
AN:
2004
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000282
Hom.:
0
Bravo
AF:
0.0000151
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000165
AC:
2

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Familial hemophagocytic lymphohistiocytosis 3 (1)
-
-
1
Inborn genetic diseases (1)
-
1
-
not provided (1)
-
1
-
UNC13D-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
0.036
DANN
Benign
0.95
DEOGEN2
Benign
0.083
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.035
N
LIST_S2
Benign
0.77
T
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.031
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.77
N
PhyloP100
-0.39
PrimateAI
Benign
0.27
T
PROVEAN
Benign
0.14
N
REVEL
Benign
0.041
Sift
Benign
1.0
T
Sift4G
Benign
1.0
T
Polyphen
0.0060
B
Vest4
0.11
MVP
0.54
MPC
0.097
ClinPred
0.017
T
GERP RS
-2.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2
Varity_R
0.023
gMVP
0.16
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs374308904; hg19: chr17-73839145; COSMIC: COSV99256206; COSMIC: COSV99256206; API