rs3744123

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_144997.7(FLCN):​c.397-13G>A variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0319 in 1,569,198 control chromosomes in the GnomAD database, including 1,820 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.066 ( 706 hom., cov: 33)
Exomes 𝑓: 0.028 ( 1114 hom. )

Consequence

FLCN
NM_144997.7 splice_polypyrimidine_tract, intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: 0.00600
Variant links:
Genes affected
FLCN (HGNC:27310): (folliculin) This gene is located within the Smith-Magenis syndrome region on chromosome 17. Mutations in this gene are associated with Birt-Hogg-Dube syndrome, which is characterized by fibrofolliculomas, renal tumors, lung cysts, and pneumothorax. Alternative splicing of this gene results in two transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 17-17224156-C-T is Benign according to our data. Variant chr17-17224156-C-T is described in ClinVar as [Benign]. Clinvar id is 96485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-17224156-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.175 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FLCNNM_144997.7 linkuse as main transcriptc.397-13G>A splice_polypyrimidine_tract_variant, intron_variant ENST00000285071.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FLCNENST00000285071.9 linkuse as main transcriptc.397-13G>A splice_polypyrimidine_tract_variant, intron_variant 1 NM_144997.7 P1Q8NFG4-1
FLCNENST00000389169.9 linkuse as main transcriptc.397-13G>A splice_polypyrimidine_tract_variant, intron_variant 1 Q8NFG4-2
FLCNENST00000417064.1 linkuse as main transcriptc.238-13G>A splice_polypyrimidine_tract_variant, intron_variant 2
FLCNENST00000480316.1 linkuse as main transcriptn.350G>A non_coding_transcript_exon_variant 1/32

Frequencies

GnomAD3 genomes
AF:
0.0662
AC:
10080
AN:
152184
Hom.:
706
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.179
Gnomad AMI
AF:
0.00220
Gnomad AMR
AF:
0.0376
Gnomad ASJ
AF:
0.0309
Gnomad EAS
AF:
0.00327
Gnomad SAS
AF:
0.0192
Gnomad FIN
AF:
0.00235
Gnomad MID
AF:
0.117
Gnomad NFE
AF:
0.0249
Gnomad OTH
AF:
0.0599
GnomAD3 exomes
AF:
0.0328
AC:
5801
AN:
176948
Hom.:
275
AF XY:
0.0297
AC XY:
2811
AN XY:
94490
show subpopulations
Gnomad AFR exome
AF:
0.194
Gnomad AMR exome
AF:
0.0260
Gnomad ASJ exome
AF:
0.0336
Gnomad EAS exome
AF:
0.000447
Gnomad SAS exome
AF:
0.0247
Gnomad FIN exome
AF:
0.00319
Gnomad NFE exome
AF:
0.0265
Gnomad OTH exome
AF:
0.0325
GnomAD4 exome
AF:
0.0282
AC:
39982
AN:
1416896
Hom.:
1114
Cov.:
31
AF XY:
0.0274
AC XY:
19234
AN XY:
700812
show subpopulations
Gnomad4 AFR exome
AF:
0.189
Gnomad4 AMR exome
AF:
0.0269
Gnomad4 ASJ exome
AF:
0.0318
Gnomad4 EAS exome
AF:
0.00847
Gnomad4 SAS exome
AF:
0.0229
Gnomad4 FIN exome
AF:
0.00442
Gnomad4 NFE exome
AF:
0.0248
Gnomad4 OTH exome
AF:
0.0384
GnomAD4 genome
AF:
0.0663
AC:
10096
AN:
152302
Hom.:
706
Cov.:
33
AF XY:
0.0642
AC XY:
4783
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.179
Gnomad4 AMR
AF:
0.0375
Gnomad4 ASJ
AF:
0.0309
Gnomad4 EAS
AF:
0.00328
Gnomad4 SAS
AF:
0.0195
Gnomad4 FIN
AF:
0.00235
Gnomad4 NFE
AF:
0.0249
Gnomad4 OTH
AF:
0.0592
Alfa
AF:
0.0443
Hom.:
60
Bravo
AF:
0.0737
Asia WGS
AF:
0.0300
AC:
104
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jun 18, 2013- -
Benign, criteria provided, single submitterclinical testingCenter for Genomic Medicine, Rigshospitalet, Copenhagen University HospitalAug 15, 2023- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineFeb 21, 2013397-13G>A in intron 5 of FLCN: This variant is not expected to have clinical sig nificance because it has been identified in 17.6% (776/4400) of African American chromosomes from a broad population by the NHLBI Exome Sequencing Project (http ://evs.gs.washington.edu/EVS; dbSNP rs3744123). -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Birt-Hogg-Dube syndrome Benign:3
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This 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). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMay 06, 2016Variant summary: The FLCN c.397-13G>A variant involves the alteration of a non-conserved intronic nucleotide. One in silico tool predicts a benign outcome for this variant. 4/5 splice prediction tools predict that this variant abolish or weaken the normal 3' splicing donor site. However, these predictions have yet to be confirmed by functional studies. This variant is found in 1915/41366 control chromosomes (107 homozygotes) at a frequency of 0.0462941, which significantly exceeds the estimated maximal expected allele frequency of a pathogenic variant (0.0000013), suggesting this variant is benign. In addition, one clinical laboratory classified this variant as benign. The variant of interest has not, to our knowledge, been reported in affected individuals via publications and/or reputable databases/clinical laboratories; nor evaluated for functional impact by in vivo/vitro studies. Taken together, this variant was classified as benign. -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Familial spontaneous pneumothorax Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This 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). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
Hereditary cancer-predisposing syndrome Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsMay 15, 2015This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
9.1
DANN
Benign
0.53
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.15
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: rs3744123; hg19: chr17-17127470; API