rs386833723

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001042432.2(CLN3):​c.472G>C​(p.Ala158Pro) variant causes a missense change. The variant allele was found at a frequency of 0.00000124 in 1,608,962 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

CLN3
NM_001042432.2 missense

Scores

11
7
1

Clinical Significance

Uncertain significance criteria provided, single submitter P:1U:1

Conservation

PhyloP100: 4.54
Variant links:
Genes affected
CLN3 (HGNC:2074): (CLN3 lysosomal/endosomal transmembrane protein, battenin) This gene encodes a protein that is involved in lysosomal function. Mutations in this, as well as other neuronal ceroid-lipofuscinosis (CLN) genes, cause neurodegenerative diseases commonly known as Batten disease or collectively known as neuronal ceroid lipofuscinoses (NCLs). Many alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.979

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLN3NM_001042432.2 linkc.472G>C p.Ala158Pro missense_variant Exon 8 of 16 ENST00000636147.2 NP_001035897.1 Q13286-1A0A024QZB8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLN3ENST00000636147.2 linkc.472G>C p.Ala158Pro missense_variant Exon 8 of 16 1 NM_001042432.2 ENSP00000490105.1 Q13286-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152164
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000417
AC:
1
AN:
239584
Hom.:
0
AF XY:
0.00000773
AC XY:
1
AN XY:
129442
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000297
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.86e-7
AC:
1
AN:
1456798
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
724114
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000227
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152164
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74336
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Neuronal ceroid lipofuscinosis 3 Pathogenic:1
-
Juha Muilu Group; Institute for Molecular Medicine Finland (FIMM)
Significance: Likely pathogenic
Review Status: no assertion criteria provided
Collection Method: literature only

- -

not specified Uncertain:1
Feb 21, 2025
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: CLN3 c.472G>C (p.Ala158Pro) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4.2e-06 in 239584 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.472G>C has been reported in the literature in at least one individual affected with Neuronal Ceroid-Lipofuscinosis (Batten Disease) who was submitted to the NCL database, however no further genotype information was provided (Kousi_2012). This report does not provide unequivocal conclusions about association of the variant with Neuronal Ceroid-Lipofuscinosis (Batten Disease). At least two publications report experimental evidence evaluating an impact on protein function. Specifically, one study using the Schizosaccharomyces pombe model, demonstrated that the variant in the yeast ortholog prevented the encoded protein from exiting from the endoplasmic reticulum, suggesting the variant disrupts protein folding and, in turn, could lead to degradation. In addition, it was shown that the variant could not fully rescue any of the marker phenotypes (vacuole size, septation, monopolarity, or curving) in the model system (example: Haines_2009). Another study, using CLN3 KO HeLa cells cotransfected with the GFP-CLN3 missense variant, found that the variant mislocalized to the cytosol (example: Scotto Rosato_2022). However, these findings do not allow for strong conclusions to be made about the variant effect. The following publications have been ascertained in the context of this evaluation (PMID: 21990111, 19132115, 35929194). ClinVar contains an entry for this variant (Variation ID: 56273). Based on the evidence outlined above, the variant was classified as uncertain significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Pathogenic
0.54
D
BayesDel_noAF
Pathogenic
0.53
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.98
.;D;D;.;.;D;.;D;D;.;D;.;.;.;D;D
Eigen
Pathogenic
0.90
Eigen_PC
Pathogenic
0.85
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.97
D;.;.;D;.;.;D;.;D;D;D;.;D;D;D;D
M_CAP
Pathogenic
0.61
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
3.9
.;H;H;.;.;.;.;H;.;H;.;.;H;.;.;.
PrimateAI
Uncertain
0.73
T
PROVEAN
Uncertain
-3.6
.;.;D;.;.;D;D;D;.;D;.;.;D;.;D;.
REVEL
Pathogenic
0.91
Sift
Uncertain
0.010
.;.;D;.;.;D;D;D;.;D;.;.;D;.;D;.
Sift4G
Uncertain
0.0060
.;.;.;D;.;D;D;D;.;D;.;.;.;.;.;.
Polyphen
1.0, 1.0, 1.0
.;D;D;.;.;.;.;D;.;D;D;.;D;.;.;.
Vest4
0.94, 0.94, 0.93, 0.94, 0.93
MutPred
0.91
Loss of catalytic residue at A158 (P = 0.0401);Loss of catalytic residue at A158 (P = 0.0401);Loss of catalytic residue at A158 (P = 0.0401);Loss of catalytic residue at A158 (P = 0.0401);.;.;.;Loss of catalytic residue at A158 (P = 0.0401);.;Loss of catalytic residue at A158 (P = 0.0401);.;.;Loss of catalytic residue at A158 (P = 0.0401);.;.;.;
MVP
0.97
MPC
0.71
ClinPred
0.99
D
GERP RS
5.8
Varity_R
0.98
gMVP
0.94

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs386833723; hg19: chr16-28497960; API