rs386833860

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_004646.4(NPHS1):​c.-475_-468del variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00418 in 145,164 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0042 ( 1 hom., cov: 29)

Consequence

NPHS1
NM_004646.4 5_prime_UTR

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity no assertion criteria provided P:1U:1

Conservation

PhyloP100: 0.118
Variant links:
Genes affected
NPHS1 (HGNC:7908): (NPHS1 adhesion molecule, nephrin) This gene encodes a member of the immunoglobulin family of cell adhesion molecules that functions in the glomerular filtration barrier in the kidney. The gene is primarily expressed in renal tissues, and the protein is a type-1 transmembrane protein found at the slit diaphragm of glomerular podocytes. The slit diaphragm is thought to function as an ultrafilter to exclude albumin and other plasma macromolecules in the formation of urine. Mutations in this gene result in Finnish-type congenital nephrosis 1, characterized by severe proteinuria and loss of the slit diaphragm and foot processes.[provided by RefSeq, Oct 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NPHS1NM_004646.4 linkuse as main transcriptc.-475_-468del 5_prime_UTR_variant 1/29 ENST00000378910.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NPHS1ENST00000378910.10 linkuse as main transcriptc.-475_-468del 5_prime_UTR_variant 1/291 NM_004646.4 P2O60500-1
NPHS1ENST00000591817.1 linkuse as main transcriptn.560-640_560-633del intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
AF:
0.00418
AC:
607
AN:
145086
Hom.:
1
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00118
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000965
Gnomad ASJ
AF:
0.00177
Gnomad EAS
AF:
0.000200
Gnomad SAS
AF:
0.000218
Gnomad FIN
AF:
0.00131
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00801
Gnomad OTH
AF:
0.000504
We have no GnomAD4 exomes data on this position. Probably position not covered by the project.
GnomAD4 genome
AF:
0.00418
AC:
607
AN:
145164
Hom.:
1
Cov.:
29
AF XY:
0.00377
AC XY:
266
AN XY:
70574
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.000964
Gnomad4 ASJ
AF:
0.00177
Gnomad4 EAS
AF:
0.000201
Gnomad4 SAS
AF:
0.000219
Gnomad4 FIN
AF:
0.00131
Gnomad4 NFE
AF:
0.00801
Gnomad4 OTH
AF:
0.000500

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Finnish congenital nephrotic syndrome Pathogenic:1Uncertain:1
Uncertain significance, no assertion criteria providedcurationReproductive Health Research and Development, BGI GenomicsJan 06, 2020LRG_693t1:c.-475_-468del has an allele frequency of 0.009 in European (non-Finnish) subpopulation in the gnomAD database. It has been detected in one individual with congenital nephrotic syndrome, known as 489(del(GA)4) (PMID: 9915943). We interpret it as variant of uncertain significance (VUS). ACMG/AMP criteria applied: PP4. -
Likely pathogenic, no assertion criteria providedliterature onlyJuha Muilu Group; Institute for Molecular Medicine Finland (FIMM)-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs139954720; hg19: chr19-36343206; API