rs387906639
Variant summary
Our verdict is Uncertain significance. Variant got 2 ACMG points: 3P and 1B. PM2PP5BP4
The NM_002109.6(HARS1):āc.1361A>Cā(p.Tyr454Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0000223 in 1,614,092 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_002109.6 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000854 AC: 13AN: 152214Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000199 AC: 5AN: 251444Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135896
GnomAD4 exome AF: 0.0000157 AC: 23AN: 1461878Hom.: 0 Cov.: 34 AF XY: 0.0000165 AC XY: 12AN XY: 727242
GnomAD4 genome AF: 0.0000854 AC: 13AN: 152214Hom.: 0 Cov.: 32 AF XY: 0.0000807 AC XY: 6AN XY: 74366
ClinVar
Submissions by phenotype
Usher syndrome type 3B Pathogenic:1Uncertain:2
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This sequence change replaces tyrosine, which is neutral and polar, with serine, which is neutral and polar, at codon 454 of the HARS protein (p.Tyr454Ser). This variant is present in population databases (rs387906639, gnomAD 0.006%). This missense change has been observed in individual(s) with Usher syndrome (PMID: 22279824, 31028937). ClinVar contains an entry for this variant (Variation ID: 29756). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt HARS protein function with a negative predictive value of 80%. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on HARS function (PMID: 22279524, 28632987). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
The missense c.1361A>C (p.Tyr454Ser) variant in HARS1 gene has been previously reported in homozygous state in individual affected with Usher syndrome (Whatley M et al. 2020; Abbott JA et al. 2017). The p.Tyr454Ser variant is present with allele frequency of 0.002% in gnomAD Exomes. This variant has been submitted to the ClinVar database as Pathogenic / Uncertain Significance. Multiple lines of computational evidence (Polyphen - Possibly damaging, SIFT - Tolerated and MutationTaster - Disease causing) predicts conflicting evidence on protein structure and function for this variant. The reference amino acid at this position on HARS1 gene is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. The amino acid Tyr at position 454 is changed to a Ser changing protein sequence and it might alter its composition and physico-chemical properties. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on HARS function (Abbott JA et al. 2017). Hence for these reasons, this variant has been classified as Variant of Uncertain Significance (VUS). -
Inborn genetic diseases Pathogenic:1
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not specified Uncertain:1
Variant classified as Uncertain Significance - Favor Pathogenic. The p.Tyr454Ser variant in HARS has been reported in the homozygous state in 3 Amish individual s with childhood-onset progressive profound hearing loss and retinal abnormaliti es consistent with features of Usher syndrome type III (USH3), but they also pre sented with additional clinical manifestations not usually reported in USH3 pati ents including delayed gross motor development, hyperactive patellar tendon refl exes, mild truncal ataxia, and wide-based gait (Puffenberger 2012). The variant was also detected in 1.7% (7/406) of Amish control chromosomes (Puffenberger 201 2), and in 2/30782 South Asian chromosomes by the Genome Aggregation Database (g nomAD, http://gnomad.broadinstitute.org; dbSNP rs387906639). In vitro functional studies provide some evidence that the p.Tyr454Ser variant may impact protein f unction (Puffenberger 2012, Abbott 2017); however, these types of assays may not accurately represent biological function. Computational prediction tools and co nservation analysis do not provide strong support for or against an impact to th e protein. In summary, while there is some suspicion for a pathogenic role, the clinical significance of the p.Tyr454Ser variant is uncertain. ACMG/AMP Criteria applied: PS3_Supporting, PM3_Supporting, PS3_Supporting (Richards 2015). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at