rs41277212

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_206933.4(USH2A):​c.6713A>C​(p.Glu2238Ala) variant causes a missense change. The variant allele was found at a frequency of 0.0262 in 1,614,086 control chromosomes in the GnomAD database, including 654 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E2238K) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.019 ( 47 hom., cov: 32)
Exomes 𝑓: 0.027 ( 607 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

1
7
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:14O:1

Conservation

PhyloP100: 4.82
Variant links:
Genes affected
USH2A (HGNC:12601): (usherin) This gene encodes a protein that contains laminin EGF motifs, a pentaxin domain, and many fibronectin type III motifs. The protein is found in the basement membrane, and may be important in development and homeostasis of the inner ear and retina. Mutations within this gene have been associated with Usher syndrome type IIa and retinitis pigmentosa. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003644079).
BP6
Variant 1-215993112-T-G is Benign according to our data. Variant chr1-215993112-T-G is described in ClinVar as [Likely_benign]. Clinvar id is 48568.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-215993112-T-G is described in Lovd as [Benign]. Variant chr1-215993112-T-G is described in Lovd as [Likely_pathogenic]. Variant chr1-215993112-T-G is described in Lovd as [Likely_pathogenic].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0192 (2926/152288) while in subpopulation NFE AF= 0.0272 (1852/68018). AF 95% confidence interval is 0.0262. There are 47 homozygotes in gnomad4. There are 1514 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 47 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
USH2ANM_206933.4 linkc.6713A>C p.Glu2238Ala missense_variant Exon 35 of 72 ENST00000307340.8 NP_996816.3 O75445-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkc.6713A>C p.Glu2238Ala missense_variant Exon 35 of 72 1 NM_206933.4 ENSP00000305941.3 O75445-1
USH2AENST00000674083.1 linkc.6713A>C p.Glu2238Ala missense_variant Exon 35 of 73 ENSP00000501296.1 O75445-3

Frequencies

GnomAD3 genomes
AF:
0.0192
AC:
2927
AN:
152170
Hom.:
47
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00567
Gnomad AMI
AF:
0.00439
Gnomad AMR
AF:
0.0136
Gnomad ASJ
AF:
0.0127
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0130
Gnomad FIN
AF:
0.0462
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0272
Gnomad OTH
AF:
0.0129
GnomAD3 exomes
AF:
0.0222
AC:
5571
AN:
251096
Hom.:
85
AF XY:
0.0222
AC XY:
3014
AN XY:
135698
show subpopulations
Gnomad AFR exome
AF:
0.00523
Gnomad AMR exome
AF:
0.0173
Gnomad ASJ exome
AF:
0.0111
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.0151
Gnomad FIN exome
AF:
0.0447
Gnomad NFE exome
AF:
0.0284
Gnomad OTH exome
AF:
0.0189
GnomAD4 exome
AF:
0.0269
AC:
39308
AN:
1461798
Hom.:
607
Cov.:
31
AF XY:
0.0264
AC XY:
19166
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.00433
Gnomad4 AMR exome
AF:
0.0175
Gnomad4 ASJ exome
AF:
0.0119
Gnomad4 EAS exome
AF:
0.000252
Gnomad4 SAS exome
AF:
0.0153
Gnomad4 FIN exome
AF:
0.0411
Gnomad4 NFE exome
AF:
0.0299
Gnomad4 OTH exome
AF:
0.0200
GnomAD4 genome
AF:
0.0192
AC:
2926
AN:
152288
Hom.:
47
Cov.:
32
AF XY:
0.0203
AC XY:
1514
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.00565
Gnomad4 AMR
AF:
0.0136
Gnomad4 ASJ
AF:
0.0127
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.0129
Gnomad4 FIN
AF:
0.0462
Gnomad4 NFE
AF:
0.0272
Gnomad4 OTH
AF:
0.0128
Alfa
AF:
0.0253
Hom.:
56
Bravo
AF:
0.0170
TwinsUK
AF:
0.0294
AC:
109
ALSPAC
AF:
0.0291
AC:
112
ESP6500AA
AF:
0.00590
AC:
26
ESP6500EA
AF:
0.0295
AC:
254
ExAC
AF:
0.0220
AC:
2667
Asia WGS
AF:
0.00404
AC:
14
AN:
3478
EpiCase
AF:
0.0252
EpiControl
AF:
0.0225

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:14Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:6Other:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Dec 06, 2018
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 22, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
NEI Ophthalmic Genomics Laboratory, National Institutes of Health
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

Dec 20, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 21569298, 17085681, 27884173, 23591405) -

Jan 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

USH2A: BP4, BS1, BS2 -

not specified Benign:5
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jun 24, 2009
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 10, 2021
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 23, 2015
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Usher syndrome type 2A Benign:2
Sep 16, 2020
Natera, Inc.
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jun 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Usher syndrome type 2A;C3151138:Retinitis pigmentosa 39 Benign:1
May 03, 2022
Fulgent Genetics, Fulgent Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.35
T
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.82
T
MetaRNN
Benign
0.0036
T
MetaSVM
Benign
-0.60
T
MutationAssessor
Uncertain
2.9
M
PrimateAI
Benign
0.34
T
PROVEAN
Uncertain
-4.0
D
REVEL
Benign
0.27
Sift
Uncertain
0.0060
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.21
MPC
0.24
ClinPred
0.025
T
GERP RS
5.0
Varity_R
0.23
gMVP
0.75

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs41277212; hg19: chr1-216166454; COSMIC: COSV56370381; API