rs41277370

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_006393.3(NEBL):​c.1132G>C​(p.Asp378His) variant causes a missense change. The variant allele was found at a frequency of 0.0731 in 1,588,688 control chromosomes in the GnomAD database, including 4,929 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.058 ( 365 hom., cov: 32)
Exomes 𝑓: 0.075 ( 4564 hom. )

Consequence

NEBL
NM_006393.3 missense

Scores

2
7
9

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 4.21

Publications

14 publications found
Variant links:
Genes affected
NEBL (HGNC:16932): (nebulette) This gene encodes a nebulin like protein that is abundantly expressed in cardiac muscle. The encoded protein binds actin and interacts with thin filaments and Z-line associated proteins in striated muscle. This protein may be involved in cardiac myofibril assembly. A shorter isoform of this protein termed LIM nebulette is expressed in non-muscle cells and may function as a component of focal adhesion complexes. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Mar 2010]
NEBL Gene-Disease associations (from GenCC):
  • dilated cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.002236694).
BP6
Variant 10-20845353-C-G is Benign according to our data. Variant chr10-20845353-C-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 45475.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.079 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NEBLNM_006393.3 linkc.1132G>C p.Asp378His missense_variant Exon 12 of 28 ENST00000377122.9 NP_006384.1 O76041-1Q59FZ8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NEBLENST00000377122.9 linkc.1132G>C p.Asp378His missense_variant Exon 12 of 28 1 NM_006393.3 ENSP00000366326.4 O76041-1

Frequencies

GnomAD3 genomes
AF:
0.0585
AC:
8887
AN:
152030
Hom.:
365
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0189
Gnomad AMI
AF:
0.0484
Gnomad AMR
AF:
0.0539
Gnomad ASJ
AF:
0.185
Gnomad EAS
AF:
0.0225
Gnomad SAS
AF:
0.0660
Gnomad FIN
AF:
0.0432
Gnomad MID
AF:
0.120
Gnomad NFE
AF:
0.0808
Gnomad OTH
AF:
0.0841
GnomAD2 exomes
AF:
0.0664
AC:
16617
AN:
250238
AF XY:
0.0698
show subpopulations
Gnomad AFR exome
AF:
0.0158
Gnomad AMR exome
AF:
0.0426
Gnomad ASJ exome
AF:
0.167
Gnomad EAS exome
AF:
0.0190
Gnomad FIN exome
AF:
0.0462
Gnomad NFE exome
AF:
0.0813
Gnomad OTH exome
AF:
0.0804
GnomAD4 exome
AF:
0.0747
AC:
107242
AN:
1436538
Hom.:
4564
Cov.:
28
AF XY:
0.0753
AC XY:
53922
AN XY:
716038
show subpopulations
African (AFR)
AF:
0.0190
AC:
626
AN:
32988
American (AMR)
AF:
0.0438
AC:
1952
AN:
44556
Ashkenazi Jewish (ASJ)
AF:
0.168
AC:
4342
AN:
25856
East Asian (EAS)
AF:
0.0129
AC:
509
AN:
39470
South Asian (SAS)
AF:
0.0719
AC:
6160
AN:
85682
European-Finnish (FIN)
AF:
0.0473
AC:
2514
AN:
53160
Middle Eastern (MID)
AF:
0.172
AC:
983
AN:
5706
European-Non Finnish (NFE)
AF:
0.0782
AC:
85247
AN:
1089600
Other (OTH)
AF:
0.0825
AC:
4909
AN:
59520
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.444
Heterozygous variant carriers
0
4316
8631
12947
17262
21578
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3078
6156
9234
12312
15390
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0584
AC:
8887
AN:
152150
Hom.:
365
Cov.:
32
AF XY:
0.0569
AC XY:
4230
AN XY:
74404
show subpopulations
African (AFR)
AF:
0.0189
AC:
785
AN:
41530
American (AMR)
AF:
0.0538
AC:
821
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.185
AC:
643
AN:
3470
East Asian (EAS)
AF:
0.0228
AC:
118
AN:
5178
South Asian (SAS)
AF:
0.0660
AC:
318
AN:
4818
European-Finnish (FIN)
AF:
0.0432
AC:
458
AN:
10600
Middle Eastern (MID)
AF:
0.119
AC:
35
AN:
294
European-Non Finnish (NFE)
AF:
0.0808
AC:
5489
AN:
67970
Other (OTH)
AF:
0.0833
AC:
176
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
408
816
1224
1632
2040
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
104
208
312
416
520
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0723
Hom.:
174
Bravo
AF:
0.0586
TwinsUK
AF:
0.0717
AC:
266
ALSPAC
AF:
0.0825
AC:
318
ESP6500AA
AF:
0.0184
AC:
81
ESP6500EA
AF:
0.0828
AC:
712
ExAC
AF:
0.0648
AC:
7866
Asia WGS
AF:
0.0470
AC:
164
AN:
3476
EpiCase
AF:
0.0894
EpiControl
AF:
0.0950

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Mar 19, 2012
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

p.Asp378His in Exon 12 of NEBL: This variant is not expected to have clinical si gnificance because it has been identified in 8.2% (578/7018) of European America n chromosomes from a broad population by the NHLBI Exome Sequencing Project (htt p://evs.gs.washington.edu/EVS; dbSNP rs41277370). -

Jan 17, 2014
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Apr 04, 2023
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

NEBL-related disorder Benign:1
Nov 26, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

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

- -

Primary dilated cardiomyopathy Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Sep 26, 2012
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

General population or subpopulation frequency is too high to be a pathogenic mutation based on disease/syndrome prevalence and penetrance -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.37
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.34
CADD
Pathogenic
26
DANN
Uncertain
0.99
DEOGEN2
Benign
0.045
T
Eigen
Uncertain
0.40
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.77
T
MetaRNN
Benign
0.0022
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Uncertain
2.9
M
PhyloP100
4.2
PrimateAI
Benign
0.40
T
PROVEAN
Pathogenic
-5.7
D
REVEL
Benign
0.22
Sift
Uncertain
0.0020
D
Sift4G
Pathogenic
0.0010
D
Polyphen
0.91
P
Vest4
0.21
MPC
0.10
ClinPred
0.027
T
GERP RS
4.2
Varity_R
0.51
gMVP
0.41
Mutation Taster
=91/9
polymorphism (auto)

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

Other links and lift over

dbSNP: rs41277370; hg19: chr10-21134282; COSMIC: COSV65801966; COSMIC: COSV65801966; API