rs4762

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001384479.1(AGT):​c.593C>T​(p.Thr198Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.122 in 1,613,596 control chromosomes in the GnomAD database, including 12,433 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. T198T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.11 ( 1080 hom., cov: 33)
Exomes 𝑓: 0.12 ( 11353 hom. )

Consequence

AGT
NM_001384479.1 missense

Scores

10
8

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 2.38
Variant links:
Genes affected
AGT (HGNC:333): (angiotensinogen) The protein encoded by this gene, pre-angiotensinogen or angiotensinogen precursor, is expressed in the liver and is cleaved by the enzyme renin in response to lowered blood pressure. The resulting product, angiotensin I, is then cleaved by angiotensin converting enzyme (ACE) to generate the physiologically active enzyme angiotensin II. The protein is involved in maintaining blood pressure, body fluid and electrolyte homeostasis, and in the pathogenesis of essential hypertension and preeclampsia. Mutations in this gene are associated with susceptibility to essential hypertension, and can cause renal tubular dysgenesis, a severe disorder of renal tubular development. Defects in this gene have also been associated with non-familial structural atrial fibrillation, and inflammatory bowel disease. [provided by RefSeq, Nov 2019]

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=0.0024677217).
BP6
Variant 1-230710231-G-A is Benign according to our data. Variant chr1-230710231-G-A is described in ClinVar as [Benign]. Clinvar id is 296083.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.123 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
AGTNM_001384479.1 linkuse as main transcriptc.593C>T p.Thr198Met missense_variant 2/5 ENST00000366667.6
AGTNM_001382817.3 linkuse as main transcriptc.593C>T p.Thr198Met missense_variant 2/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
AGTENST00000366667.6 linkuse as main transcriptc.593C>T p.Thr198Met missense_variant 2/51 NM_001384479.1 P1

Frequencies

GnomAD3 genomes
AF:
0.112
AC:
17040
AN:
152154
Hom.:
1082
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0647
Gnomad AMI
AF:
0.224
Gnomad AMR
AF:
0.111
Gnomad ASJ
AF:
0.141
Gnomad EAS
AF:
0.105
Gnomad SAS
AF:
0.131
Gnomad FIN
AF:
0.193
Gnomad MID
AF:
0.0918
Gnomad NFE
AF:
0.125
Gnomad OTH
AF:
0.104
GnomAD3 exomes
AF:
0.124
AC:
31006
AN:
249646
Hom.:
2077
AF XY:
0.124
AC XY:
16806
AN XY:
135222
show subpopulations
Gnomad AFR exome
AF:
0.0618
Gnomad AMR exome
AF:
0.124
Gnomad ASJ exome
AF:
0.139
Gnomad EAS exome
AF:
0.105
Gnomad SAS exome
AF:
0.127
Gnomad FIN exome
AF:
0.179
Gnomad NFE exome
AF:
0.124
Gnomad OTH exome
AF:
0.128
GnomAD4 exome
AF:
0.123
AC:
179076
AN:
1461324
Hom.:
11353
Cov.:
38
AF XY:
0.123
AC XY:
89491
AN XY:
726958
show subpopulations
Gnomad4 AFR exome
AF:
0.0612
Gnomad4 AMR exome
AF:
0.122
Gnomad4 ASJ exome
AF:
0.138
Gnomad4 EAS exome
AF:
0.104
Gnomad4 SAS exome
AF:
0.128
Gnomad4 FIN exome
AF:
0.173
Gnomad4 NFE exome
AF:
0.122
Gnomad4 OTH exome
AF:
0.116
GnomAD4 genome
AF:
0.112
AC:
17033
AN:
152272
Hom.:
1080
Cov.:
33
AF XY:
0.115
AC XY:
8532
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.0645
Gnomad4 AMR
AF:
0.111
Gnomad4 ASJ
AF:
0.141
Gnomad4 EAS
AF:
0.105
Gnomad4 SAS
AF:
0.129
Gnomad4 FIN
AF:
0.193
Gnomad4 NFE
AF:
0.125
Gnomad4 OTH
AF:
0.104
Alfa
AF:
0.121
Hom.:
2634
Bravo
AF:
0.103
TwinsUK
AF:
0.123
AC:
456
ALSPAC
AF:
0.121
AC:
466
ESP6500AA
AF:
0.0660
AC:
291
ESP6500EA
AF:
0.131
AC:
1130
ExAC
AF:
0.122
AC:
14829
Asia WGS
AF:
0.0990
AC:
342
AN:
3478
EpiCase
AF:
0.123
EpiControl
AF:
0.121

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 10, 2018This variant is associated with the following publications: (PMID: 25966146, 1394429, 20702504, 17145981, 20854100) -
Renal tubular dysgenesis Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.27
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.61
D
Eigen
Uncertain
0.34
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Benign
0.55
D
LIST_S2
Benign
0.71
T
MetaRNN
Benign
0.0025
T
MetaSVM
Benign
-0.62
T
MutationAssessor
Uncertain
2.8
M
MutationTaster
Benign
0.028
P
PrimateAI
Uncertain
0.62
T
PROVEAN
Uncertain
-3.5
D
REVEL
Uncertain
0.32
Sift
Uncertain
0.0080
D
Sift4G
Uncertain
0.012
D
Polyphen
1.0
D
Vest4
0.17
MPC
0.34
ClinPred
0.021
T
GERP RS
4.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.27
gMVP
0.48

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: rs4762; hg19: chr1-230845977; COSMIC: COSV64184219; COSMIC: COSV64184219; API