rs5065

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 2P and 16B. PM4BP6_Very_StrongBA1

The NM_006172.4(NPPA):ā€‹c.454T>Cā€‹(p.Ter152ArgextTer2) variant causes a stop lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.153 in 1,613,250 control chromosomes in the GnomAD database, including 22,231 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.21 ( 4472 hom., cov: 32)
Exomes š‘“: 0.15 ( 17759 hom. )

Consequence

NPPA
NM_006172.4 stop_lost

Scores

1
6

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.328
Variant links:
Genes affected
NPPA (HGNC:7939): (natriuretic peptide A) The protein encoded by this gene belongs to the natriuretic peptide family. Natriuretic peptides are implicated in the control of extracellular fluid volume and electrolyte homeostasis. This protein is synthesized as a large precursor (containing a signal peptide), which is processed to release a peptide from the N-terminus with similarity to vasoactive peptide, cardiodilatin, and another peptide from the C-terminus with natriuretic-diuretic activity. Mutations in this gene have been associated with atrial fibrillation familial type 6. This gene is located adjacent to another member of the natriuretic family of peptides on chromosome 1. [provided by RefSeq, Oct 2015]
CLCN6 (HGNC:2024): (chloride voltage-gated channel 6) This gene encodes a member of the voltage-dependent chloride channel protein family. Members of this family can function as either chloride channels or antiporters. This protein is primarily localized to late endosomes and functions as a chloride/proton antiporter. Alternate splicing results in both coding and non-coding variants. Additional alternately spliced variants have been described but their full-length structure is unknown. [provided by RefSeq, Mar 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

PM4
Stoplost variant in NM_006172.4 Downstream stopcodon found after 1 codons.
BP6
Variant 1-11846011-A-G is Benign according to our data. Variant chr1-11846011-A-G is described in ClinVar as [Benign]. Clinvar id is 226855.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-11846011-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.398 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NPPANM_006172.4 linkuse as main transcriptc.454T>C p.Ter152ArgextTer2 stop_lost 3/3 ENST00000376480.7 NP_006163.1
NPPA-AS1NR_037806.1 linkuse as main transcriptn.1479+245A>G intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NPPAENST00000376480.7 linkuse as main transcriptc.454T>C p.Ter152ArgextTer2 stop_lost 3/31 NM_006172.4 ENSP00000365663 P1
CLCN6ENST00000446542.5 linkuse as main transcriptn.781+245A>G intron_variant, non_coding_transcript_variant 1
NPPAENST00000376476.1 linkuse as main transcriptc.304T>C p.Ter102ArgextTer2 stop_lost 3/33 ENSP00000365659
CLCN6ENST00000400892.3 linkuse as main transcriptc.*1961+245A>G intron_variant, NMD_transcript_variant 3 ENSP00000496938

Frequencies

GnomAD3 genomes
AF:
0.207
AC:
31395
AN:
151958
Hom.:
4465
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.403
Gnomad AMI
AF:
0.149
Gnomad AMR
AF:
0.139
Gnomad ASJ
AF:
0.120
Gnomad EAS
AF:
0.0106
Gnomad SAS
AF:
0.145
Gnomad FIN
AF:
0.0724
Gnomad MID
AF:
0.232
Gnomad NFE
AF:
0.148
Gnomad OTH
AF:
0.202
GnomAD3 exomes
AF:
0.137
AC:
34498
AN:
250974
Hom.:
3300
AF XY:
0.136
AC XY:
18436
AN XY:
135722
show subpopulations
Gnomad AFR exome
AF:
0.413
Gnomad AMR exome
AF:
0.0894
Gnomad ASJ exome
AF:
0.119
Gnomad EAS exome
AF:
0.0105
Gnomad SAS exome
AF:
0.156
Gnomad FIN exome
AF:
0.0768
Gnomad NFE exome
AF:
0.141
Gnomad OTH exome
AF:
0.145
GnomAD4 exome
AF:
0.147
AC:
214793
AN:
1461174
Hom.:
17759
Cov.:
31
AF XY:
0.147
AC XY:
107035
AN XY:
726952
show subpopulations
Gnomad4 AFR exome
AF:
0.415
Gnomad4 AMR exome
AF:
0.0951
Gnomad4 ASJ exome
AF:
0.121
Gnomad4 EAS exome
AF:
0.00982
Gnomad4 SAS exome
AF:
0.155
Gnomad4 FIN exome
AF:
0.0763
Gnomad4 NFE exome
AF:
0.149
Gnomad4 OTH exome
AF:
0.151
GnomAD4 genome
AF:
0.207
AC:
31425
AN:
152076
Hom.:
4472
Cov.:
32
AF XY:
0.203
AC XY:
15105
AN XY:
74346
show subpopulations
Gnomad4 AFR
AF:
0.403
Gnomad4 AMR
AF:
0.138
Gnomad4 ASJ
AF:
0.120
Gnomad4 EAS
AF:
0.0106
Gnomad4 SAS
AF:
0.145
Gnomad4 FIN
AF:
0.0724
Gnomad4 NFE
AF:
0.148
Gnomad4 OTH
AF:
0.204
Alfa
AF:
0.156
Hom.:
5498
Bravo
AF:
0.219
TwinsUK
AF:
0.153
AC:
568
ALSPAC
AF:
0.138
AC:
533
ESP6500AA
AF:
0.409
AC:
1800
ESP6500EA
AF:
0.155
AC:
1335
ExAC
AF:
0.144
AC:
17445
Asia WGS
AF:
0.0990
AC:
346
AN:
3478
EpiCase
AF:
0.144
EpiControl
AF:
0.145

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineJul 31, 2015p.X152ArgextX3 in exon 3 of NPPA: This variant is not expected to have clinical significance since it has been identified in 40.1% (4244/10406) of African chrom osomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.org ; dbSNP rs5065). -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesApr 12, 2016- -
not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 15, 2018This variant is associated with the following publications: (PMID: 23529183, 22400494, 20543198, 17984371, 24041948, 19702001, 22575314, 25401746, 15017020, 29439446) -
Atrial fibrillation, familial, 6 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
13
DANN
Benign
0.79
Eigen
Uncertain
0.40
Eigen_PC
Benign
0.15
FATHMM_MKL
Benign
0.0012
N
MutationTaster
Benign
1.0
P;P
GERP RS
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs5065; hg19: chr1-11906068; COSMIC: COSV56739012; COSMIC: COSV56739012; API