rs5350

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 2P and 13B. PM1BP4_StrongBP6BS1BS2

The NM_001122659.3(EDNRB):​c.731C>T​(p.Thr244Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000633 in 1,612,874 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. T244T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0032 ( 7 hom., cov: 32)
Exomes 𝑓: 0.00037 ( 3 hom. )

Consequence

EDNRB
NM_001122659.3 missense

Scores

5
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 1.78
Variant links:
Genes affected
EDNRB (HGNC:3180): (endothelin receptor type B) The protein encoded by this gene is a G protein-coupled receptor which activates a phosphatidylinositol-calcium second messenger system. Its ligand, endothelin, consists of a family of three potent vasoactive peptides: ET1, ET2, and ET3. Studies suggest that the multigenic disorder, Hirschsprung disease type 2, is due to mutations in the endothelin receptor type B gene. Alternative splicing and the use of alternative promoters results in multiple transcript variants. [provided by RefSeq, Oct 2016]
EDNRB-AS1 (HGNC:49045): (EDNRB antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

PM1
In a disulfide_bond (size 81) in uniprot entity EDNRB_HUMAN there are 12 pathogenic changes around while only 2 benign (86%) in NM_001122659.3
BP4
Computational evidence support a benign effect (MetaRNN=0.008720815).
BP6
Variant 13-77903226-G-A is Benign according to our data. Variant chr13-77903226-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 255141.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Benign=4}. Variant chr13-77903226-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00319 (484/151882) while in subpopulation AFR AF = 0.0108 (448/41456). AF 95% confidence interval is 0.00998. There are 7 homozygotes in GnomAd4. There are 223 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position FAILED quality control check.
BS2
High Homozygotes in GnomAd4 at 7 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
EDNRBNM_001122659.3 linkc.731C>T p.Thr244Met missense_variant Exon 3 of 7 ENST00000646607.2 NP_001116131.1 P24530-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
EDNRBENST00000646607.2 linkc.731C>T p.Thr244Met missense_variant Exon 3 of 7 NM_001122659.3 ENSP00000493527.1 P24530-1

Frequencies

GnomAD3 genomes
AF:
0.00318
AC:
482
AN:
151764
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0108
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00158
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.000416
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000589
Gnomad OTH
AF:
0.00239
GnomAD2 exomes
AF:
0.000801
AC:
201
AN:
250922
AF XY:
0.000546
show subpopulations
Gnomad AFR exome
AF:
0.0107
Gnomad AMR exome
AF:
0.000522
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.000327
GnomAD4 exome
AF:
0.000368
AC:
537
AN:
1460992
Hom.:
3
Cov.:
32
AF XY:
0.000325
AC XY:
236
AN XY:
726816
show subpopulations
Gnomad4 AFR exome
AF:
0.0113
AC:
376
AN:
33408
Gnomad4 AMR exome
AF:
0.000627
AC:
28
AN:
44634
Gnomad4 ASJ exome
AF:
0.00
AC:
0
AN:
26092
Gnomad4 EAS exome
AF:
0.000126
AC:
5
AN:
39676
Gnomad4 SAS exome
AF:
0.000104
AC:
9
AN:
86242
Gnomad4 FIN exome
AF:
0.0000187
AC:
1
AN:
53394
Gnomad4 NFE exome
AF:
0.0000405
AC:
45
AN:
1111462
Gnomad4 Remaining exome
AF:
0.00113
AC:
68
AN:
60324
Heterozygous variant carriers
0
38
75
113
150
188
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00319
AC:
484
AN:
151882
Hom.:
7
Cov.:
32
AF XY:
0.00300
AC XY:
223
AN XY:
74238
show subpopulations
Gnomad4 AFR
AF:
0.0108
AC:
0.0108066
AN:
0.0108066
Gnomad4 AMR
AF:
0.00157
AC:
0.00157418
AN:
0.00157418
Gnomad4 ASJ
AF:
0.00
AC:
0
AN:
0
Gnomad4 EAS
AF:
0.000195
AC:
0.000194704
AN:
0.000194704
Gnomad4 SAS
AF:
0.000417
AC:
0.000416667
AN:
0.000416667
Gnomad4 FIN
AF:
0.00
AC:
0
AN:
0
Gnomad4 NFE
AF:
0.0000589
AC:
0.0000589362
AN:
0.0000589362
Gnomad4 OTH
AF:
0.00236
AC:
0.00236295
AN:
0.00236295
Heterozygous variant carriers
0
21
42
63
84
105
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00116
Hom.:
4
Bravo
AF:
0.00346
ESP6500AA
AF:
0.0125
AC:
55
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00105
AC:
127
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000164
EpiControl
AF:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:2
Nov 24, 2014
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Thr334Met in exon 4 of EDNRB: This variant is not expected to have clinical sign ificance because it has been identified in 1.2% (55/4406) of African American ch romosomes from a broad population by the NHLBI Exome Sequencing Project (http:// evs.gs.washington.edu/EVS; dbSNP rs5350). -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Dec 18, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 17, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hirschsprung disease, susceptibility to, 2 Uncertain:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.73
.;D;D;D;D;.;D;.;.
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.26
FATHMM_MKL
Benign
0.74
D
LIST_S2
Benign
0.79
T;.;.;.;.;T;T;T;T
MetaRNN
Benign
0.0087
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.37
T
MutationAssessor
Uncertain
2.4
.;M;M;M;M;M;M;.;.
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-2.6
D;.;.;D;.;.;.;.;.
REVEL
Benign
0.24
Sift
Benign
0.058
T;.;.;T;.;.;.;.;.
Sift4G
Uncertain
0.026
D;.;.;T;.;T;.;.;.
Polyphen
1.0
D;D;D;D;D;D;D;.;.
Vest4
0.19
MVP
0.92
MPC
1.2
ClinPred
0.034
T
GERP RS
3.0
Varity_R
0.076
gMVP
0.79
Mutation Taster
=89/11
polymorphism

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: rs5350; hg19: chr13-78477361; COSMIC: COSV57526494; API