rs546741834

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_001927.4(DES):​c.404C>A​(p.Ala135Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A135V) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

DES
NM_001927.4 missense

Scores

9
11

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.57
Variant links:
Genes affected
DES (HGNC:2770): (desmin) This gene encodes a muscle-specific class III intermediate filament. Homopolymers of this protein form a stable intracytoplasmic filamentous network connecting myofibrils to each other and to the plasma membrane. Mutations in this gene are associated with desmin-related myopathy, a familial cardiac and skeletal myopathy (CSM), and with distal myopathies. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 11 uncertain in NM_001927.4
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DESNM_001927.4 linkuse as main transcriptc.404C>A p.Ala135Glu missense_variant 1/9 ENST00000373960.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DESENST00000373960.4 linkuse as main transcriptc.404C>A p.Ala135Glu missense_variant 1/91 NM_001927.4 P1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1422356
Hom.:
0
Cov.:
92
AF XY:
0.00
AC XY:
0
AN XY:
703936
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.0000113

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
CardioboostCm
Benign
0.0026
BayesDel_addAF
Uncertain
0.027
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.66
D
Eigen
Benign
0.034
Eigen_PC
Benign
0.058
FATHMM_MKL
Benign
0.72
D
LIST_S2
Benign
0.83
T
M_CAP
Benign
0.053
D
MetaRNN
Uncertain
0.44
T
MetaSVM
Uncertain
0.015
D
MutationAssessor
Benign
0.58
N
MutationTaster
Benign
0.52
N
PrimateAI
Uncertain
0.56
T
PROVEAN
Uncertain
-2.6
D
REVEL
Uncertain
0.43
Sift
Benign
0.61
T
Sift4G
Benign
0.94
T
Polyphen
0.80
P
Vest4
0.38
MutPred
0.50
Gain of disorder (P = 0.0426);
MVP
0.97
MPC
1.7
ClinPred
0.75
D
GERP RS
3.8
Varity_R
0.37
gMVP
0.71

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: rs546741834; hg19: chr2-220283588; API