rs5527

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000901.5(NR3C2):ā€‹c.1661A>Gā€‹(p.Asn554Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00133 in 1,614,142 control chromosomes in the GnomAD database, including 27 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0034 ( 5 hom., cov: 32)
Exomes š‘“: 0.0011 ( 22 hom. )

Consequence

NR3C2
NM_000901.5 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.02
Variant links:
Genes affected
NR3C2 (HGNC:7979): (nuclear receptor subfamily 3 group C member 2) This gene encodes the mineralocorticoid receptor, which mediates aldosterone actions on salt and water balance within restricted target cells. The protein functions as a ligand-dependent transcription factor that binds to mineralocorticoid response elements in order to transactivate target genes. Mutations in this gene cause autosomal dominant pseudohypoaldosteronism type I, a disorder characterized by urinary salt wasting. Defects in this gene are also associated with early onset hypertension with severe exacerbation in pregnancy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003315121).
BP6
Variant 4-148435200-T-C is Benign according to our data. Variant chr4-148435200-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 347730.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.00339 (516/152254) while in subpopulation EAS AF= 0.0285 (148/5184). AF 95% confidence interval is 0.0248. There are 5 homozygotes in gnomad4. There are 269 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 516 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NR3C2NM_000901.5 linkuse as main transcriptc.1661A>G p.Asn554Ser missense_variant 2/9 ENST00000358102.8 NP_000892.2 P08235-1B0ZBF6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NR3C2ENST00000358102.8 linkuse as main transcriptc.1661A>G p.Asn554Ser missense_variant 2/91 NM_000901.5 ENSP00000350815.3 P08235-1

Frequencies

GnomAD3 genomes
AF:
0.00340
AC:
518
AN:
152136
Hom.:
6
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00790
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00144
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0285
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00287
GnomAD3 exomes
AF:
0.00297
AC:
748
AN:
251464
Hom.:
10
AF XY:
0.00272
AC XY:
369
AN XY:
135908
show subpopulations
Gnomad AFR exome
AF:
0.00769
Gnomad AMR exome
AF:
0.000376
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0317
Gnomad SAS exome
AF:
0.000392
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000879
Gnomad OTH exome
AF:
0.000651
GnomAD4 exome
AF:
0.00111
AC:
1628
AN:
1461888
Hom.:
22
Cov.:
31
AF XY:
0.00109
AC XY:
791
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.00795
Gnomad4 AMR exome
AF:
0.000470
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0269
Gnomad4 SAS exome
AF:
0.000626
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000845
Gnomad4 OTH exome
AF:
0.00204
GnomAD4 genome
AF:
0.00339
AC:
516
AN:
152254
Hom.:
5
Cov.:
32
AF XY:
0.00361
AC XY:
269
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.00787
Gnomad4 AMR
AF:
0.00144
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0285
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00284
Alfa
AF:
0.00146
Hom.:
8
Bravo
AF:
0.00368
ESP6500AA
AF:
0.00635
AC:
28
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00287
AC:
348
Asia WGS
AF:
0.0100
AC:
35
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal dominant pseudohypoaldosteronism type 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 30, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.054
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
12
DANN
Benign
0.66
DEOGEN2
Benign
0.30
T;.;T;.;.
Eigen
Benign
-0.69
Eigen_PC
Benign
-0.55
FATHMM_MKL
Benign
0.67
D
LIST_S2
Benign
0.78
.;T;T;T;.
MetaRNN
Benign
0.0033
T;T;T;T;T
MetaSVM
Benign
-0.87
T
MutationAssessor
Benign
-0.69
N;N;N;N;N
PrimateAI
Benign
0.34
T
PROVEAN
Benign
0.69
N;.;N;N;N
REVEL
Benign
0.25
Sift
Benign
0.49
T;.;T;T;T
Sift4G
Benign
0.64
T;T;T;T;T
Vest4
0.051
MVP
0.48
MPC
0.11
ClinPred
0.011
T
GERP RS
-2.2
Varity_R
0.047
gMVP
0.10

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs5527; hg19: chr4-149356352; COSMIC: COSV100678726; API