rs56222536

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_206933.4(USH2A):​c.4994T>C​(p.Ile1665Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.128 in 1,612,682 control chromosomes in the GnomAD database, including 14,579 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 Benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in ClinVar.

Frequency

Genomes: 𝑓 0.10 ( 1044 hom., cov: 32)
Exomes 𝑓: 0.13 ( 13535 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

1
17

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.681
Variant links:
Genes affected
USH2A (HGNC:12601): (usherin) This gene encodes a protein that contains laminin EGF motifs, a pentaxin domain, and many fibronectin type III motifs. The protein is found in the basement membrane, and may be important in development and homeostasis of the inner ear and retina. Mutations within this gene have been associated with Usher syndrome type IIa and retinitis pigmentosa. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]
USH2A-AS2 (HGNC:40605): (USH2A antisense RNA 2)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 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, 5 uncertain in NM_206933.4
BP4
Computational evidence support a benign effect (MetaRNN=0.0014926493).
BP6
Variant 1-216084871-A-G is Benign according to our data. Variant chr1-216084871-A-G is described in ClinVar as [Benign]. Clinvar id is 48525.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-216084871-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.139 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
USH2ANM_206933.4 linkc.4994T>C p.Ile1665Thr missense_variant Exon 25 of 72 ENST00000307340.8 NP_996816.3 O75445-1
USH2A-AS2NR_125992.1 linkn.266-1851A>G intron_variant Intron 2 of 2
USH2A-AS2NR_125993.1 linkn.137-1851A>G intron_variant Intron 1 of 1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkc.4994T>C p.Ile1665Thr missense_variant Exon 25 of 72 1 NM_206933.4 ENSP00000305941.3 O75445-1

Frequencies

GnomAD3 genomes
AF:
0.101
AC:
15330
AN:
152112
Hom.:
1044
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0256
Gnomad AMI
AF:
0.247
Gnomad AMR
AF:
0.109
Gnomad ASJ
AF:
0.178
Gnomad EAS
AF:
0.0243
Gnomad SAS
AF:
0.0705
Gnomad FIN
AF:
0.131
Gnomad MID
AF:
0.180
Gnomad NFE
AF:
0.141
Gnomad OTH
AF:
0.130
GnomAD3 exomes
AF:
0.110
AC:
27645
AN:
250302
Hom.:
1891
AF XY:
0.113
AC XY:
15271
AN XY:
135380
show subpopulations
Gnomad AFR exome
AF:
0.0213
Gnomad AMR exome
AF:
0.0858
Gnomad ASJ exome
AF:
0.182
Gnomad EAS exome
AF:
0.0209
Gnomad SAS exome
AF:
0.0744
Gnomad FIN exome
AF:
0.130
Gnomad NFE exome
AF:
0.143
Gnomad OTH exome
AF:
0.145
GnomAD4 exome
AF:
0.131
AC:
191566
AN:
1460452
Hom.:
13535
Cov.:
32
AF XY:
0.130
AC XY:
94740
AN XY:
726616
show subpopulations
Gnomad4 AFR exome
AF:
0.0215
Gnomad4 AMR exome
AF:
0.0891
Gnomad4 ASJ exome
AF:
0.183
Gnomad4 EAS exome
AF:
0.0213
Gnomad4 SAS exome
AF:
0.0744
Gnomad4 FIN exome
AF:
0.132
Gnomad4 NFE exome
AF:
0.143
Gnomad4 OTH exome
AF:
0.130
GnomAD4 genome
AF:
0.101
AC:
15331
AN:
152230
Hom.:
1044
Cov.:
32
AF XY:
0.101
AC XY:
7482
AN XY:
74420
show subpopulations
Gnomad4 AFR
AF:
0.0256
Gnomad4 AMR
AF:
0.108
Gnomad4 ASJ
AF:
0.178
Gnomad4 EAS
AF:
0.0249
Gnomad4 SAS
AF:
0.0710
Gnomad4 FIN
AF:
0.131
Gnomad4 NFE
AF:
0.141
Gnomad4 OTH
AF:
0.129
Alfa
AF:
0.136
Hom.:
2168
Bravo
AF:
0.0974
TwinsUK
AF:
0.136
AC:
504
ALSPAC
AF:
0.144
AC:
554
ESP6500AA
AF:
0.0282
AC:
124
ESP6500EA
AF:
0.157
AC:
1354
ExAC
AF:
0.110
AC:
13301
Asia WGS
AF:
0.0610
AC:
212
AN:
3476
EpiCase
AF:
0.153
EpiControl
AF:
0.152

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 19, 2008
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 07, 2013
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

not provided Benign:2
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Usher syndrome type 2A Benign:2
Sep 16, 2020
Natera, Inc.
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jul 01, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Retinal dystrophy Benign:1
Oct 01, 2023
Dept Of Ophthalmology, Nagoya University
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
8.1
DANN
Benign
0.92
DEOGEN2
Benign
0.046
T
Eigen
Benign
-0.61
Eigen_PC
Benign
-0.54
FATHMM_MKL
Benign
0.61
D
LIST_S2
Benign
0.59
T
MetaRNN
Benign
0.0015
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.5
L
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-0.84
N
REVEL
Benign
0.15
Sift
Benign
0.17
T
Sift4G
Uncertain
0.041
D
Polyphen
0.0070
B
Vest4
0.075
MPC
0.035
ClinPred
0.0013
T
GERP RS
2.6
Varity_R
0.089
gMVP
0.40

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs56222536; hg19: chr1-216258213; COSMIC: COSV56370415; API