rs577935445
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BS2
The NM_001077350.3(NPRL3):c.748C>T(p.Arg250Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000135 in 1,561,306 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R250Q) has been classified as Uncertain significance.
Frequency
Consequence
NM_001077350.3 missense
Scores
Clinical Significance
Conservation
Publications
- focal epilepsyInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- epilepsy, familial focal, with variable foci 3Inheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
- familial focal epilepsy with variable fociInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| NPRL3 | NM_001077350.3 | c.748C>T | p.Arg250Trp | missense_variant | Exon 8 of 14 | ENST00000611875.5 | NP_001070818.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| NPRL3 | ENST00000611875.5 | c.748C>T | p.Arg250Trp | missense_variant | Exon 8 of 14 | 5 | NM_001077350.3 | ENSP00000478273.1 |
Frequencies
GnomAD3 genomes AF: 0.0000132 AC: 2AN: 151850Hom.: 0 Cov.: 30 show subpopulations
GnomAD2 exomes AF: 0.0000332 AC: 7AN: 210628 AF XY: 0.0000346 show subpopulations
GnomAD4 exome AF: 0.0000135 AC: 19AN: 1409456Hom.: 0 Cov.: 30 AF XY: 0.0000157 AC XY: 11AN XY: 700144 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000132 AC: 2AN: 151850Hom.: 0 Cov.: 30 AF XY: 0.0000135 AC XY: 1AN XY: 74144 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:1
In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge
Epilepsy, familial focal, with variable foci 3 Uncertain:1
This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 250 of the NPRL3 protein (p.Arg250Trp). This variant is present in population databases (rs577935445, gnomAD 0.008%). This variant has not been reported in the literature in individuals affected with NPRL3-related conditions. ClinVar contains an entry for this variant (Variation ID: 542794). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt NPRL3 protein function with a negative predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at