rs6735208

Variant names:

• chr2-151679984-T-A
• rs6735208
• NM_001164507.2:c.3081A>T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_Strong BP6_Very_Strong BA1

The NM_001164508.2(NEB):​c.3081A>T​(p.Lys1027Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.79 in 1,612,454 control chromosomes in the GnomAD database, including 516,236 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

• Frequency:
  • Genomes: 𝑓 0.69 (39583 hom., cov: 31)
  • Exomes 𝑓: 0.80 (476653 hom.)
• Consequence: NEB NM_001164508.2 missense
• Clinical Significance: Benign criteria provided, multiple submitters, no conflicts B:13
• Conservation: PhyloP100: -0.548
• Publications: 34 publications found

Genes affected

NEB (HGNC:7720): (nebulin) This gene encodes nebulin, a giant protein component of the cytoskeletal matrix that coexists with the thick and thin filaments within the sarcomeres of skeletal muscle. In most vertebrates, nebulin accounts for 3 to 4% of the total myofibrillar protein. The encoded protein contains approximately 30-amino acid long modules that can be classified into 7 types and other repeated modules. Protein isoform sizes vary from 600 to 800 kD due to alternative splicing that is tissue-, species-,and developmental stage-specific. Of the 183 exons in the nebulin gene, at least 43 are alternatively spliced, although exons 143 and 144 are not found in the same transcript. Of the several thousand transcript variants predicted for nebulin, the RefSeq Project has decided to create three representative RefSeq records. Mutations in this gene are associated with recessive nemaline myopathy. [provided by RefSeq, Sep 2009]

NEB Gene-Disease associations (from GenCC):

• nemaline myopathy 2

  Inheritance: AR, AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: G2P, ClinGen, Myriad Women’s Health, Labcorp Genetics (formerly Invitae), Ambry Genetics
• autosomal dominant nebulin-related myopathy

  Inheritance: AD Classification: MODERATE Submitted by: ClinGen
• childhood-onset nemaline myopathy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• intermediate nemaline myopathy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• typical nemaline myopathy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• lethal multiple pterygium syndrome

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
• severe congenital nemaline myopathy

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Benign. The variant received -20 ACMG points.

• BP4: Computational evidence support a benign effect (MetaRNN=4.787806E-6).
• BP6: Variant 2-151679984-T-A is Benign according to our data. Variant chr2-151679984-T-A is described in ClinVar as Benign. ClinVar VariationId is 95128.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BA1: GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.828 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001164508.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NEB	NM_001164507.2	MANE Plus Clinical	c.3081A>T	p.Lys1027Asn	missense	Exon 31 of 182	NP_001157979.2	P20929-3
	NEB	NM_001164508.2	MANE Select	c.3081A>T	p.Lys1027Asn	missense	Exon 31 of 182	NP_001157980.2	P20929-2
	NEB	NM_001271208.2		c.3081A>T	p.Lys1027Asn	missense	Exon 31 of 183	NP_001258137.2

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	NEB	ENST00000397345.8	TSL:5 MANE Select	c.3081A>T	p.Lys1027Asn	missense	Exon 31 of 182	ENSP00000380505.3	P20929-2
	NEB	ENST00000427231.7	TSL:5 MANE Plus Clinical	c.3081A>T	p.Lys1027Asn	missense	Exon 31 of 182	ENSP00000416578.2	P20929-3
	NEB	ENST00000409198.5	TSL:5	c.3081A>T	p.Lys1027Asn	missense	Exon 31 of 150	ENSP00000386259.1	P20929-4

Frequencies

GnomAD3 genomes AF: 0.693 AC: 105274 AN: 152000 Hom.: 39575 Cov.: 31

Gnomad AFR AF: 0.393

Gnomad AMI AF: 0.842

Gnomad AMR AF: 0.818

Gnomad ASJ AF: 0.726

Gnomad EAS AF: 0.465

Gnomad SAS AF: 0.647

Gnomad FIN AF: 0.868

Gnomad MID AF: 0.778

Gnomad NFE AF: 0.834

Gnomad OTH AF: 0.730

GnomAD2 exomes AF: 0.761 AC: 189525 AN: 249064 AF XY: 0.762

Gnomad AFR exome AF: 0.381

Gnomad AMR exome AF: 0.877

Gnomad ASJ exome AF: 0.736

Gnomad EAS exome AF: 0.487

Gnomad FIN exome AF: 0.859

Gnomad NFE exome AF: 0.835

Gnomad OTH exome AF: 0.788

GnomAD4 exome AF: 0.801 AC: 1169316 AN: 1460336 Hom.: 476653 Cov.: 51 AF XY: 0.798 AC XY: 579485 AN XY: 726562

African (AFR) AF: 0.382 AC: 12770 AN: 33444

American (AMR) AF: 0.868 AC: 38809 AN: 44712

Ashkenazi Jewish (ASJ) AF: 0.738 AC: 19268 AN: 26122

East Asian (EAS) AF: 0.445 AC: 17662 AN: 39686

South Asian (SAS) AF: 0.654 AC: 56348 AN: 86208

European-Finnish (FIN) AF: 0.859 AC: 45856 AN: 53398

Middle Eastern (MID) AF: 0.770 AC: 4438 AN: 5766

European-Non Finnish (NFE) AF: 0.836 AC: 928161 AN: 1110666

Other (OTH) AF: 0.762 AC: 46004 AN: 60334

GnomAD4 genome AF: 0.692 AC: 105297 AN: 152118 Hom.: 39583 Cov.: 31 AF XY: 0.695 AC XY: 51713 AN XY: 74376

African (AFR) AF: 0.393 AC: 16285 AN: 41424

American (AMR) AF: 0.818 AC: 12518 AN: 15294

Ashkenazi Jewish (ASJ) AF: 0.726 AC: 2522 AN: 3472

East Asian (EAS) AF: 0.464 AC: 2405 AN: 5178

South Asian (SAS) AF: 0.647 AC: 3122 AN: 4824

European-Finnish (FIN) AF: 0.868 AC: 9194 AN: 10590

Middle Eastern (MID) AF: 0.779 AC: 229 AN: 294

European-Non Finnish (NFE) AF: 0.834 AC: 56732 AN: 68022

Other (OTH) AF: 0.722 AC: 1522 AN: 2108

Alfa AF: 0.795 Hom.: 37006

Bravo AF: 0.678

TwinsUK AF: 0.841 AC: 3119

ALSPAC AF: 0.836 AC: 3221

ESP6500AA AF: 0.427 AC: 1662

ESP6500EA AF: 0.827 AC: 6827

ExAC AF: 0.749 AC: 90542

Asia WGS AF: 0.484 AC: 1689 AN: 3478

EpiCase AF: 0.839

EpiControl AF: 0.832

ClinVar

ClinVar submissions as Germline

Significance: Benign

Revision: criteria provided, multiple submitters, no conflicts

Pathogenic	VUS	Benign	Condition
-	-	5	not specified (5)
-	-	4	Nemaline myopathy 2 (4)
-	-	3	not provided (3)
-	-	1	Arthrogryposis multiplex congenita 6 (1)

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.22
BayesDel_addAF	Benign	-0.70	T
BayesDel_noAF	Benign	-0.64
CADD	Benign	17
DANN	Uncertain	1.0
DEOGEN2	Benign	0.035	T
Eigen	Benign	-0.20
Eigen_PC	Benign	-0.30
FATHMM_MKL	Benign	0.33	N
LIST_S2	Benign	0.81	T
MetaRNN	Benign	0.0000048	T
MetaSVM	Benign	-1.0	T
MutationAssessor	Benign	1.6	L
PhyloP100		-0.55
PrimateAI	Benign	0.45	T
PROVEAN	Benign	-2.0	N
REVEL	Benign	0.14
Sift	Benign	0.13	T
Sift4G	Pathogenic	0.0010	D
Polyphen		0.98	D
Vest4		0.14
MutPred		0.41		Loss of methylation at K1027 (P = 0.0126)
MPC		0.093
ClinPred		0.036	T
GERP RS		-1.6
Varity_R		0.20
gMVP		0.37
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs6735208; hg19: chr2-152536498; COSMIC: COSV51419783;