rs696723

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_206933.4(USH2A):​c.2137G>C​(p.Gly713Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0202 in 1,613,916 control chromosomes in the GnomAD database, including 1,434 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. G713G) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.058 ( 655 hom., cov: 32)
Exomes 𝑓: 0.016 ( 779 hom. )

Consequence

USH2A
NM_206933.4 missense

Scores

7
7
4

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:15O:1

Conservation

PhyloP100: 5.51

Publications

30 publications found
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 Gene-Disease associations (from GenCC):
  • Usher syndrome type 2
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • Usher syndrome type 2A
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • retinitis pigmentosa 39
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • retinitis pigmentosa
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -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, 7 uncertain in NM_206933.4
BP4
Computational evidence support a benign effect (MetaRNN=0.0021301508).
BP6
Variant 1-216250933-C-G is Benign according to our data. Variant chr1-216250933-C-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 48484.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.173 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
USH2ANM_206933.4 linkc.2137G>C p.Gly713Arg missense_variant Exon 12 of 72 ENST00000307340.8 NP_996816.3 O75445-1
USH2ANM_007123.6 linkc.2137G>C p.Gly713Arg missense_variant Exon 12 of 21 NP_009054.6 O75445-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
USH2AENST00000307340.8 linkc.2137G>C p.Gly713Arg missense_variant Exon 12 of 72 1 NM_206933.4 ENSP00000305941.3 O75445-1
USH2AENST00000366942.3 linkc.2137G>C p.Gly713Arg missense_variant Exon 12 of 21 1 ENSP00000355909.3 O75445-2
USH2AENST00000674083.1 linkc.2137G>C p.Gly713Arg missense_variant Exon 12 of 73 ENSP00000501296.1 O75445-3

Frequencies

GnomAD3 genomes
AF:
0.0576
AC:
8754
AN:
152066
Hom.:
654
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.176
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0277
Gnomad ASJ
AF:
0.0170
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0205
Gnomad FIN
AF:
0.00632
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.0105
Gnomad OTH
AF:
0.0444
GnomAD2 exomes
AF:
0.0232
AC:
5814
AN:
250936
AF XY:
0.0207
show subpopulations
Gnomad AFR exome
AF:
0.181
Gnomad AMR exome
AF:
0.0144
Gnomad ASJ exome
AF:
0.0187
Gnomad EAS exome
AF:
0.000164
Gnomad FIN exome
AF:
0.00689
Gnomad NFE exome
AF:
0.0112
Gnomad OTH exome
AF:
0.0193
GnomAD4 exome
AF:
0.0163
AC:
23891
AN:
1461732
Hom.:
779
Cov.:
32
AF XY:
0.0159
AC XY:
11536
AN XY:
727172
show subpopulations
African (AFR)
AF:
0.185
AC:
6196
AN:
33480
American (AMR)
AF:
0.0162
AC:
724
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.0178
AC:
466
AN:
26128
East Asian (EAS)
AF:
0.0000505
AC:
2
AN:
39640
South Asian (SAS)
AF:
0.0209
AC:
1802
AN:
86256
European-Finnish (FIN)
AF:
0.00618
AC:
330
AN:
53408
Middle Eastern (MID)
AF:
0.0293
AC:
169
AN:
5766
European-Non Finnish (NFE)
AF:
0.0115
AC:
12793
AN:
1111944
Other (OTH)
AF:
0.0233
AC:
1409
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
1281
2562
3842
5123
6404
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
610
1220
1830
2440
3050
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0576
AC:
8765
AN:
152184
Hom.:
655
Cov.:
32
AF XY:
0.0563
AC XY:
4186
AN XY:
74408
show subpopulations
African (AFR)
AF:
0.176
AC:
7301
AN:
41476
American (AMR)
AF:
0.0277
AC:
423
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.0170
AC:
59
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.0205
AC:
99
AN:
4824
European-Finnish (FIN)
AF:
0.00632
AC:
67
AN:
10608
Middle Eastern (MID)
AF:
0.0238
AC:
7
AN:
294
European-Non Finnish (NFE)
AF:
0.0105
AC:
716
AN:
68018
Other (OTH)
AF:
0.0440
AC:
93
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
373
746
1119
1492
1865
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
84
168
252
336
420
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0186
Hom.:
86
Bravo
AF:
0.0655
TwinsUK
AF:
0.0108
AC:
40
ALSPAC
AF:
0.00934
AC:
36
ESP6500AA
AF:
0.174
AC:
768
ESP6500EA
AF:
0.0113
AC:
97
ExAC
AF:
0.0256
AC:
3104
Asia WGS
AF:
0.0310
AC:
107
AN:
3478
EpiCase
AF:
0.0105
EpiControl
AF:
0.0129

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:15Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5Other:1
-
NEI Ophthalmic Genomics Laboratory, National Institutes of Health
Significance:not provided
Review Status:no classification provided
Collection Method:literature only

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 30245029, 15325563, 15241801, 22952768, 27884173, 10909849, 21228398, 22004887, 20981092, 21738395, 14676276, 22025579, 12112664, 25262649) -

Feb 15, 2019
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 29, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:4
Feb 26, 2016
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 10, 2021
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 18, 2014
Eurofins Ntd Llc (ga)
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

- -

Usher syndrome type 2A Benign:4
May 31, 2018
SIB Swiss Institute of Bioinformatics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

This variant is interpreted as a Benign - Stand Alone, for Usher syndrome 2A (autosomal recessive, mild), in Autosomal Recessive manner. The following ACMG Tag(s) were applied: BS4 => Lack of segregation in affected members of a family (PMID:15325563). BA1 => Allele frequency is >5% in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium. BS1 => Allele frequency is greater than expected for disorder. BS2 => Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age. -

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

- -

Nov 04, 2023
Genome-Nilou Lab
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Retinitis pigmentosa 39 Benign:1
Nov 04, 2023
Genome-Nilou Lab
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Retinitis pigmentosa Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.47
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Uncertain
0.070
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.43
T;.
Eigen
Pathogenic
0.77
Eigen_PC
Uncertain
0.66
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.91
D;D
MetaRNN
Benign
0.0021
T;T
MetaSVM
Benign
-0.86
T
MutationAssessor
Pathogenic
3.8
H;H
PhyloP100
5.5
PrimateAI
Uncertain
0.61
T
PROVEAN
Pathogenic
-6.7
D;D
REVEL
Pathogenic
0.71
Sift
Pathogenic
0.0
D;D
Sift4G
Uncertain
0.0020
D;D
Polyphen
1.0
D;D
Vest4
0.34
MPC
0.25
ClinPred
0.057
T
GERP RS
4.2
Varity_R
0.84
gMVP
0.91
Mutation Taster
=65/35
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

Publications

Other links and lift over

dbSNP: rs696723; hg19: chr1-216424275; COSMIC: COSV56363761; API