rs7111873

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_005055.5(RAPSN):​c.456T>C​(p.Tyr152Tyr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.698 in 1,612,224 control chromosomes in the GnomAD database, including 397,784 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.63 ( 31209 hom., cov: 31)
Exomes 𝑓: 0.71 ( 366575 hom. )

Consequence

RAPSN
NM_005055.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: -2.05

Publications

28 publications found
Variant links:
Genes affected
RAPSN (HGNC:9863): (receptor associated protein of the synapse) This gene encodes a member of a family of proteins that are receptor associated proteins of the synapse. The encoded protein contains a conserved cAMP-dependent protein kinase phosphorylation site, and plays a critical role in clustering and anchoring nicotinic acetylcholine receptors at synaptic sites by linking the receptors to the underlying postsynaptic cytoskeleton, possibly by direct association with actin or spectrin. Mutations in this gene may play a role in postsynaptic congenital myasthenic syndromes. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Apr 2011]
RAPSN Gene-Disease associations (from GenCC):
  • fetal akinesia deformation sequence 2
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • neuromuscular disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: Ambry Genetics
  • congenital myasthenic syndrome 11
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Genomics England PanelApp
  • fetal akinesia deformation sequence 1
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • postsynaptic congenital myasthenic syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.68).
BP6
Variant 11-47447887-A-G is Benign according to our data. Variant chr11-47447887-A-G is described in ClinVar as Benign. ClinVar VariationId is 130091.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-2.05 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.763 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RAPSNNM_005055.5 linkc.456T>C p.Tyr152Tyr synonymous_variant Exon 2 of 8 ENST00000298854.7 NP_005046.2 Q13702-1A0A0S2Z4F8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RAPSNENST00000298854.7 linkc.456T>C p.Tyr152Tyr synonymous_variant Exon 2 of 8 1 NM_005055.5 ENSP00000298854.2 Q13702-1
RAPSNENST00000352508.7 linkc.456T>C p.Tyr152Tyr synonymous_variant Exon 2 of 6 1 ENSP00000298853.3 Q13702-2
RAPSNENST00000529341.1 linkc.456T>C p.Tyr152Tyr synonymous_variant Exon 2 of 5 1 ENSP00000431732.1 E9PK11
RAPSNENST00000524487.5 linkc.456T>C p.Tyr152Tyr synonymous_variant Exon 2 of 7 5 ENSP00000435551.2 E9PJP9

Frequencies

GnomAD3 genomes
AF:
0.626
AC:
95043
AN:
151872
Hom.:
31192
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.418
Gnomad AMI
AF:
0.868
Gnomad AMR
AF:
0.669
Gnomad ASJ
AF:
0.716
Gnomad EAS
AF:
0.661
Gnomad SAS
AF:
0.785
Gnomad FIN
AF:
0.606
Gnomad MID
AF:
0.715
Gnomad NFE
AF:
0.721
Gnomad OTH
AF:
0.685
GnomAD2 exomes
AF:
0.680
AC:
168439
AN:
247528
AF XY:
0.694
show subpopulations
Gnomad AFR exome
AF:
0.414
Gnomad AMR exome
AF:
0.617
Gnomad ASJ exome
AF:
0.720
Gnomad EAS exome
AF:
0.646
Gnomad FIN exome
AF:
0.619
Gnomad NFE exome
AF:
0.723
Gnomad OTH exome
AF:
0.722
GnomAD4 exome
AF:
0.706
AC:
1030270
AN:
1460234
Hom.:
366575
Cov.:
85
AF XY:
0.709
AC XY:
515005
AN XY:
726378
show subpopulations
African (AFR)
AF:
0.409
AC:
13692
AN:
33446
American (AMR)
AF:
0.625
AC:
27794
AN:
44456
Ashkenazi Jewish (ASJ)
AF:
0.720
AC:
18796
AN:
26116
East Asian (EAS)
AF:
0.601
AC:
23831
AN:
39656
South Asian (SAS)
AF:
0.770
AC:
66331
AN:
86140
European-Finnish (FIN)
AF:
0.625
AC:
33058
AN:
52866
Middle Eastern (MID)
AF:
0.744
AC:
4288
AN:
5766
European-Non Finnish (NFE)
AF:
0.719
AC:
799602
AN:
1111462
Other (OTH)
AF:
0.711
AC:
42878
AN:
60326
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
19909
39818
59727
79636
99545
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
19798
39596
59394
79192
98990
<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:
0.626
AC:
95101
AN:
151990
Hom.:
31209
Cov.:
31
AF XY:
0.624
AC XY:
46332
AN XY:
74306
show subpopulations
African (AFR)
AF:
0.418
AC:
17327
AN:
41426
American (AMR)
AF:
0.670
AC:
10214
AN:
15254
Ashkenazi Jewish (ASJ)
AF:
0.716
AC:
2486
AN:
3470
East Asian (EAS)
AF:
0.660
AC:
3408
AN:
5164
South Asian (SAS)
AF:
0.783
AC:
3779
AN:
4824
European-Finnish (FIN)
AF:
0.606
AC:
6414
AN:
10586
Middle Eastern (MID)
AF:
0.721
AC:
212
AN:
294
European-Non Finnish (NFE)
AF:
0.721
AC:
49017
AN:
67952
Other (OTH)
AF:
0.689
AC:
1452
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.511
Heterozygous variant carriers
0
1741
3482
5222
6963
8704
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
774
1548
2322
3096
3870
<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:
0.694
Hom.:
25645
Bravo
AF:
0.618
Asia WGS
AF:
0.720
AC:
2509
AN:
3478
EpiCase
AF:
0.736
EpiControl
AF:
0.737

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Dec 07, 2015
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. -

-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Congenital myasthenic syndrome 11 Benign:2
Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Fetal akinesia deformation sequence 1 Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Fetal akinesia deformation sequence 1;C4225367:Congenital myasthenic syndrome 11 Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Congenital myasthenic syndrome Benign:1
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Fetal akinesia deformation sequence 2 Benign:1
Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.68
CADD
Benign
0.016
DANN
Benign
0.41
PhyloP100
-2.1
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

Publications

Other links and lift over

dbSNP: rs7111873; hg19: chr11-47469439; COSMIC: COSV54084050; API