rs748133931

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_001134363.3(RBM20):​c.1244G>A​(p.Ser415Asn) variant causes a missense change. The variant allele was found at a frequency of 0.0000354 in 1,551,680 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000035 ( 0 hom. )

Consequence

RBM20
NM_001134363.3 missense

Scores

8
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: 3.79
Variant links:
Genes affected
RBM20 (HGNC:27424): (RNA binding motif protein 20) This gene encodes a protein that binds RNA and regulates splicing. Mutations in this gene have been associated with familial dilated cardiomyopathy. [provided by RefSeq, Apr 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.26884922).
BS2
High AC in GnomAd4 at 6 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RBM20NM_001134363.3 linkuse as main transcriptc.1244G>A p.Ser415Asn missense_variant 2/14 ENST00000369519.4 NP_001127835.2 Q5T481
RBM20XM_017016103.3 linkuse as main transcriptc.1079G>A p.Ser360Asn missense_variant 2/14 XP_016871592.1
RBM20XM_017016104.3 linkuse as main transcriptc.860G>A p.Ser287Asn missense_variant 2/14 XP_016871593.1
RBM20XM_047425116.1 linkuse as main transcriptc.860G>A p.Ser287Asn missense_variant 2/14 XP_047281072.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RBM20ENST00000369519.4 linkuse as main transcriptc.1244G>A p.Ser415Asn missense_variant 2/141 NM_001134363.3 ENSP00000358532.3 Q5T481

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152266
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000324
AC:
5
AN:
154150
Hom.:
0
AF XY:
0.0000366
AC XY:
3
AN XY:
81904
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000688
Gnomad OTH exome
AF:
0.000228
GnomAD4 exome
AF:
0.0000350
AC:
49
AN:
1399414
Hom.:
0
Cov.:
32
AF XY:
0.0000377
AC XY:
26
AN XY:
690214
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000203
Gnomad4 NFE exome
AF:
0.0000436
Gnomad4 OTH exome
AF:
0.0000172
GnomAD4 genome
AF:
0.0000394
AC:
6
AN:
152266
Hom.:
0
Cov.:
32
AF XY:
0.0000403
AC XY:
3
AN XY:
74394
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000396
AC:
1

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:4Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Dilated cardiomyopathy 1DD Uncertain:2Benign:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJul 27, 2021- -
Uncertain significance, criteria provided, single submitterresearchPetrovsky National Research Centre of Surgery, The Federal Agency for Scientific OrganizationsJul 04, 2018The results of multiple bioinformatic predictions are controversial. However, p.S415N variant was detected in gene with pathogenic missenses common (PP2 criteria in ACMG Guidelines). It is also absent from population databases (PM2 criteria in ACMG Guidelines). In summary the p.S415N variant can be classified as variant with unknown clinical significance. The p.S415N variant discovered in female patient with early-onset dilatation cardiomyopathy (pediatric DCM) and heart failure. The patient underwent heart transplantation at the age of 19. -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 09, 2023- -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxSep 02, 2020Has not been previously published as pathogenic or benign to our knowledge; Reported in ClinVar as a variant of uncertain significance (ClinVar Variant ID# 548140; Landrum et al., 2016); In silico analysis supports that this missense variant does not alter protein structure/function -
Cardiovascular phenotype Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 12, 2023The p.S415N variant (also known as c.1244G>A), located in coding exon 2 of the RBM20 gene, results from a G to A substitution at nucleotide position 1244. The serine at codon 415 is replaced by asparagine, an amino acid with highly similar properties. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.44
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.37
CADD
Uncertain
23
DANN
Uncertain
0.99
Eigen
Uncertain
0.21
Eigen_PC
Uncertain
0.27
FATHMM_MKL
Uncertain
0.85
D
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.27
T
MetaSVM
Benign
-0.97
T
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.063
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.013
D
Vest4
0.44
MutPred
0.35
Loss of loop (P = 0.0512);
MVP
0.31
ClinPred
0.16
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
gMVP
0.66

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs748133931; hg19: chr10-112541611; API