rs761911901
Variant summary
Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate
The NM_006017.3(PROM1):c.1946C>T(p.Ser649Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000193 in 1,454,502 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S649T) has been classified as Uncertain significance.
Frequency
Consequence
NM_006017.3 missense
Scores
Clinical Significance
Conservation
Publications
- retinal macular dystrophy type 2Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
- inherited retinal dystrophyInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- retinitis pigmentosa 41Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
- cone-rod dystrophy 12Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- cone-rod dystrophyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- retinitis pigmentosaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Stargardt diseaseInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -2 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| PROM1 | NM_006017.3 | c.1946C>T | p.Ser649Leu | missense_variant | Exon 18 of 28 | ENST00000447510.7 | NP_006008.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| PROM1 | ENST00000447510.7 | c.1946C>T | p.Ser649Leu | missense_variant | Exon 18 of 28 | 1 | NM_006017.3 | ENSP00000415481.2 |
Frequencies
GnomAD3 genomes Cov.: 31
GnomAD2 exomes AF: 0.0000290 AC: 7AN: 241558 AF XY: 0.0000305 show subpopulations
GnomAD4 exome AF: 0.0000193 AC: 28AN: 1454502Hom.: 1 Cov.: 30 AF XY: 0.0000263 AC XY: 19AN XY: 723336 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 31
ClinVar
Submissions by phenotype
not provided Uncertain:4
This sequence change replaces serine, which is neutral and polar, with leucine, which is neutral and non-polar, at codon 649 of the PROM1 protein (p.Ser649Leu). This variant is present in population databases (rs761911901, gnomAD 0.02%). This missense change has been observed in individuals with cone-rod dystrophy and/or retinitis pigmentosa (PMID: 28418496, 32531858, 36648511). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 425331). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt PROM1 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. -
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In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 20554613, Duignan2015[abstract], 28418496) -
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Cone-rod dystrophy Pathogenic:1Uncertain:1
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Cone-rod dystrophy 12 Pathogenic:1
This heterozygous variant c.1946C>T (Ser649Leu) has been identified in a proband with features suggestive of cone rod dystrophy in compound heterozygous state with c.730C>T (p.Arg244Ter). -
Retinitis pigmentosa 41 Uncertain:1
The c.1946C>T (p.Ser649Leu) missense variant in PROM1 gene has been submitted to ClinVar with varying interpretations: Pathogenic/Variant of Uncertain Significance (VUS). It has been reported in individuals affected with cone-rod dystrophy (Littink et al, 2010). The p.Ser649Leu variant is reported with the allele frequency (0.002%) in the gnomAD Exomes and is novel (not in any individuals) in 1000 Genomes. The amino acid Ser at position 649 is changed to a Leu changing protein sequence and it might alter its composition and physico-chemical properties. In silico tools predict the variant to be tolerated. The residue is conserved across species. The amino acid change p.Ser649Leu in PROM1 is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Variant of Uncertain Significance (VUS). -
Retinal dystrophy Uncertain:1
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Stargardt disease 4;C2675210:Cone-rod dystrophy 12;C2677516:Retinitis pigmentosa 41;C4749334:Retinal macular dystrophy type 2 Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at