rs763590899
Variant summary
Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP6BS2
The NM_001458.5(FLNC):c.1802T>C(p.Val601Ala) variant causes a missense change. The variant allele was found at a frequency of 0.0000189 in 1,586,984 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_001458.5 missense
Scores
Clinical Significance
Conservation
Genome browser will be placed here
ACMG classification
Verdict is Likely_benign. Variant got -5 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
FLNC | ENST00000325888.13 | c.1802T>C | p.Val601Ala | missense_variant | Exon 11 of 48 | 1 | NM_001458.5 | ENSP00000327145.8 | ||
FLNC | ENST00000346177.6 | c.1802T>C | p.Val601Ala | missense_variant | Exon 11 of 47 | 1 | ENSP00000344002.6 |
Frequencies
GnomAD3 genomes AF: 0.0000346 AC: 5AN: 144334Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000333 AC: 7AN: 210222Hom.: 0 AF XY: 0.0000175 AC XY: 2AN XY: 114262
GnomAD4 exome AF: 0.0000173 AC: 25AN: 1442650Hom.: 0 Cov.: 34 AF XY: 0.0000223 AC XY: 16AN XY: 716282
GnomAD4 genome AF: 0.0000346 AC: 5AN: 144334Hom.: 0 Cov.: 32 AF XY: 0.0000142 AC XY: 1AN XY: 70210
ClinVar
Submissions by phenotype
not provided Uncertain:2
Found in a 14 yo female with incomplete RBBB on EKG and a history of two syncopal episodes during exercise. Her echocardiogram and cardiac MRI were read as normal, and she has no known skeletal myopathy. p.Val601Ala (c.1802T>C) in the FLNC gene (NM_001458.4) Chromosome location 7:128481013 T / C Based on the information reviewed below, we classify this as a VUS, probably benign, concluding that there is not sufficient evidence for its pathogenicity to warrant using it for predictive genetic testing. This variant has not previously been reported in the literature in association with disease, according to the Invitae report. It is present, however, in population databases and is most common in individuals with Latino ancestry like our patient. This is a conservative amino acid change, resulting in the replacement of a nonpolar Valine with a nonpolar Alanine. Valine at this location is well conserved across ~100 vertebrate species for which we have data as are surrounding residues, which may support the functional importance of this region of the protein. There are no Likely Pathogenic or Pathogenic missense variants listed in ClinVar within 10 amino acids to either side. According to the Invitae report, algorithms developed to predict the effect of missense changes on protein structure and function do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). This variant was reported in 9 individuals in the gnomAD database, which includes variant calls on ~140,000 individuals of European, African, Latino, South Asian, Ashkenazi, and East Asian descent. Specifically, the variant was observed in 7 out of 14,839 Latino individuals (for the highest allele frequency: 0.02%), and 2 non-Finnish Europeans. Our patient has Latino ancestry. The phenotype of those individuals is not publicly available. The dataset is comprised of multiple cohorts, some of which were recruited from the general population, others were enriched for common cardiovascular disease. The curators made an effort to exclude individuals with severe pediatric diseases. -
The FLNC c.1802T>C; p.Val601Ala variant (rs763590899), to our knowledge, is not reported in the medical literature but is reported in ClinVar (Variation ID: 539420). This variant is found in the general population with an overall allele frequency of 0.0038% (9/239,908 alleles) in the Genome Aggregation Database. Computational analyses predict that this variant is deleterious (REVEL: 0.727). Due to limited information, the clinical significance of this variant is uncertain at this time. -
Cardiovascular phenotype Uncertain:1
The p.V601A variant (also known as c.1802T>C), located in coding exon 11 of the FLNC gene, results from a T to C substitution at nucleotide position 1802. The valine at codon 601 is replaced by alanine, an amino acid with similar properties. This amino acid position is conserved. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Myofibrillar myopathy 5;C3279722:Distal myopathy with posterior leg and anterior hand involvement;C4310749:Hypertrophic cardiomyopathy 26;CN239310:Dilated Cardiomyopathy, Dominant Benign:1
- -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at