rs764744220

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM1

The NM_000080.4(CHRNE):​c.1055G>T​(p.Arg352Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000424 in 1,534,614 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R352S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000046 ( 0 hom. )

Consequence

CHRNE
NM_000080.4 missense

Scores

2
6
10

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 0.836

Publications

2 publications found
Variant links:
Genes affected
CHRNE (HGNC:1966): (cholinergic receptor nicotinic epsilon subunit) Acetylcholine receptors at mature mammalian neuromuscular junctions are pentameric protein complexes composed of four subunits in the ratio of two alpha subunits to one beta, one epsilon, and one delta subunit. The acetylcholine receptor changes subunit composition shortly after birth when the epsilon subunit replaces the gamma subunit seen in embryonic receptors. Mutations in the epsilon subunit are associated with congenital myasthenic syndrome. [provided by RefSeq, Sep 2009]
C17orf107 (HGNC:37238): (chromosome 17 open reading frame 107)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 23 uncertain in NM_000080.4

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000080.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHRNE
NM_000080.4
MANE Select
c.1055G>Tp.Arg352Leu
missense
Exon 10 of 12NP_000071.1Q04844
C17orf107
NM_001145536.2
MANE Select
c.-401C>A
upstream_gene
N/ANP_001139008.1Q6ZR85

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHRNE
ENST00000649488.2
MANE Select
c.1055G>Tp.Arg352Leu
missense
Exon 10 of 12ENSP00000497829.1Q04844
CHRNE
ENST00000649830.1
c.122G>Tp.Arg41Leu
missense
Exon 10 of 11ENSP00000496907.1A0A3B3IRM1
CHRNE
ENST00000572438.1
TSL:5
n.741G>T
non_coding_transcript_exon
Exon 5 of 7

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152138
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000463
AC:
64
AN:
1382476
Hom.:
0
Cov.:
35
AF XY:
0.0000498
AC XY:
34
AN XY:
682760
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31292
American (AMR)
AF:
0.00
AC:
0
AN:
33770
Ashkenazi Jewish (ASJ)
AF:
0.0000410
AC:
1
AN:
24374
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35972
South Asian (SAS)
AF:
0.00
AC:
0
AN:
78974
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37730
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4784
European-Non Finnish (NFE)
AF:
0.0000566
AC:
61
AN:
1078130
Other (OTH)
AF:
0.0000348
AC:
2
AN:
57450
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
4
8
12
16
20
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00000657
AC:
1
AN:
152138
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74326
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41438
American (AMR)
AF:
0.00
AC:
0
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67992
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.625
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000108
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not provided (2)
-
1
-
Congenital myasthenic syndrome (1)
-
1
-
Congenital myasthenic syndrome 4A (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.091
BayesDel_addAF
Uncertain
0.045
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
17
DANN
Benign
0.93
DEOGEN2
Uncertain
0.71
D
Eigen
Benign
-0.62
Eigen_PC
Benign
-0.73
FATHMM_MKL
Benign
0.34
N
LIST_S2
Benign
0.18
T
M_CAP
Pathogenic
0.70
D
MetaRNN
Uncertain
0.50
D
MetaSVM
Benign
-0.41
T
MutationAssessor
Pathogenic
2.9
M
PhyloP100
0.84
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-3.6
D
REVEL
Uncertain
0.34
Sift
Benign
0.27
T
Sift4G
Benign
0.26
T
Polyphen
0.64
P
Vest4
0.46
MutPred
0.61
Gain of catalytic residue at R352 (P = 0.0567)
MVP
0.90
MPC
0.37
ClinPred
0.95
D
GERP RS
1.7
PromoterAI
0.0013
Neutral
Varity_R
0.30
gMVP
0.63
Mutation Taster
=81/19
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs764744220; hg19: chr17-4802657; API