rs77110978

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001134363.3(RBM20):​c.3331G>A​(p.Val1111Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000188 in 1,503,670 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/20 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. V1111L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 29)
Exomes 𝑓: 0.00020 ( 4 hom. )

Consequence

RBM20
NM_001134363.3 missense

Scores

15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: -4.38

Publications

1 publications found
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]
RBM20 Gene-Disease associations (from GenCC):
  • dilated cardiomyopathy
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • dilated cardiomyopathy 1DD
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0064791143).
BP6
Variant 10-110823494-G-A is Benign according to our data. Variant chr10-110823494-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 411648.
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.00011 (15/136784) while in subpopulation EAS AF = 0.00278 (13/4676). AF 95% confidence interval is 0.00164. There are 0 homozygotes in GnomAd4. There are 11 alleles in the male GnomAd4 subpopulation. Median coverage is 29. This position passed quality control check.
BS2
High AC in GnomAd4 at 15 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001134363.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RBM20
NM_001134363.3
MANE Select
c.3331G>Ap.Val1111Met
missense
Exon 12 of 14NP_001127835.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RBM20
ENST00000369519.4
TSL:1 MANE Select
c.3331G>Ap.Val1111Met
missense
Exon 12 of 14ENSP00000358532.3
RBM20
ENST00000718239.1
c.3331G>Ap.Val1111Met
missense
Exon 12 of 14ENSP00000520684.1
RBM20
ENST00000471172.1
TSL:5
n.-94G>A
upstream_gene
N/A

Frequencies

GnomAD3 genomes
AF:
0.000110
AC:
15
AN:
136738
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000838
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00277
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000151
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000468
AC:
7
AN:
149530
AF XY:
0.0000506
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000567
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000195
AC:
267
AN:
1366886
Hom.:
4
Cov.:
35
AF XY:
0.000193
AC XY:
130
AN XY:
673094
show subpopulations
African (AFR)
AF:
0.0000333
AC:
1
AN:
30016
American (AMR)
AF:
0.0000298
AC:
1
AN:
33590
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24436
East Asian (EAS)
AF:
0.00749
AC:
256
AN:
34192
South Asian (SAS)
AF:
0.0000131
AC:
1
AN:
76496
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47930
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5388
European-Non Finnish (NFE)
AF:
0.00000472
AC:
5
AN:
1058708
Other (OTH)
AF:
0.0000534
AC:
3
AN:
56130
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
12
25
37
50
62
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.000110
AC:
15
AN:
136784
Hom.:
0
Cov.:
29
AF XY:
0.000169
AC XY:
11
AN XY:
65126
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
35798
American (AMR)
AF:
0.0000837
AC:
1
AN:
11942
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3408
East Asian (EAS)
AF:
0.00278
AC:
13
AN:
4676
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4332
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
7630
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
220
European-Non Finnish (NFE)
AF:
0.0000151
AC:
1
AN:
66018
Other (OTH)
AF:
0.00
AC:
0
AN:
1870
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.528
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.000127
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.0000426
AC:
1
Asia WGS
AF:
0.00115
AC:
4
AN:
3476

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Cardiovascular phenotype (1)
-
-
1
Dilated cardiomyopathy 1DD (1)
-
1
-
not provided (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
0.013
DANN
Benign
0.77
Eigen
Benign
-1.7
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.0032
N
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.0065
T
MetaSVM
Benign
-0.95
T
PhyloP100
-4.4
PrimateAI
Benign
0.20
T
PROVEAN
Benign
0.17
N
REVEL
Benign
0.21
Sift
Benign
0.81
T
Sift4G
Benign
0.23
T
Vest4
0.058
MVP
0.15
ClinPred
0.021
T
GERP RS
-12
gMVP
0.20
Mutation Taster
=94/6
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: rs77110978; hg19: chr10-112583252; API