rs7792133

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000603.5(NOS3):​c.1994G>A​(p.Arg665His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00104 in 1,613,914 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0051 ( 7 hom., cov: 33)
Exomes 𝑓: 0.00061 ( 1 hom. )

Consequence

NOS3
NM_000603.5 missense

Scores

3
14

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 2.86

Publications

9 publications found
Variant links:
Genes affected
NOS3 (HGNC:7876): (nitric oxide synthase 3) Nitric oxide is a reactive free radical which acts as a biologic mediator in several processes, including neurotransmission and antimicrobial and antitumoral activities. Nitric oxide is synthesized from L-arginine by nitric oxide synthases. Variations in this gene are associated with susceptibility to coronary spasm. Alternative splicing and the use of alternative promoters results in multiple transcript variants. [provided by RefSeq, Oct 2016]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.007344246).
BP6
Variant 7-151007158-G-A is Benign according to our data. Variant chr7-151007158-G-A is described in ClinVar as Benign. ClinVar VariationId is 776273.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00511 (778/152348) while in subpopulation AFR AF = 0.0177 (734/41572). AF 95% confidence interval is 0.0166. There are 7 homozygotes in GnomAd4. There are 361 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High AC in GnomAd4 at 778 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000603.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NOS3
NM_000603.5
MANE Select
c.1994G>Ap.Arg665His
missense
Exon 17 of 27NP_000594.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NOS3
ENST00000297494.8
TSL:1 MANE Select
c.1994G>Ap.Arg665His
missense
Exon 17 of 27ENSP00000297494.3P29474-1
NOS3
ENST00000943234.1
c.1994G>Ap.Arg665His
missense
Exon 16 of 26ENSP00000613293.1
NOS3
ENST00000908206.1
c.1994G>Ap.Arg665His
missense
Exon 16 of 26ENSP00000578265.1

Frequencies

GnomAD3 genomes
AF:
0.00510
AC:
776
AN:
152230
Hom.:
8
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0177
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00190
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:
0.000162
Gnomad OTH
AF:
0.00191
GnomAD2 exomes
AF:
0.00138
AC:
346
AN:
250894
AF XY:
0.000951
show subpopulations
Gnomad AFR exome
AF:
0.0190
Gnomad AMR exome
AF:
0.000607
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000883
Gnomad OTH exome
AF:
0.000653
GnomAD4 exome
AF:
0.000614
AC:
898
AN:
1461566
Hom.:
1
Cov.:
33
AF XY:
0.000534
AC XY:
388
AN XY:
727100
show subpopulations
African (AFR)
AF:
0.0191
AC:
640
AN:
33474
American (AMR)
AF:
0.000760
AC:
34
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26126
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86250
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53196
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5768
European-Non Finnish (NFE)
AF:
0.000138
AC:
154
AN:
1111944
Other (OTH)
AF:
0.00113
AC:
68
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
59
118
178
237
296
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
24
48
72
96
120
<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:
0.00511
AC:
778
AN:
152348
Hom.:
7
Cov.:
33
AF XY:
0.00485
AC XY:
361
AN XY:
74498
show subpopulations
African (AFR)
AF:
0.0177
AC:
734
AN:
41572
American (AMR)
AF:
0.00189
AC:
29
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000162
AC:
11
AN:
68040
Other (OTH)
AF:
0.00189
AC:
4
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
42
85
127
170
212
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00146
Hom.:
1
Bravo
AF:
0.00533
ESP6500AA
AF:
0.0184
AC:
81
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00164
AC:
199
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000119

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
23
DANN
Benign
0.25
DEOGEN2
Benign
0.13
T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.18
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.87
D
MetaRNN
Benign
0.0073
T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
-0.060
N
PhyloP100
2.9
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
4.5
N
REVEL
Benign
0.14
Sift
Benign
1.0
T
Sift4G
Benign
0.94
T
Polyphen
0.0010
B
Vest4
0.24
MVP
0.80
MPC
0.62
ClinPred
0.018
T
GERP RS
4.9
Varity_R
0.056
gMVP
0.53
Mutation Taster
=88/12
polymorphism

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

Other links and lift over

dbSNP: rs7792133; hg19: chr7-150704246; COSMIC: COSV52493002; COSMIC: COSV52493002; API
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.