rs7792133

Variant summary

Our verdict is Benign. Variant got -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. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

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

Consequence

NOS3
NM_000603.5 missense

Scores

3
15

Clinical Significance

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

Conservation

PhyloP100: 2.86
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -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 id 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 male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 778 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NOS3NM_000603.5 linkuse as main transcriptc.1994G>A p.Arg665His missense_variant 17/27 ENST00000297494.8 NP_000594.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NOS3ENST00000297494.8 linkuse as main transcriptc.1994G>A p.Arg665His missense_variant 17/271 NM_000603.5 ENSP00000297494 P1P29474-1
NOS3ENST00000461406.5 linkuse as main transcriptc.1376G>A p.Arg459His missense_variant 14/242 ENSP00000417143

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
GnomAD3 exomes
AF:
0.00138
AC:
346
AN:
250894
Hom.:
1
AF XY:
0.000951
AC XY:
129
AN XY:
135692
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 SAS exome
AF:
0.0000327
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
Gnomad4 AFR exome
AF:
0.0191
Gnomad4 AMR exome
AF:
0.000760
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000138
Gnomad4 OTH exome
AF:
0.00113
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
Gnomad4 AFR
AF:
0.0177
Gnomad4 AMR
AF:
0.00189
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000162
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00112
Hom.:
0
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

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -

Computational scores

Source: dbNSFP v4.3

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;T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.18
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.87
D;D
MetaRNN
Benign
0.0073
T;T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
-0.060
N;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
4.5
N;N
REVEL
Benign
0.14
Sift
Benign
1.0
T;T
Sift4G
Benign
0.94
T;T
Polyphen
0.0010
B;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

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs7792133; hg19: chr7-150704246; COSMIC: COSV52493002; COSMIC: COSV52493002; API