rs891868440

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_000906.4(NPR1):​c.20C>A​(p.Pro7His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000146 in 1,438,326 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000013 ( 0 hom. )

Consequence

NPR1
NM_000906.4 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.967

Publications

0 publications found
Variant links:
Genes affected
NPR1 (HGNC:7943): (natriuretic peptide receptor 1) Guanylyl cyclases, catalyzing the production of cGMP from GTP, are classified as soluble and membrane forms (Garbers and Lowe, 1994 [PubMed 7982997]). The membrane guanylyl cyclases, often termed guanylyl cyclases A through F, form a family of cell-surface receptors with a similar topographic structure: an extracellular ligand-binding domain, a single membrane-spanning domain, and an intracellular region that contains a protein kinase-like domain and a cyclase catalytic domain. GC-A and GC-B function as receptors for natriuretic peptides; they are also referred to as atrial natriuretic peptide receptor A (NPR1) and type B (NPR2; MIM 108961). Also see NPR3 (MIM 108962), which encodes a protein with only the ligand-binding transmembrane and 37-amino acid cytoplasmic domains. NPR1 is a membrane-bound guanylate cyclase that serves as the receptor for both atrial and brain natriuretic peptides (ANP (MIM 108780) and BNP (MIM 600295), respectively).[supplied by OMIM, May 2009]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.28011376).
BS2
High AC in GnomAdExome4 at 17 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NPR1NM_000906.4 linkc.20C>A p.Pro7His missense_variant Exon 1 of 22 ENST00000368680.4 NP_000897.3 P16066A0A140VJE6
NPR1XM_005245218.3 linkc.20C>A p.Pro7His missense_variant Exon 1 of 21 XP_005245275.1
NPR1XM_017001374.3 linkc.20C>A p.Pro7His missense_variant Exon 1 of 14 XP_016856863.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NPR1ENST00000368680.4 linkc.20C>A p.Pro7His missense_variant Exon 1 of 22 1 NM_000906.4 ENSP00000357669.3 P16066

Frequencies

GnomAD3 genomes
AF:
0.0000264
AC:
4
AN:
151778
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.0000442
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000132
AC:
17
AN:
1286548
Hom.:
0
Cov.:
31
AF XY:
0.00000952
AC XY:
6
AN XY:
630526
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25104
American (AMR)
AF:
0.00
AC:
0
AN:
18978
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19360
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30092
South Asian (SAS)
AF:
0.00
AC:
0
AN:
65216
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3828
European-Non Finnish (NFE)
AF:
0.0000164
AC:
17
AN:
1039054
Other (OTH)
AF:
0.00
AC:
0
AN:
53288
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000264
AC:
4
AN:
151778
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74120
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41352
American (AMR)
AF:
0.00
AC:
0
AN:
15258
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5100
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4800
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
308
European-Non Finnish (NFE)
AF:
0.0000442
AC:
3
AN:
67900
Other (OTH)
AF:
0.00
AC:
0
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.0000302

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Dec 27, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.20C>A (p.P7H) alteration is located in exon 1 (coding exon 1) of the NPR1 gene. This alteration results from a C to A substitution at nucleotide position 20, causing the proline (P) at amino acid position 7 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.098
BayesDel_addAF
Benign
-0.017
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
21
DANN
Benign
0.95
DEOGEN2
Benign
0.22
T
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.55
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.44
T
M_CAP
Pathogenic
0.35
D
MetaRNN
Benign
0.28
T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
0.69
N
PhyloP100
0.97
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-0.85
N
REVEL
Benign
0.27
Sift
Benign
0.22
T
Sift4G
Benign
0.60
T
Polyphen
0.70
P
Vest4
0.29
MutPred
0.27
Gain of helix (P = 0.0022);
MVP
0.88
MPC
0.80
ClinPred
0.17
T
GERP RS
3.6
PromoterAI
-0.0020
Neutral
Varity_R
0.052
gMVP
0.51
Mutation Taster
=96/4
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: rs891868440; hg19: chr1-153651604; API