rs933284199
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong
The NM_001113378.2(FANCI):āc.2507A>Gā(p.Asn836Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000171 in 1,552,232 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 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. N836I) has been classified as Uncertain significance.
Frequency
Consequence
NM_001113378.2 missense
Scores
Clinical Significance
Conservation
Publications
- Fanconi anemia complementation group IInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), G2P
- Fanconi anemiaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -4 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.0000591  AC: 9AN: 152172Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000629  AC: 10AN: 158928 AF XY:  0.0000358   show subpopulations 
GnomAD4 exome  AF:  0.000184  AC: 257AN: 1400060Hom.:  0  Cov.: 31 AF XY:  0.000168  AC XY: 116AN XY: 690494 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000591  AC: 9AN: 152172Hom.:  0  Cov.: 32 AF XY:  0.0000673  AC XY: 5AN XY: 74346 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Fanconi anemia    Uncertain:2 
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This sequence change replaces asparagine, which is neutral and polar, with serine, which is neutral and polar, at codon 836 of the FANCI protein (p.Asn836Ser). This variant is present in population databases (no rsID available, gnomAD 0.01%). This variant has not been reported in the literature in individuals affected with FANCI-related conditions. ClinVar contains an entry for this variant (Variation ID: 408253). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Not Available"; PolyPhen-2: "Benign"; Align-GVGD: "Not Available". The serine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Fanconi anemia complementation group I    Uncertain:2 
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This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
not specified    Uncertain:1 
This sequence change does not appear to have been previously described in patients with FANCI-related disorders and has been described in the gnomAD database with a low population frequency of 0.0068% (dbSNP rs933284199). The p.Asn836Ser change affects a poorly conserved amino acid residue located in a domain of the FANCI protein that is not known to be functional. The p.Asn836Ser substitution appears to be benign using several in-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL). Based on in silico splice prediction programs, this sequence change likely affects normal splicing of the FANCI gene, however functional studies have not been performed to prove this conclusively. Due to these contrasting evidences and the lack of functional studies, the clinical significance of the p.Asn836Ser change remains unknown at this time. -
not provided    Uncertain:1 
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Inborn genetic diseases    Benign:1 
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at