rs976279218

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4BP6

The NM_000243.3(MEFV):​c.1898C>T​(p.Pro633Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000686 in 1,603,042 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts 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. P633T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000055 ( 0 hom. )

Consequence

MEFV
NM_000243.3 missense

Scores

1
7
10

Clinical Significance

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

Conservation

PhyloP100: 4.99

Publications

3 publications found
Variant links:
Genes affected
MEFV (HGNC:6998): (MEFV innate immunity regulator, pyrin) This gene encodes a protein, also known as pyrin or marenostrin, that is an important modulator of innate immunity. Mutations in this gene are associated with Mediterranean fever, a hereditary periodic fever syndrome. [provided by RefSeq, Jul 2008]
MEFV Gene-Disease associations (from GenCC):
  • autosomal recessive familial Mediterranean fever
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • familial Mediterranean fever
    Inheritance: AR, SD, AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Myriad Women’s Health, ClinGen, Orphanet
  • familial Mediterranean fever, autosomal dominant
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.40471023).
BP6
Variant 16-3243589-G-A is Benign according to our data. Variant chr16-3243589-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 457998.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000243.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MEFV
NM_000243.3
MANE Select
c.1898C>Tp.Pro633Leu
missense
Exon 10 of 10NP_000234.1O15553-2
MEFV
NM_001198536.2
c.*102C>T
3_prime_UTR
Exon 9 of 9NP_001185465.2O15553-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MEFV
ENST00000219596.6
TSL:1 MANE Select
c.1898C>Tp.Pro633Leu
missense
Exon 10 of 10ENSP00000219596.1O15553-2
MEFV
ENST00000541159.5
TSL:1
c.*102C>T
3_prime_UTR
Exon 9 of 9ENSP00000438711.1O15553-3
MEFV
ENST00000539145.5
TSL:1
n.*531C>T
non_coding_transcript_exon
Exon 7 of 7ENSP00000444471.1D2DTW1

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152080
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000246
AC:
6
AN:
244208
AF XY:
0.0000227
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000895
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000547
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000340
GnomAD4 exome
AF:
0.00000551
AC:
8
AN:
1450962
Hom.:
0
Cov.:
32
AF XY:
0.00000555
AC XY:
4
AN XY:
720652
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33060
American (AMR)
AF:
0.0000918
AC:
4
AN:
43564
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25430
East Asian (EAS)
AF:
0.0000253
AC:
1
AN:
39550
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85202
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53068
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5702
European-Non Finnish (NFE)
AF:
0.00000181
AC:
2
AN:
1105566
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59820
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.556
Heterozygous variant carriers
0
1
2
3
4
5
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:
0.0000197
AC:
3
AN:
152080
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74300
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41388
American (AMR)
AF:
0.0000655
AC:
1
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5194
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4818
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68012
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.558
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:
0.0000868
Hom.:
0
Bravo
AF:
0.0000302

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
1
Familial Mediterranean fever (3)
-
-
1
Acute febrile neutrophilic dermatosis (1)
-
-
1
Familial Mediterranean fever, autosomal dominant (1)
-
1
-
Familial Mediterranean fever;C0085077:Acute febrile neutrophilic dermatosis;C1851347:Familial Mediterranean fever, autosomal dominant (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.58
D
Eigen
Benign
0.18
Eigen_PC
Benign
0.019
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.029
D
MetaRNN
Benign
0.40
T
MetaSVM
Benign
-0.98
T
MutationAssessor
Uncertain
2.7
M
PhyloP100
5.0
PrimateAI
Benign
0.36
T
PROVEAN
Pathogenic
-7.1
D
REVEL
Benign
0.25
Sift
Uncertain
0.029
D
Sift4G
Uncertain
0.038
D
Polyphen
0.99
D
Vest4
0.28
MutPred
0.62
Loss of disorder (P = 0.0406)
MVP
0.61
MPC
0.39
ClinPred
0.50
D
GERP RS
3.2
Varity_R
0.21
gMVP
0.31
Mutation Taster
=8/92
disease causing

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: rs976279218; hg19: chr16-3293589; API