VCV001705428.1 - ClinVar

NM_004959.5(NR5A1):c.164G>A (p.Cys55Tyr)

Germline

Classification

The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.

(1)

Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.

Uncertain significance

criteria provided, single submitter

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NM_004959.5(NR5A1):c.164G>A (p.Cys55Tyr)

Variation ID: 1705428 Accession: VCV001705428.1

Type and length

single nucleotide variant, 1 bp

Location

Cytogenetic: 9q33.3 9: 124503159 (GRCh38) [ NCBI UCSC ] 9: 127265438 (GRCh37) [ NCBI UCSC ]

Timeline in ClinVar

	First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.	Last submission Help The date of the most recent submission for each type of classification for this variant.	Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline	Sep 17, 2022	Sep 17, 2022	Sep 1, 2022

HGVS

Nucleotide	Protein	Molecular consequence
NM_004959.5:c.164G>A MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.	NP_004950.2:p.Cys55Tyr	missense
NC_000009.12:g.124503159C>T
NC_000009.11:g.127265438C>T
NG_008176.1:g.9262G>A

Protein change

C55Y

Other names

Canonical SPDI

NC_000009.12:124503158:C:T

Functional consequence Help The effect of the variant on RNA or protein function, based on experimental evidence from submitters.

Global minor allele frequency (GMAF) Help The global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.

Allele frequency Help The frequency of the allele represented by this VCV record.

Links

VarSome

Genes

Gene	OMIM	ClinGen Gene Dosage Sensitivity Curation		Variation Viewer Help Links to Variation Viewer, a genome browser to view variation data from NCBI databases.	Related variants
Gene	OMIM	HI score Help The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.	TS score Help The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.		Within gene Help The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants.	All Help The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene.
NR5A1		Sufficient evidence for dosage pathogenicity	No evidence available	GRCh38 GRCh37	265	297

Conditions - Germline

Condition Help The condition for this variant-condition (RCV) record in ClinVar.	Classification Help The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions)	Review status Help The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status.	Last evaluated Help The most recent date that a submitter evaluated this variant for the condition.	Variation/condition record Help The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page.
46,XY sex reversal 3	Uncertain significance (1)	criteria provided, single submitter	Sep 1, 2022	RCV002283742.1

Submissions - Germline

Classification Help The submitted germline classification for each SCV record. (Last evaluated)	Review status Help Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria)	Condition Help The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant.	Submitter Help The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar.	More information Help This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter.
Uncertain significance (Sep 01, 2022)	criteria provided, single submitter (ACMG Guidelines, 2015) Method: clinical testing	46,XY sex reversal 3 Affected status: yes Allele origin: germline	3billion Accession: SCV002572783.1 First in ClinVar: Sep 17, 2022 Last updated: Sep 17, 2022	Publications: PubMed (3) PubMed: 32738419‚ 31513305‚ 21691958 Comment: The variant is not observed in the gnomAD v2.1.1 dataset. In silico tool predictions suggest damaging effect of the variant on gene or gene product … (more) The variant is not observed in the gnomAD v2.1.1 dataset. In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.99; 3Cnet: 0.85). Same nucleotide change resulting in same amino acid change has been previously reported to be associated with NR5A1-related disorder (PMID: 21691958). Different missense changes at the same codon (p.Cys55Gly, p.Cys55Ser) have been reported to be associated with NR5A1-related disorder (PMID: 31513305 , 32738419). However the evidence of pathogenicity is insufficient at this time. Therefore, this variant is classified as uncertain significance according to the recommendation of ACMG/AMP guideline. (less) Clinical Features: Female pseudohermaphroditism (present)

Comment:

The variant is not observed in the gnomAD v2.1.1 dataset. In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.99; 3Cnet: 0.85). Same nucleotide change resulting in same amino acid change has been previously reported to be associated with NR5A1-related disorder (PMID: 21691958). Different missense changes at the same codon (p.Cys55Gly, p.Cys55Ser) have been reported to be associated with NR5A1-related disorder (PMID: 31513305 , 32738419). However the evidence of pathogenicity is insufficient at this time. Therefore, this variant is classified as uncertain significance according to the recommendation of ACMG/AMP guideline.

Germline Functional Evidence

There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Comment:

Citations for germline classification of this variant

Title	Author	Journal	Year	Link
Identification and functional analysis of fourteen NR5A1 variants in patients with the 46 XY disorders of sex development.	Na X	Gene	2020	PMID: 32738419
Mutation update for the NR5A1 gene involved in DSD and infertility.	Fabbri-Scallet H	Human mutation	2020	PMID: 31513305
Phenotypic variation of SF1 gene mutations.	Philibert P	Advances in experimental medicine and biology	2011	PMID: 21691958

Text-mined citations for this variant ...

Record last updated Sep 24, 2022

ClinVar Genomic variation as it relates to human health

NM_004959.5(NR5A1):c.164G>A (p.Cys55Tyr)

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for this variant ...