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NM_170707.4(LMNA):c.991C>T (p.Arg331Trp) AND multiple conditions

Germline classification:
Uncertain significance (1 submission)
Last evaluated:
Aug 10, 2022
Review status:
1 star out of maximum of 4 stars
criteria provided, single submitter
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV003227732.2

Allele description [Variation Report for NM_170707.4(LMNA):c.991C>T (p.Arg331Trp)]

NM_170707.4(LMNA):c.991C>T (p.Arg331Trp)

Gene:
LMNA:lamin A/C [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
1q22
Genomic location:
Preferred name:
NM_170707.4(LMNA):c.991C>T (p.Arg331Trp)
HGVS:
  • NC_000001.11:g.156135955C>T
  • NG_008692.2:g.58383C>T
  • NM_001257374.3:c.655C>T
  • NM_001282624.2:c.748C>T
  • NM_001282625.2:c.991C>T
  • NM_001282626.2:c.991C>T
  • NM_005572.4:c.991C>T
  • NM_170707.4:c.991C>TMANE SELECT
  • NM_170708.4:c.991C>T
  • NP_001244303.1:p.Arg219Trp
  • NP_001269553.1:p.Arg250Trp
  • NP_001269554.1:p.Arg331Trp
  • NP_001269555.1:p.Arg331Trp
  • NP_005563.1:p.Arg331Trp
  • NP_733821.1:p.Arg331Trp
  • NP_733822.1:p.Arg331Trp
  • LRG_254t2:c.991C>T
  • LRG_254:g.58383C>T
  • NC_000001.10:g.156105746C>T
  • NM_170707.2:c.991C>T
Protein change:
R219W
Links:
dbSNP: rs879253898
NCBI 1000 Genomes Browser:
rs879253898
Molecular consequence:
  • NM_001257374.3:c.655C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001282624.2:c.748C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001282625.2:c.991C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_001282626.2:c.991C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_005572.4:c.991C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_170707.4:c.991C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_170708.4:c.991C>T - missense variant - [Sequence Ontology: SO:0001583]
Observations:
1

Condition(s)

Name:
Dilated cardiomyopathy 1A (CMD1A)
Synonyms:
CARDIOMYOPATHY, CONGESTIVE; CARDIOMYOPATHY, DILATED, WITH CONDUCTION DEFECT 1; Idiopathic dilated cardiomyopathy; See all synonyms [MedGen]
Identifiers:
MONDO: MONDO:0007269; MedGen: C1449563; Orphanet: 300751; OMIM: 115200
Name:
Restrictive dermopathy 2 (RSDM2)
Synonyms:
RESTRICTIVE DERMOPATHY 2, LETHAL
Identifiers:
MONDO: MONDO:0030781; MedGen: C5676942; OMIM: 619793

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV003925261New York Genome Center
criteria provided, single submitter

(NYGC Assertion Criteria 2020)
Uncertain significance
(Aug 10, 2022)
germlineclinical testing

Citation Link

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknown1not providednot provided1not providedclinical testing

Details of each submission

From New York Genome Center, SCV003925261.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not provided1not providednot providedclinical testingnot provided

Description

The c.991C>T, p.(Arg331Trp) variant identified in the LMNA gene substitutes a well conserved Arginine for Tryptophan at amino acid 331/665 (exon 6/12) in the coiled-coil 2B domain of the encoded protein [PMID: 17377071]. The c.991C>T variant is observed in 4 alleles (0.00078% minor allele frequency with 0 homozygotes) in population databases (gnomAD v2.1.1 and v3.1.2, TOPMed Freeze 8), suggesting it is not a common benign variant in the populations represented in those databases. In silico algorithms predict this variant to be Damaging to the function of the canonical transcript (REVEL; score=0.842). This variant has been reported as both Likely Pathogenic (n=1) and as a Variant of Uncertain Significance (n=2) in ClinVar (VarID:245682), and has been reported in one individual with a presumed Laminopathy but without specific clinical details [PMID:31476771] and three individuals without documented cardiac phenotypes [PMID:31383942, Supp Table S4A]. However, a different amino acid change at the same amino acid (p.(Arg331Gln); VarID:48098) has been reported as Pathogenic in ClinVar and is reported in affected individuals in the literature [PMID:28790152]. A second independent amino acid change at the p.Arg331 position (p.(Arg331Leu)) has been reported in compound heterozygous state in a female proband with severe left ventricular systolic dysfunction, supraventricular and ventricular arrhythmias [PMID: 34768595] though it is not clear if the variant identified in trans with the p.Arg331Leu variant (p.Arg216His) is causative of the phenotype, the p.Arg331Leu variant alone is causative, or both variants contribute to the phenotype. Based on available evidence this c.991C>T p.(Arg331Trp) variant identified in LMNA is classified as a Variant of Uncertain Significance.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknown1not providednot provided1not providednot providednot provided

Last Updated: Sep 29, 2024