The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
  • Gene obtained from curated document aligns with the Allele Registry but not with ClinVar data
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Variant: NM_000138.5(FBN1):c.6724C>T (p.Arg2242Cys)

CA057276

384344 (ClinVar)

Gene: FBN1
Condition: Marfan syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: 50ed07de-0d59-429c-8879-b117c49ae5a8
Approved on: 2024-08-22
Published on: 2024-08-22

HGVS expressions

NM_000138.5:c.6724C>T
NM_000138.5(FBN1):c.6724C>T (p.Arg2242Cys)
NC_000015.10:g.48432881G>A
CM000677.2:g.48432881G>A
NC_000015.9:g.48725078G>A
CM000677.1:g.48725078G>A
NC_000015.8:g.46512370G>A
NG_008805.2:g.217908C>T
ENST00000559133.6:c.6724C>T
ENST00000674301.2:c.*175C>T
ENST00000682170.1:n.333C>T
ENST00000316623.10:c.6724C>T
ENST00000674301.1:c.1828C>T
ENST00000316623.9:c.6724C>T
ENST00000537463.6:c.*2487C>T
ENST00000559133.5:c.2031C>T
ENST00000560720.1:n.11C>T
NM_000138.4:c.6724C>T
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Uncertain Significance

Met criteria codes 3
PP2 PP4 PM1

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
FBN1 VCEP
The NM_00138 c.6724C>T is a missense variant in FBN1 predicted to cause a substitution of arginine by cysteine at amino acid 2242 (p.Arg2242Cys). This variant was found five times in the literature (PMID 34428338, PMID 32989268, PMID 25944730) in the context of Marfan syndrome (MFS). In four of the five cases, no phenotype was described. In the other case, the proband met the revised Ghent criteria (PMID 25944730, PP4). This variant has been reported once in ClinVar as Likely pathogenic, 4 times as uncertain significance and once as Likely benign (Variation ID: 384344). This variant is present in 40/1,111,616 (0.003%) alleles from the European non–Finnish population in gnomAD (https://gnomad.broadinstitute.org/ v4.0.0). Furthermore, this variant was found in 13/35,712 (0.036%) sequenced alleles in a general Icelandic population (PMID 37684520) but no phenotypic data of these cases was reported. This variant creates a Cys in a cb-EGF domain, which might affect the Cys disulfide bond formation (PM1). The constraint z-score for missense variants affecting FBN1 is 8.18 (PP2, gnomAD v4.0.0). Due to the conflicting evidence, this variant is classified as uncertain significance for Marfan syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen FBN1 VCEP: PM1, PP4, PP2.
Met criteria codes
PP2
The constraint z-score for missense variants affecting FBN1 is 5.06.
PP4
A patient is having aortic dilation, ocular and musculo-skeletal features with positive family history (PMID 25944730)
PM1
Cys creating variant in a cb-EGF domain
Curation History
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