Submissions for variant NM_000138.5(FBN1):c.2950G>A (p.Val984Ile)

gnomAD frequency: 0.00002  dbSNP: rs747713929

Total submissions: 14

Submitter	RCV	SCV	Clinical significance	Condition	Last evaluated	Review status	Method	Comment
Labcorp Genetics (formerly Invitae), Labcorp	RCV000536950	SCV000627876	likely benign	Marfan syndrome; Familial thoracic aortic aneurysm and aortic dissection	2024-06-19	criteria provided, single submitter	clinical testing
Illumina Laboratory Services, Illumina	RCV001115324	SCV001273293	likely benign	Geleophysic dysplasia	2017-04-27	criteria provided, single submitter	clinical testing	This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Illumina Laboratory Services, Illumina	RCV001115325	SCV001273294	uncertain significance	Marfan syndrome	2017-04-27	criteria provided, single submitter	clinical testing	This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance.
Illumina Laboratory Services, Illumina	RCV001121896	SCV001280551	likely benign	Stiff skin syndrome	2017-04-27	criteria provided, single submitter	clinical testing	This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Illumina Laboratory Services, Illumina	RCV001121897	SCV001280552	uncertain significance	Familial thoracic aortic aneurysm and aortic dissection	2017-04-27	criteria provided, single submitter	clinical testing	This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance.
Illumina Laboratory Services, Illumina	RCV001121898	SCV001280553	likely benign	Ectopia lentis 1, isolated, autosomal dominant	2017-04-27	criteria provided, single submitter	clinical testing	This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Illumina Laboratory Services, Illumina	RCV001121899	SCV001280554	likely benign	Acromicric dysplasia	2017-04-27	criteria provided, single submitter	clinical testing	This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Illumina Laboratory Services, Illumina	RCV001121900	SCV001280555	likely benign	Weill-Marchesani syndrome	2017-04-27	criteria provided, single submitter	clinical testing	This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.
Color Diagnostics, LLC DBA Color Health	RCV001121897	SCV001341547	uncertain significance	Familial thoracic aortic aneurysm and aortic dissection	2023-02-23	criteria provided, single submitter	clinical testing	This missense variant replaces valine with isoleucine at codon 984 of the FBN1 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function (internally defined REVEL score threshold 0.5 < inconclusive < 0.7, PMID: 27666373). To our knowledge, functional studies have not been performed for this variant. This variant has been reported in an individual affected with classic Marfan syndrome with cardiovascular manifestations (PMID: 10694921), in an individual affected with thoracic aortic aneurysms and dissections associated with Marfan syndrome (PMID: 27146836), and in an individual affected with hypertrophic cardiomyopathy (PMID: 23590259). This variant was also reported in one case non-obstructive HCM (PMID: 23590259). This variant has been identified in 6/282854 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance.
CeGaT Center for Human Genetics Tuebingen	RCV001311040	SCV001501064	likely benign	not provided	2020-08-01	criteria provided, single submitter	clinical testing
GeneDx	RCV001311040	SCV001785334	uncertain significance	not provided	2024-06-24	criteria provided, single submitter	clinical testing	In silico analysis indicates that this missense variant does not alter protein structure/function; Does not affect a cysteine or calcium-binding residue within an EGF-like domain or a TGF-binding protein domain of the FBN1 gene; cysteine substitutions in the EGF-like domains represent the majority of pathogenic missense changes associated with FBN1-related disorders (PMID: 12938084); This variant is associated with the following publications: (PMID: 10694921, 12203992, 23590259, 12938084, 27146836)
Revvity Omics, Revvity	RCV001311040	SCV003833982	uncertain significance	not provided	2022-03-10	criteria provided, single submitter	clinical testing
All of Us Research Program, National Institutes of Health	RCV001115325	SCV004814848	uncertain significance	Marfan syndrome	2024-07-29	criteria provided, single submitter	clinical testing	This missense variant replaces valine with isoleucine at codon 984 of the FBN1 protein. Computational prediction is inconclusive regarding the impact of this variant on protein structure and function (internally defined REVEL score threshold 0.5 < inconclusive < 0.7, PMID: 27666373). To our knowledge, functional studies have not been performed for this variant. This variant has been reported in an individual affected with classic Marfan syndrome with cardiovascular manifestations (PMID: 10694921), in an individual affected with thoracic aortic aneurysms and dissections associated with Marfan syndrome (PMID: 27146836), and in an individual affected with hypertrophic cardiomyopathy (PMID: 23590259). This variant was also reported in one case non-obstructive HCM (PMID: 23590259). This variant has been identified in 6/282854 chromosomes in the general population by the Genome Aggregation Database (gnomAD). The available evidence is insufficient to determine the role of this variant in disease conclusively. Therefore, this variant is classified as a Variant of Uncertain Significance.
Women's Health and Genetics/Laboratory Corporation of America, LabCorp	RCV005056138	SCV005725830	uncertain significance	not specified	2024-11-25	criteria provided, single submitter	clinical testing	Variant summary: FBN1 c.2950G>A (p.Val984Ile) results in a conservative amino acid change located in the TGF-beta binding (TB) domain (IPR017878) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 2e-05 in 251474 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. c.2950G>A has been reported in the literature in individuals affected with Marfan Syndrome or hypertrophic cardiomyopathy (e.g. Grau_1998, Fokstuen_2014, Poninska_2016, Collod-Beroud_1997). These data do not allow any conclusion about variant significance. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 9016526, 23590259, 10694921, 27146836). ClinVar contains an entry for this variant (Variation ID: 457184). Based on the evidence outlined above, the variant was classified as uncertain significance.