1-170719746-GA-GAAAAA

Variant summary

Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_022716.4(PRRX1):​c.266_269dupAAAA​(p.Arg92fs) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 33)

Consequence

PRRX1
NM_022716.4 frameshift

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 7.43
Variant links:
Genes affected
PRRX1 (HGNC:9142): (paired related homeobox 1) The DNA-associated protein encoded by this gene is a member of the paired family of homeobox proteins localized to the nucleus. The protein functions as a transcription co-activator, enhancing the DNA-binding activity of serum response factor, a protein required for the induction of genes by growth and differentiation factors. The protein regulates muscle creatine kinase, indicating a role in the establishment of diverse mesodermal muscle types. Alternative splicing yields two isoforms that differ in abundance and expression patterns. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 11 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 1-170719746-G-GAAAA is Pathogenic according to our data. Variant chr1-170719746-G-GAAAA is described in ClinVar as [Pathogenic]. Clinvar id is 50497.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PRRX1NM_022716.4 linkuse as main transcriptc.266_269dupAAAA p.Arg92fs frameshift_variant 2/4 ENST00000239461.11 NP_073207.1 P54821-1
PRRX1NM_006902.5 linkuse as main transcriptc.266_269dupAAAA p.Arg92fs frameshift_variant 2/5 NP_008833.1 P54821-2
PRRX1XM_006711388.4 linkuse as main transcriptc.125_128dupAAAA p.Arg45fs frameshift_variant 3/5 XP_006711451.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PRRX1ENST00000239461.11 linkuse as main transcriptc.266_269dupAAAA p.Arg92fs frameshift_variant 2/41 NM_022716.4 ENSP00000239461.6 P54821-1
PRRX1ENST00000367760.7 linkuse as main transcriptc.266_269dupAAAA p.Arg92fs frameshift_variant 2/51 ENSP00000356734.3 P54821-2
PRRX1ENST00000497230.2 linkuse as main transcriptc.266_269dupAAAA p.Arg92fs frameshift_variant 2/32 ENSP00000450762.1 G3V2N3
PRRX1ENST00000553786.1 linkuse as main transcriptn.376_379dupAAAA non_coding_transcript_exon_variant 3/34

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Agnathia-otocephaly complex Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 01, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs398122375; hg19: chr1-170688887; API