1-17270928-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 8P and 5B. PP5_Very_StrongBP4BS2

The NM_016233.2(PADI3):​c.881C>T​(p.Ala294Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00756 in 1,614,098 control chromosomes in the GnomAD database, including 62 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.0062 ( 7 hom., cov: 32)
Exomes 𝑓: 0.0077 ( 55 hom. )

Consequence

PADI3
NM_016233.2 missense

Scores

6
5
6

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:11B:1

Conservation

PhyloP100: 7.38
Variant links:
Genes affected
PADI3 (HGNC:18337): (peptidyl arginine deiminase 3) This gene encodes a member of the peptidyl arginine deiminase family of enzymes, which catalyze the post-translational deimination of proteins by converting arginine residues into citrullines in the presence of calcium ions. The family members have distinct substrate specificities and tissue-specific expression patterns. The type III enzyme modulates hair structural proteins, such as filaggrin in the hair follicle and trichohyalin in the inner root sheath, during hair follicle formation. Together with the type I enzyme, this enzyme may also play a role in terminal differentiation of the epidermis. This gene exists in a cluster with four other paralogous genes. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PP5
Variant 1-17270928-C-T is Pathogenic according to our data. Variant chr1-17270928-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 374867.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-17270928-C-T is described in UniProt as null. Variant chr1-17270928-C-T is described in Lovd as [Pathogenic].
BP4
Computational evidence support a benign effect (MetaRNN=0.02340281). . Strength limited to SUPPORTING due to the PP5.
BS2
High Homozygotes in GnomAd4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PADI3NM_016233.2 linkuse as main transcriptc.881C>T p.Ala294Val missense_variant 8/16 ENST00000375460.3 NP_057317.2
PADI3XM_011541571.3 linkuse as main transcriptc.767C>T p.Ala256Val missense_variant 8/16 XP_011539873.1
PADI3XM_017001463.2 linkuse as main transcriptc.344C>T p.Ala115Val missense_variant 5/13 XP_016856952.1
PADI3XM_011541572.3 linkuse as main transcriptc.881C>T p.Ala294Val missense_variant 8/12 XP_011539874.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PADI3ENST00000375460.3 linkuse as main transcriptc.881C>T p.Ala294Val missense_variant 8/161 NM_016233.2 ENSP00000364609.3 Q9ULW8

Frequencies

GnomAD3 genomes
AF:
0.00623
AC:
948
AN:
152150
Hom.:
7
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00159
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00550
Gnomad ASJ
AF:
0.0181
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00456
Gnomad FIN
AF:
0.00678
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00932
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.00677
AC:
1703
AN:
251382
Hom.:
15
AF XY:
0.00699
AC XY:
950
AN XY:
135866
show subpopulations
Gnomad AFR exome
AF:
0.00129
Gnomad AMR exome
AF:
0.00333
Gnomad ASJ exome
AF:
0.0172
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00516
Gnomad FIN exome
AF:
0.00698
Gnomad NFE exome
AF:
0.00922
Gnomad OTH exome
AF:
0.00603
GnomAD4 exome
AF:
0.00770
AC:
11256
AN:
1461830
Hom.:
55
Cov.:
33
AF XY:
0.00771
AC XY:
5607
AN XY:
727224
show subpopulations
Gnomad4 AFR exome
AF:
0.00114
Gnomad4 AMR exome
AF:
0.00309
Gnomad4 ASJ exome
AF:
0.0162
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00587
Gnomad4 FIN exome
AF:
0.00726
Gnomad4 NFE exome
AF:
0.00839
Gnomad4 OTH exome
AF:
0.00692
GnomAD4 genome
AF:
0.00623
AC:
948
AN:
152268
Hom.:
7
Cov.:
32
AF XY:
0.00622
AC XY:
463
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.00159
Gnomad4 AMR
AF:
0.00549
Gnomad4 ASJ
AF:
0.0181
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00456
Gnomad4 FIN
AF:
0.00678
Gnomad4 NFE
AF:
0.00932
Gnomad4 OTH
AF:
0.00236
Alfa
AF:
0.00809
Hom.:
1
Bravo
AF:
0.00549
TwinsUK
AF:
0.00755
AC:
28
ALSPAC
AF:
0.00882
AC:
34
ESP6500AA
AF:
0.00159
AC:
7
ESP6500EA
AF:
0.0103
AC:
89
ExAC
AF:
0.00666
AC:
809
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.00731
EpiControl
AF:
0.00747

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:11Benign:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:5Benign:1
Pathogenic, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Pathogenic, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Pathogenic, criteria provided, single submitterclinical testingGeneDxJun 19, 2022Published functional studies demonstrate a damaging effect; specifically, the A294V variant is associated with decreased enzyme activity and abnormal enzyme aggregation (Basmanav et al., 2016).; In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 29756256, 22381266, 27866708, 31952341, 34426522, 35279260, 24629392) -
Likely pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenOct 01, 2023PADI3: PM3:Very Strong, PM2:Supporting -
Pathogenic, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, flagged submissionclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 05, 2024- -
Uncombable hair syndrome 1 Pathogenic:5
Pathogenic, no assertion criteria providedliterature onlyOMIMMay 25, 2022- -
Pathogenic, no assertion criteria providedcurationReproductive Health Research and Development, BGI GenomicsJan 06, 2020NM_016233.2:c.881C>T in the PADI3 gene has an allele frequency of 0.017 in Ashkenazi Jewish subpopulation in the gnomAD database. Functional studies demonstrate that c.881C>T has affected transglutaminase activity of TGM3 produced in HEK293T cells (PMID: 27866708). It was detected in multiple individuals with autosomal recessive Uncombable hair syndrome, homozygous c.881C> T(p.Ala294Val), compound heterozygous with c.335T>A (p.Leu112His) ,c.1732A>T (p.Lys578*)(PMID: 27866708). The patient's phenotype is highly specific for PADI3 gene(PMID: 27866708). Pathogenic computational verdict because pathogenic predictions from DANN, EIGEN, FATHMM-MKL, MutationAssessor, MutationTaster and SIFT. Taken together, we interprete this variant as Pathogenic/Likely pathogenic variant. ACMG/AMP criteria applied: PS3; PM3_Strong; PP4; PP3. -
Pathogenic, criteria provided, single submitterclinical testingGenetics and Molecular Pathology, SA PathologyMay 31, 2021- -
Pathogenic, criteria provided, single submitterclinical testingMendelicsSep 24, 2024The PADI3 c.881C>T (p.Ala294Val) variant (rs144080386) is cited by previous literature (Basmanav et al. 2016. PubMed ID 27866708). This variant is reported as pathogenic by laboratories in ClinVar (Variation ID: 374867). GnomAD 4.1.0 frequency is 0.007561 with 62 homozygotes. It is an OMIM variant: https://omim.org/entry/606755#0001. Prediction of the impact of the variant on the resulting protein and immunofluorescence studies were performed by Basmanav et al. 2016 with results coherent with modified function. -
Likely pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMar 14, 2024- -
PADI3-related disorder Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 27, 2024The PADI3 c.881C>T variant is predicted to result in the amino acid substitution p.Ala294Val. This variant has been reported in both the homozygous and heterozygous states as causative for uncombable hair syndrome in several patients (Basmanav et al. 2016. PubMed ID: 27866708; Drivenes et al. 2022. PubMed ID: 35279260). This variant was observed in a public database with allele frequency up to ~0.90% in European populations and 1.75% in Ashkenazi Jewish populations, respectively; 15 homozygotes of this variant were also reported out of 282,758 alleles. Although this variant is common in the general population, it is classified as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.47
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.29
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.22
T
Eigen
Pathogenic
0.90
Eigen_PC
Pathogenic
0.85
FATHMM_MKL
Pathogenic
0.99
D
MetaRNN
Benign
0.023
T
MetaSVM
Benign
-0.57
T
MutationAssessor
Pathogenic
3.1
M
PrimateAI
Uncertain
0.73
T
PROVEAN
Uncertain
-3.6
D
REVEL
Uncertain
0.45
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0010
D
Polyphen
1.0
D
Vest4
0.98
MVP
0.51
MPC
0.51
ClinPred
0.025
T
GERP RS
5.5
Varity_R
0.76
gMVP
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

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: rs144080386; hg19: chr1-17597423; COSMIC: COSV99080980; API