1-25800231-A-G

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PS1_ModeratePP5_Very_Strong

The ENST00000361547.7(SELENON):​c.1A>G​(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000484 in 764,690 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.000042 ( 0 hom., cov: 30)
Exomes 𝑓: 0.000050 ( 0 hom. )

Consequence

SELENON
ENST00000361547.7 start_lost

Scores

6
3
6

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:8

Conservation

PhyloP100: -3.59

Publications

9 publications found
Variant links:
Genes affected
SELENON (HGNC:15999): (selenoprotein N) This gene encodes a glycoprotein that is localized in the endoplasmic reticulum. It plays an important role in cell protection against oxidative stress, and in the regulation of redox-related calcium homeostasis. Mutations in this gene are associated with early onset muscle disorders, referred to as SEPN1-related myopathy. SEPN1-related myopathy consists of 4 autosomal recessive disorders, originally thought to be separate entities: rigid spine muscular dystrophy (RSMD1), the classical form of multiminicore disease, desmin related myopathy with Mallory-body like inclusions, and congenital fiber-type disproportion (CFTD). This protein is a selenoprotein, containing the rare amino acid selenocysteine (Sec). Sec is encoded by the UGA codon, which normally signals translation termination. The 3' UTRs of selenoprotein mRNAs contain a conserved stem-loop structure, designated the Sec insertion sequence (SECIS) element, that is necessary for the recognition of UGA as a Sec codon, rather than as a stop signal. A second stop-codon redefinition element (SRE) adjacent to the UGA codon has been identified in this gene (PMID:15791204). SRE is a phylogenetically conserved stem-loop structure that stimulates readthrough at the UGA codon, and augments the Sec insertion efficiency by SECIS. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Dec 2016]
SELENON Gene-Disease associations (from GenCC):
  • rigid spine muscular dystrophy 1
    Inheritance: AR Classification: DEFINITIVE Submitted by: Ambry Genetics, G2P
  • SELENON-related myopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • congenital myopathy 4A, autosomal dominant
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • congenital fiber-type disproportion myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • desmin-related myopathy with Mallory body-like inclusions
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • rigid spine syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 27 pathogenic variants. Next in-frame start position is after 85 codons. Genomic position: 25801112. Lost 0.143 part of the original CDS.
PS1
Another start lost variant in ENST00000361547.7 (SELENON) was described as [Likely_pathogenic] in ClinVar
PP5
Variant 1-25800231-A-G is Pathogenic according to our data. Variant chr1-25800231-A-G is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 4491.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000361547.7. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SELENON
NM_020451.3
MANE Select
c.1A>Gp.Met1?
start_lost
Exon 1 of 13NP_065184.2
SELENON
NM_206926.2
c.1A>Gp.Met1?
start_lost
Exon 1 of 12NP_996809.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SELENON
ENST00000361547.7
TSL:1 MANE Select
c.1A>Gp.Met1?
start_lost
Exon 1 of 13ENSP00000355141.2
SELENON
ENST00000374315.1
TSL:5
c.1A>Gp.Met1?
start_lost
Exon 1 of 12ENSP00000363434.1
SELENON
ENST00000354177.9
TSL:5
c.1A>Gp.Met1?
start_lost
Exon 1 of 12ENSP00000346109.5

Frequencies

GnomAD3 genomes
AF:
0.0000422
AC:
6
AN:
142032
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000929
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000498
AC:
31
AN:
622658
Hom.:
0
Cov.:
8
AF XY:
0.0000483
AC XY:
14
AN XY:
289794
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
11754
American (AMR)
AF:
0.00
AC:
0
AN:
730
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3846
East Asian (EAS)
AF:
0.000378
AC:
1
AN:
2644
South Asian (SAS)
AF:
0.00
AC:
0
AN:
13012
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
210
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
1234
European-Non Finnish (NFE)
AF:
0.0000527
AC:
30
AN:
568852
Other (OTH)
AF:
0.00
AC:
0
AN:
20376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.457
Heterozygous variant carriers
0
2
4
5
7
9
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000422
AC:
6
AN:
142032
Hom.:
0
Cov.:
30
AF XY:
0.0000580
AC XY:
4
AN XY:
68938
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
39652
American (AMR)
AF:
0.00
AC:
0
AN:
14384
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3352
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4762
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4422
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
7736
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
304
European-Non Finnish (NFE)
AF:
0.0000929
AC:
6
AN:
64572
Other (OTH)
AF:
0.00
AC:
0
AN:
1956
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000340

ClinVar

ClinVar submissions as Germline

Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
5
-
-
Eichsfeld type congenital muscular dystrophy (5)
1
-
-
Congenital myopathy with fiber type disproportion (1)
1
-
-
Eichsfeld type congenital muscular dystrophy;C0546264:Congenital myopathy with fiber type disproportion (1)
1
-
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.35
D
BayesDel_noAF
Pathogenic
0.26
CADD
Benign
8.1
DANN
Benign
0.97
DEOGEN2
Benign
0.045
T
Eigen
Benign
-0.55
Eigen_PC
Benign
-0.58
FATHMM_MKL
Benign
0.027
N
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.98
D
MetaRNN
Pathogenic
0.96
D
MetaSVM
Uncertain
-0.12
T
PhyloP100
-3.6
PROVEAN
Benign
-0.14
N
REVEL
Uncertain
0.51
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.14
B
Vest4
0.69
MutPred
1.0
Gain of MoRF binding (P = 0.1776)
MVP
0.88
ClinPred
0.95
D
GERP RS
2.0
PromoterAI
-0.36
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.91
Mutation Taster
=7/193
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs121908184; hg19: chr1-26126722; API