Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PP3_ModeratePP5
The NM_017739.4(POMGNT1):c.806G>A(p.Cys269Tyr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (no stars). Synonymous variant affecting the same amino acid position (i.e. C269C) has been classified as Likely benign.
POMGNT1 (HGNC:19139): (protein O-linked mannose N-acetylglucosaminyltransferase 1 (beta 1,2-)) This gene encodes a type II transmembrane protein that resides in the Golgi apparatus. It participates in O-mannosyl glycosylation and is specific for alpha linked terminal mannose. Mutations in this gene may be associated with muscle-eye-brain disease and several congenital muscular dystrophies. Alternatively spliced transcript variants that encode different protein isoforms have been described. [provided by RefSeq, Feb 2014]
TSPAN1 (HGNC:20657): (tetraspanin 1) The protein encoded by this gene is a member of the transmembrane 4 superfamily, also known as the tetraspanin family. Most of these members are cell-surface proteins that are characterized by the presence of four hydrophobic domains. The proteins mediate signal transduction events that play a role in the regulation of cell development, activation, growth and motility. [provided by RefSeq, Jul 2008]
Verdict is Likely_pathogenic. Variant got 7 ACMG points.
PM1
In a helix (size 8) in uniprot entity PMGT1_HUMAN there are 11 pathogenic changes around while only 1 benign (92%) in NM_017739.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.934
PP5
Variant 1-46194347-C-T is Pathogenic according to our data. Variant chr1-46194347-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 56607.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-46194347-C-T is described in Lovd as [Likely_pathogenic]. Variant chr1-46194347-C-T is described in Lovd as [Pathogenic]. Variant chr1-46194347-C-T is described in Lovd as [Likely_pathogenic].