1-6469122-TTCCTCCTCCTCCTCCTCCTCC-TTCCTCCTCCTCCTCC

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP3BP6_Very_StrongBS1BS2

The NM_020631.6(PLEKHG5):​c.2163_2168delGGAGGA​(p.Glu722_Glu723del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.00862 in 1,588,674 control chromosomes in the GnomAD database, including 99 homozygotes. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. E721del) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.014 ( 35 hom., cov: 31)
Exomes 𝑓: 0.0081 ( 64 hom. )

Consequence

PLEKHG5
NM_020631.6 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 3.94

Publications

13 publications found
Variant links:
Genes affected
PLEKHG5 (HGNC:29105): (pleckstrin homology and RhoGEF domain containing G5) This gene encodes a protein that activates the nuclear factor kappa B (NFKB1) signaling pathway. Mutations in this gene are associated with autosomal recessive distal spinal muscular atrophy. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2012]
PLEKHG5 Gene-Disease associations (from GenCC):
  • neuromuscular disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Charcot-Marie-Tooth disease recessive intermediate C
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • neuronopathy, distal hereditary motor, autosomal recessive 4
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_020631.6
BP6
Variant 1-6469122-TTCCTCC-T is Benign according to our data. Variant chr1-6469122-TTCCTCC-T is described in ClinVar as Benign. ClinVar VariationId is 194977.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.014 (2041/145478) while in subpopulation AFR AF = 0.0316 (1126/35584). AF 95% confidence interval is 0.0301. There are 35 homozygotes in GnomAd4. There are 1017 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 35 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PLEKHG5NM_020631.6 linkc.2163_2168delGGAGGA p.Glu722_Glu723del disruptive_inframe_deletion Exon 19 of 21 ENST00000377728.8 NP_065682.2 O94827-5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PLEKHG5ENST00000377728.8 linkc.2163_2168delGGAGGA p.Glu722_Glu723del disruptive_inframe_deletion Exon 19 of 21 2 NM_020631.6 ENSP00000366957.3 O94827-5

Frequencies

GnomAD3 genomes
AF:
0.0140
AC:
2037
AN:
145374
Hom.:
35
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0317
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00915
Gnomad ASJ
AF:
0.00461
Gnomad EAS
AF:
0.00927
Gnomad SAS
AF:
0.00956
Gnomad FIN
AF:
0.00867
Gnomad MID
AF:
0.00641
Gnomad NFE
AF:
0.00813
Gnomad OTH
AF:
0.0114
GnomAD2 exomes
AF:
0.0115
AC:
2258
AN:
196576
AF XY:
0.0110
show subpopulations
Gnomad AFR exome
AF:
0.0349
Gnomad AMR exome
AF:
0.00903
Gnomad ASJ exome
AF:
0.00711
Gnomad EAS exome
AF:
0.0107
Gnomad FIN exome
AF:
0.00906
Gnomad NFE exome
AF:
0.00986
Gnomad OTH exome
AF:
0.0112
GnomAD4 exome
AF:
0.00808
AC:
11658
AN:
1443196
Hom.:
64
AF XY:
0.00801
AC XY:
5753
AN XY:
718176
show subpopulations
African (AFR)
AF:
0.0287
AC:
922
AN:
32140
American (AMR)
AF:
0.00726
AC:
323
AN:
44488
Ashkenazi Jewish (ASJ)
AF:
0.00490
AC:
127
AN:
25930
East Asian (EAS)
AF:
0.00573
AC:
227
AN:
39620
South Asian (SAS)
AF:
0.00796
AC:
680
AN:
85394
European-Finnish (FIN)
AF:
0.00766
AC:
398
AN:
51932
Middle Eastern (MID)
AF:
0.0114
AC:
65
AN:
5704
European-Non Finnish (NFE)
AF:
0.00757
AC:
8312
AN:
1098304
Other (OTH)
AF:
0.0101
AC:
604
AN:
59684
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
609
1218
1826
2435
3044
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
314
628
942
1256
1570
<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:
0.0140
AC:
2041
AN:
145478
Hom.:
35
Cov.:
31
AF XY:
0.0143
AC XY:
1017
AN XY:
71126
show subpopulations
African (AFR)
AF:
0.0316
AC:
1126
AN:
35584
American (AMR)
AF:
0.00913
AC:
137
AN:
15000
Ashkenazi Jewish (ASJ)
AF:
0.00461
AC:
16
AN:
3468
East Asian (EAS)
AF:
0.00910
AC:
47
AN:
5164
South Asian (SAS)
AF:
0.00916
AC:
44
AN:
4806
European-Finnish (FIN)
AF:
0.00867
AC:
91
AN:
10490
Middle Eastern (MID)
AF:
0.0103
AC:
3
AN:
290
European-Non Finnish (NFE)
AF:
0.00814
AC:
551
AN:
67724
Other (OTH)
AF:
0.0127
AC:
26
AN:
2044
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
86
171
257
342
428
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
22
44
66
88
110
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00483
Hom.:
19

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Nov 29, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Mar 31, 2015
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Neuronopathy, distal hereditary motor, autosomal recessive 4;C3809309:Charcot-Marie-Tooth disease recessive intermediate C Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

PLEKHG5-related disorder Benign:1
Sep 04, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
3.9
Mutation Taster
=198/2
polymorphism

Splicing

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

Publications

Other links and lift over

dbSNP: rs113541584; hg19: chr1-6529182; COSMIC: COSV61068457; COSMIC: COSV61068457; API