Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_001326342.2(CELF2):c.241_262dupGACCGGAGTCAGAACCCTCCGC(p.Gln88ArgfsTer10) 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 Likely pathogenic (★). Variant results in nonsense mediated mRNA decay.
CELF2 (HGNC:2550): (CUGBP Elav-like family member 2) Members of the CELF/BRUNOL protein family contain two N-terminal RNA recognition motif (RRM) domains, one C-terminal RRM domain, and a divergent segment of 160-230 aa between the second and third RRM domains. Members of this protein family regulate pre-mRNA alternative splicing and may also be involved in mRNA editing, and translation. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]
Verdict is Pathogenic. Variant got 12 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 10-11165651-G-GGACCGGAGTCAGAACCCTCCGC is Pathogenic according to our data. Variant chr10-11165651-G-GGACCGGAGTCAGAACCCTCCGC is described in ClinVar as [Likely_pathogenic]. Clinvar id is 3375484.Status of the report is criteria_provided_single_submitter, 1 stars.
Developmental and epileptic encephalopathy 97 Pathogenic:1
Sep 23, 2024
Equipe Genetique des Anomalies du Developpement, Université de Bourgogne
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing
The c.241_262dup p.(Gln88Argfs*10) variant is a 21 bp duplication at position 241_262,predicted to result in a frameshift and premature stop codon after 10 aa. It likely results in an absent or disrupted protein product. Missense or nonsense variants of CELF2 are reported in an autosomal dominant developmental epileptic encephalopathy (OMIM #619561 ) (PMID 34107259, 33131106). This variant is not present in population database gnomAD (v4.1.0). It has not been reported in ClinVar. It has not been reported in literature. Based on the evidence outlined above, the variant was classified as likely pathogenic. -