Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_000274.4(OAT):c.533G>A(p.Trp178*) variant causes a stop gained change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,626 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 Pathogenic (★). Variant results in nonsense mediated mRNA decay.
OAT (HGNC:8091): (ornithine aminotransferase) This gene encodes the mitochondrial enzyme ornithine aminotransferase, which is a key enzyme in the pathway that converts arginine and ornithine into the major excitatory and inhibitory neurotransmitters glutamate and GABA. Mutations that result in a deficiency of this enzyme cause the autosomal recessive eye disease Gyrate Atrophy. Alternatively spliced transcript variants encoding different isoforms have been described. Related pseudogenes have been defined on the X chromosome. [provided by RefSeq, Jan 2010]
Our verdict: Pathogenic. The variant received 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 10-124405551-C-T is Pathogenic according to our data. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr10-124405551-C-T is described in CliVar as Pathogenic. Clinvar id is 179.Status of the report is criteria_provided_single_submitter, 1 stars.
This sequence change creates a premature translational stop signal (p.Trp178*) in the OAT gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in OAT are known to be pathogenic (PMID: 1737786, 23076989). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with OAT-related conditions. ClinVar contains an entry for this variant (Variation ID: 179). For these reasons, this variant has been classified as Pathogenic. -