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10-14935470-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BA1BS2_Supporting

This summary comes from the ClinGen Evidence Repository: The c.457G>A (NM_001033855.3) variant in DCLRE1C is a missense variant predicted to cause the substitution of Glycine by Arginine at amino acid 153 (p.Gly153Arg).The filtering allele frequency (the lower threshold of the 95% CI of 2195/129158) of the c.457G>A variant in DCLRE1C is 0.01641 for European (non-Finnish) chromosomes by gnomAD v2.1.1, which is higher than the ClinGen SCID VCEP threshold >0.00346 for BA1, and therefore meets this criterion (BA1). Also, nineteen (19) adult homozygous individuals with this variant are present in gnomADv2.1.1 (European non-Finnish n=15, European (Finnish) n=1, Latino/Admixed American n=1, South Asian n=2)(BS2_Supporting).Additionally, a functional study showed non-dysfunction of V(D)J recombination and DNA repair (around 100% compared to wild type), and we do not find this variant described in patients with SCID due to DCLRE1C deficiency after a comprehensive literature search.In summary, this variant meets the criteria to be classified as Benign for autosomal recessive SCID based on the ACMG/AMP criteria applied, BA1 and BS2_Supporting, as specified by the ClinGen SCID VCEP (VCEP specifications version 1). LINK:https://erepo.genome.network/evrepo/ui/classification/CA213680/MONDO:0011225/116

Frequency

Genomes: 𝑓 0.0094 ( 15 hom., cov: 31)
Exomes 𝑓: 0.013 ( 155 hom. )

Consequence

DCLRE1C
NM_001033855.3 missense

Scores

2
10
5

Clinical Significance

Benign reviewed by expert panel U:1B:13

Conservation

PhyloP100: 7.43
Variant links:
Genes affected
DCLRE1C (HGNC:17642): (DNA cross-link repair 1C) This gene encodes a nuclear protein that is involved in V(D)J recombination and DNA repair. The encoded protein has single-strand-specific 5'-3' exonuclease activity; it also exhibits endonuclease activity on 5' and 3' overhangs and hairpins. The protein also functions in the regulation of the cell cycle in response to DNA damage. Mutations in this gene can cause Athabascan-type severe combined immunodeficiency (SCIDA) and Omenn syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BS2
BA1

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DCLRE1CNM_001033855.3 linkuse as main transcriptc.457G>A p.Gly153Arg missense_variant 6/14 ENST00000378278.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DCLRE1CENST00000378278.7 linkuse as main transcriptc.457G>A p.Gly153Arg missense_variant 6/141 NM_001033855.3 P2Q96SD1-1

Frequencies

GnomAD3 genomes
AF:
0.00939
AC:
1429
AN:
152120
Hom.:
15
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00237
Gnomad AMI
AF:
0.00440
Gnomad AMR
AF:
0.00695
Gnomad ASJ
AF:
0.00864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00249
Gnomad FIN
AF:
0.00669
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0159
Gnomad OTH
AF:
0.0110
GnomAD3 exomes
AF:
0.0104
AC:
2609
AN:
251430
Hom.:
18
AF XY:
0.0104
AC XY:
1411
AN XY:
135898
show subpopulations
Gnomad AFR exome
AF:
0.00258
Gnomad AMR exome
AF:
0.00486
Gnomad ASJ exome
AF:
0.00873
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00483
Gnomad FIN exome
AF:
0.00651
Gnomad NFE exome
AF:
0.0170
Gnomad OTH exome
AF:
0.0137
GnomAD4 exome
AF:
0.0132
AC:
19222
AN:
1461612
Hom.:
155
Cov.:
31
AF XY:
0.0130
AC XY:
9440
AN XY:
727128
show subpopulations
Gnomad4 AFR exome
AF:
0.00194
Gnomad4 AMR exome
AF:
0.00523
Gnomad4 ASJ exome
AF:
0.00961
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00611
Gnomad4 FIN exome
AF:
0.00674
Gnomad4 NFE exome
AF:
0.0154
Gnomad4 OTH exome
AF:
0.0106
GnomAD4 genome
AF:
0.00939
AC:
1430
AN:
152238
Hom.:
15
Cov.:
31
AF XY:
0.00922
AC XY:
686
AN XY:
74432
show subpopulations
Gnomad4 AFR
AF:
0.00236
Gnomad4 AMR
AF:
0.00694
Gnomad4 ASJ
AF:
0.00864
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00249
Gnomad4 FIN
AF:
0.00669
Gnomad4 NFE
AF:
0.0159
Gnomad4 OTH
AF:
0.0109
Alfa
AF:
0.0135
Hom.:
12
Bravo
AF:
0.00908
TwinsUK
AF:
0.0197
AC:
73
ALSPAC
AF:
0.0150
AC:
58
ESP6500AA
AF:
0.00340
AC:
15
ESP6500EA
AF:
0.0151
AC:
130
ExAC
AF:
0.0111
AC:
1342
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.0147
EpiControl
AF:
0.0143

ClinVar

Significance: Benign
Submissions summary: Uncertain:1Benign:13
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

Severe combined immunodeficiency due to DCLRE1C deficiency Uncertain:1Benign:3
Benign, reviewed by expert panelcurationClinGen Severe Combined Immunodeficiency Variant Curation Expert Panel, ClinGenNov 14, 2023The c.457G>A (NM_001033855.3) variant in DCLRE1C is a missense variant predicted to cause the substitution of Glycine by Arginine at amino acid 153 (p.Gly153Arg). The filtering allele frequency (the lower threshold of the 95% CI of 2195/129158) of the c.457G>A variant in DCLRE1C is 0.01641 for European (non-Finnish) chromosomes by gnomAD v2.1.1, which is higher than the ClinGen SCID VCEP threshold >0.00346 for BA1, and therefore meets this criterion (BA1). Also, nineteen (19) adult homozygous individuals with this variant are present in gnomADv2.1.1 (European non-Finnish n=15, European (Finnish) n=1, Latino/Admixed American n=1, South Asian n=2)(BS2_Supporting). Additionally, a functional study showed non-dysfunction of V(D)J recombination and DNA repair (around 100% compared to wild type), and we do not find this variant described in patients with SCID due to DCLRE1C deficiency after a comprehensive literature search. In summary, this variant meets the criteria to be classified as Benign for autosomal recessive SCID based on the ACMG/AMP criteria applied, BA1 and BS2_Supporting, as specified by the ClinGen SCID VCEP (VCEP specifications version 1). -
Benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
Uncertain significance, criteria provided, single submitterclinical testingNew York Genome CenterJul 09, 2020- -
not specified Benign:4
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 09, 2018Variant summary: DCLRE1C c.457G>A (p.Gly153Arg) results in a non-conservative amino acid change located in the Metallo-beta-lactamase domain of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.011 in 120654 control chromosomes in the ExAC database, including 12 homozygotes. The observed variant frequency is approximately 2.72 fold of the estimated maximal expected allele frequency for a pathogenic variant in DCLRE1C causing Severe Combined Immunodeficiency Syndrome phenotype (0.0041), strongly suggesting that the variant is benign. c.457G>A has been reported in the literature in individuals affected with Severe Combined Immunodeficiency Syndrome. These report(s) do not provide unequivocal conclusions about association of the variant with Severe Combined Immunodeficiency Syndrome. At least one publication reports experimental evidence evaluating an impact on protein function. These results showed no damaging effect of this variant. Three clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as benign/likely benign. Based on the evidence outlined above, the variant was classified as benign. -
Benign, criteria provided, single submitterclinical testingGeneDxJan 20, 2017This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Likely benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 28, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Variant associated with SCID, but high frequency and a functional study suggests no impact on activity. -
not provided Benign:4
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesAug 28, 2023- -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsSep 02, 2015- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024DCLRE1C: BS1, BS2 -
Histiocytic medullary reticulosis Benign:1
Benign, no assertion criteria providedclinical testingNatera, Inc.Dec 09, 2019- -
Severe combined immunodeficiency due to DCLRE1C deficiency;C2700553:Histiocytic medullary reticulosis Benign:1
Likely benign, criteria provided, single submitterclinical testingCenter for Genomics, Ann and Robert H. Lurie Children's Hospital of ChicagoOct 13, 2022This variant has been reported in the literature in at least 3 individuals with clinical phenotypes of Severe Combined Immunodeficiency (SCID) or Inflammatory Bowel Disease (IBD) (Lagresle-Peyrou 2008 PMID:18223550, Ashton 2020 PMID:32463623). This variant is present in the Genome Aggregation Database (Highest reported MAF 1.7% (2195/129158) including 15 homozygotes (https://gnomad.broadinstitute.org/variant/10-14977469-C-T?dataset=gnomad_r2_1). Evolutionary conservation and computational predictive tools suggest that this variant may impact the protein. This variant is present in ClinVar, with several labs classifying this variant as Likely Benign or Benign (Variation ID:35998). In vitro functional studies predict that this variant will not impact the protein (Felgentreff 2015 PMID:25333069). However, these studies may not accurately represent in vivo biological function. In summary, data on this variant suggests that this variant does not cause disease but requires further evidence. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.46
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Uncertain
-0.040
CADD
Pathogenic
27
DANN
Pathogenic
1.0
Eigen
Uncertain
0.53
Eigen_PC
Uncertain
0.53
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.83
T;.;.;T;.;.;.;T;T;T;T;T
MetaRNN
Benign
0.0095
T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.13
T
MutationAssessor
Uncertain
2.7
M;.;.;.;.;.;.;M;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.62
T
PROVEAN
Uncertain
-3.7
D;D;D;D;D;D;D;D;D;D;D;D
REVEL
Uncertain
0.60
Sift
Benign
0.083
T;D;D;D;D;D;D;T;D;D;T;T
Sift4G
Uncertain
0.049
D;D;D;D;.;.;.;D;.;.;.;.
Polyphen
0.84
P;D;D;D;.;.;.;D;.;.;.;.
Vest4
0.28
MutPred
0.82
Loss of sheet (P = 0.0037);.;.;.;.;.;.;Loss of sheet (P = 0.0037);.;.;.;.;
MPC
0.28
ClinPred
0.032
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.60
gMVP
0.84

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs41297018; hg19: chr10-14977469; COSMIC: COSV99064323; API