10-67797189-C-T
Variant summary
Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PVS1_StrongPM2PP5_Very_Strong
The NM_021800.3(DNAJC12):c.524G>A(p.Trp175*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000973 in 1,613,658 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 (★★).
Frequency
Consequence
NM_021800.3 stop_gained
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 14 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000223 AC: 34AN: 152150Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.000172 AC: 43AN: 250564Hom.: 0 AF XY: 0.000192 AC XY: 26AN XY: 135592
GnomAD4 exome AF: 0.0000842 AC: 123AN: 1461390Hom.: 0 Cov.: 30 AF XY: 0.0000784 AC XY: 57AN XY: 726956
GnomAD4 genome AF: 0.000223 AC: 34AN: 152268Hom.: 0 Cov.: 33 AF XY: 0.000269 AC XY: 20AN XY: 74464
ClinVar
Submissions by phenotype
Hyperphenylalaninemia due to DNAJC12 deficiency Pathogenic:4
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Variant summary: DNAJC12 c.524G>A (p.Trp175X) results in a premature termination codon, predicted to cause a truncation of the encoded protein, however, nonsense mediated decay is not expected to occur. The variant allele was found at a frequency of 0.00017 in 250564 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in DNAJC12 causing Hyperphenylalaninemia Due To DNAJC12 Deficiency, allowing no conclusion about variant significance. c.524G>A has been reported in the literature in multiple homozygous and compound heterozygous individuals affected with Hyperphenylalaninemia Due To DNAJC12 Deficiency (e.g. Gallego_2020, Navarette_2019). These data indicate that the variant is very likely to be associated with disease. At least one publication reports experimental evidence evaluating an impact on protein function, showing the variant results reduced PAH protein levels and activity, suggesting an inability of DNAJC12 to contribute to the PAH folding process (e.g. Gallego_2020). The following publications have been ascertained in the context of this evaluation (PMID: 32333439, 30626930).ClinVar contains an entry for this variant (Variation ID: 870655). Based on the evidence outlined above, the variant was classified as pathogenic. -
DNAJC12-related disorder Pathogenic:1
The DNAJC12 c.524G>A variant is predicted to result in premature protein termination (p.Trp175*). This variant has been reported in the homozygous and compound heterozygous state in multiple individuals with hyperphenylalaninaemia (Navarrete et al 2019. PubMed ID: 30626930; Gallego D et al 2020. PubMed ID: 32333439). This variant is reported in 0.093% of alleles in individuals of Latino descent in gnomAD (http://gnomad.broadinstitute.org/variant/10-69556947-C-T). Nonsense variants in DNAJC12 are expected to be pathogenic. This variant is interpreted as pathogenic. -
Inborn genetic diseases Pathogenic:1
The c.524G>A (p.W175*) alteration, located in exon 5 (coding exon 5) of the DNAJC12 gene, consists of a G to A substitution at nucleotide position 524. This changes the amino acid from a tryptophan (W) to a stop codon at amino acid position 175. This alteration occurs at the 3' terminus of the DNAJC12 gene, is not expected to trigger nonsense-mediated mRNA decay, and only impacts the last 12.2% (24/198 amino acids) of the protein. However, premature stop codons are typically deleterious in nature and a significant portion of the protein is affected (Ambry internal data). This alteration has been detected in the homozygous and compound heterozygous states in multiple individuals with hyperphenylalaninemia (HPA) (Gallego, 2020). Functional studies on fibroblasts showed reduced amounts of PAH and PAH activity affecting the PAH folding process. Steady-state tyrosine hydroxylase levels were also reduced while tryptophan hydroxylase 2 levels were not affected (Gallego, 2020). Based on the available evidence, this alteration is classified as pathogenic. -
not provided Pathogenic:1
This sequence change creates a premature translational stop signal (p.Trp175*) in the DNAJC12 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 24 amino acid(s) of the DNAJC12 protein. This variant is present in population databases (rs370032864, gnomAD 0.1%). This premature translational stop signal has been observed in individuals with hyperphenylalaninemia (PMID: 30626930, 32333439). ClinVar contains an entry for this variant (Variation ID: 870655). Algorithms developed to predict the effect of variants on gene product structure and function are not available or were not evaluated for this variant. Experimental studies have shown that this premature translational stop signal affects DNAJC12 function (PMID: 32333439). For these reasons, this variant has been classified as Pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at