10-92613376-G-T
Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1_ModeratePM2PP5_Very_Strong
The NM_004523.4(KIF11):c.790-1G>T variant causes a splice acceptor, intron change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Consequence
NM_004523.4 splice_acceptor, intron
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 12 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes Cov.: 31
GnomAD4 exome Cov.: 28
GnomAD4 genome Cov.: 31
ClinVar
Submissions by phenotype
Microcephaly with or without chorioretinopathy, lymphedema, or intellectual disability Pathogenic:1
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not provided Pathogenic:1
This sequence change affects an acceptor splice site in intron 7 of the KIF11 gene. It is expected to disrupt RNA splicing. Variants that disrupt the donor or acceptor splice site typically lead to a loss of protein function (PMID: 16199547), and loss-of-function variants in KIF11 are known to be pathogenic (PMID: 22284827, 24281367). This variant is not present in population databases (gnomAD no frequency). Disruption of this splice site has been observed in individuals with familial exudative vitreoretinopathy (PMID: 25124931, 27212378). ClinVar contains an entry for this variant (Variation ID: 192301). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. For these reasons, this variant has been classified as Pathogenic. -
Microcephaly with or without chorioretinopathy, lymphedema or intellectual disability (MCLID) Pathogenic:1
The KIF11 c.790-1G>T variant occurs in a canonical splice site (acceptor) and is therefore predicted to disrupt or distort the normal gene product. The c.790-1G>T variant has been reported in one study, in which it is found in a heterozygous state in one individual with microcephaly and familial exudative vitreoretinopathy (Robitaille et al. 2014). The c.790-1G>T variant is not found in the Genome Aggregation Database in a region of good sequence coverage, so the variant is presumed to be rare. Similar variants, c.790-1G>A and c.790-2A>C, were identified in a presumed de novo heterozygous state in two individuals with microcephaly (Mirzaa et al. 2015; Li et al. 2016). Based on the collective evidence and application of the ACMG criteria, the c.790-1G>T variant is classified as pathogenic for microcephaly with or without chorioretinopathy, lymphedema or intellectual disability. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at