11-72293362-GGCTGCTAGATGGTGTT-G
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Variant summary
Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PVS1
The NM_001258392.3(CLPB):c.2023_*4delAACACCATCTAGCAGC(p.Asn675fs) variant causes a frameshift, stop lost change. The variant allele was found at a frequency of 0.0000105 in 1,611,760 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000010 ( 0 hom. )
Consequence
CLPB
NM_001258392.3 frameshift, stop_lost
NM_001258392.3 frameshift, stop_lost
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 3.69
Genes affected
CLPB (HGNC:30664): (ClpB family mitochondrial disaggregase) This gene belongs to the ATP-ases associated with diverse cellular activities (AAA+) superfamily. Members of this superfamily form ring-shaped homo-hexamers and have highly conserved ATPase domains that are involved in various processes including DNA replication, protein degradation and reactivation of misfolded proteins. All members of this family hydrolyze ATP through their AAA+ domains and use the energy generated through ATP hydrolysis to exert mechanical force on their substrates. In addition to an AAA+ domain, the protein encoded by this gene contains a C-terminal D2 domain, which is characteristic of the AAA+ subfamily of Caseinolytic peptidases to which this protein belongs. It cooperates with Hsp70 in the disaggregation of protein aggregates. Allelic variants of this gene are associated with 3-methylglutaconic aciduria, which causes cataracts and neutropenia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2015]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 8 ACMG points.
PVS1
Stoplost variant. No alternative stopcodon identified downstream, so we assume a Nonstop Mediated Decay. LoF is a known mechanism of disease.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CLPB | NM_030813.6 | c.2113_*4delAACACCATCTAGCAGC | p.Asn705fs | frameshift_variant, stop_lost | 17/17 | ENST00000294053.9 | NP_110440.1 | |
CLPB | NM_001258392.3 | c.2023_*4delAACACCATCTAGCAGC | p.Asn675fs | frameshift_variant, stop_lost | 16/16 | ENST00000538039.6 | NP_001245321.1 | |
CLPB | NM_030813.6 | c.2112_*4delAACACCATCTAGCAGC | 3_prime_UTR_variant | 17/17 | ENST00000294053.9 | NP_110440.1 | ||
CLPB | NM_001258392.3 | c.2022_*4delAACACCATCTAGCAGC | 3_prime_UTR_variant | 16/16 | ENST00000538039.6 | NP_001245321.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CLPB | ENST00000294053.9 | c.2113_*4delAACACCATCTAGCAGC | p.Asn705fs | frameshift_variant, stop_lost | 17/17 | 1 | NM_030813.6 | ENSP00000294053.3 | ||
CLPB | ENST00000538039.6 | c.2023_*4delAACACCATCTAGCAGC | p.Asn675fs | frameshift_variant, stop_lost | 16/16 | 2 | NM_001258392.3 | ENSP00000441518.1 | ||
CLPB | ENST00000294053 | c.2112_*4delAACACCATCTAGCAGC | 3_prime_UTR_variant | 17/17 | 1 | NM_030813.6 | ENSP00000294053.3 | |||
CLPB | ENST00000538039 | c.2022_*4delAACACCATCTAGCAGC | 3_prime_UTR_variant | 16/16 | 2 | NM_001258392.3 | ENSP00000441518.1 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152188Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.00000798 AC: 2AN: 250638Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135416
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GnomAD4 exome AF: 0.0000103 AC: 15AN: 1459572Hom.: 0 AF XY: 0.00000827 AC XY: 6AN XY: 725650
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GnomAD4 genome AF: 0.0000131 AC: 2AN: 152188Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74342
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Jun 14, 2022 | Not expected to trigger nonsense-mediated mRNA decay Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
3-methylglutaconic aciduria, type VIIB Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Aug 04, 2023 | This variant has not been reported in the literature in individuals affected with CLPB-related conditions. ClinVar contains an entry for this variant (Variation ID: 1410637). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. This sequence change results in a frameshift in the CLPB gene (p.Asn705Hisfs*22). While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 3 amino acid(s) of the CLPB protein and extend the protein by 18 additional amino acid residues. This variant is present in population databases (no rsID available, gnomAD 0.002%). - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at