11-95821872-T-G
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PP3_Moderate
The NM_014679.5(CEP57):c.701T>G(p.Leu234Trp) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000131 in 1,451,814 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L234F) has been classified as Uncertain significance.
Frequency
Consequence
NM_014679.5 missense, splice_region
Scores
Clinical Significance
Conservation
Publications
- demyelinating hereditary motor and sensory neuropathyInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- Charcot-Marie-Tooth disease type 4B1Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Uncertain_significance. The variant received 2 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152122Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000320 AC: 8AN: 250168 AF XY: 0.0000517 show subpopulations
GnomAD4 exome AF: 0.0000131 AC: 19AN: 1451814Hom.: 1 Cov.: 28 AF XY: 0.0000207 AC XY: 15AN XY: 722892 show subpopulations
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Inborn genetic diseases Uncertain:1
The c.701T>G (p.L234W) alteration is located in exon 7 (coding exon 7) of the CEP57 gene. This alteration results from a T to G substitution at nucleotide position 701, causing the leucine (L) at amino acid position 234 to be replaced by a tryptophan (W). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Mosaic variegated aneuploidy syndrome 2 Uncertain:1
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. Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be disruptive, but these predictions have not been confirmed by published functional studies and their clinical significance is uncertain. This variant has not been reported in the literature in individuals with CEP57-related disease. This variant is present in population databases (rs750192070, ExAC 0.02%). This sequence change replaces leucine with tryptophan at codon 234 of the CEP57 protein (p.Leu234Trp). The leucine residue is highly conserved and there is a small physicochemical difference between leucine and tryptophan. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at