12-121804751-A-AC
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1_StrongPP5_Very_Strong
The NM_001353345.2(SETD1B):c.22dupC(p.His8fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000557 in 1,527,204 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Genomes: 𝑓 0.0000071 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000061 ( 0 hom. )
Consequence
SETD1B
NM_001353345.2 frameshift
NM_001353345.2 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 1.79
Genes affected
SETD1B (HGNC:29187): (SET domain containing 1B, histone lysine methyltransferase) SET1B is a component of a histone methyltransferase complex that produces trimethylated histone H3 at Lys4 (Lee et al., 2007 [PubMed 17355966]).[supplied by OMIM, Mar 2008]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 12 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant located near the start codon (<100nt), not predicted to undergo nonsense mediated mRNA decay. There are 4 pathogenic variants in the truncated region.
PP5
Variant 12-121804751-A-AC is Pathogenic according to our data. Variant chr12-121804751-A-AC is described in ClinVar as [Pathogenic]. Clinvar id is 2236999.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
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SETD1B | NM_001353345.2 | c.22dupC | p.His8fs | frameshift_variant | 2/17 | ENST00000604567.6 | NP_001340274.1 | |
SETD1B | XM_024448898.2 | c.22dupC | p.His8fs | frameshift_variant | 2/17 | XP_024304666.1 | ||
SETD1B | XM_047428552.1 | c.22dupC | p.His8fs | frameshift_variant | 2/17 | XP_047284508.1 | ||
SETD1B | XM_047428553.1 | c.22dupC | p.His8fs | frameshift_variant | 2/17 | XP_047284509.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
SETD1B | ENST00000604567.6 | c.22dupC | p.His8fs | frameshift_variant | 2/17 | 5 | NM_001353345.2 | ENSP00000474253.1 | ||
SETD1B | ENST00000619791.1 | c.22dupC | p.His8fs | frameshift_variant | 1/16 | 1 | ENSP00000481531.1 | |||
SETD1B | ENST00000542440.5 | c.22dupC | p.His8fs | frameshift_variant | 2/18 | 5 | ENSP00000442924.1 |
Frequencies
GnomAD3 genomes AF: 0.00000713 AC: 1AN: 140262Hom.: 0 Cov.: 31
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GnomAD4 exome AF: 0.0000606 AC: 84AN: 1386942Hom.: 0 Cov.: 33 AF XY: 0.0000614 AC XY: 42AN XY: 684176
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GnomAD4 genome AF: 0.00000713 AC: 1AN: 140262Hom.: 0 Cov.: 31 AF XY: 0.00 AC XY: 0AN XY: 67910
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:7Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Intellectual developmental disorder with seizures and language delay Pathogenic:5
Pathogenic, criteria provided, single submitter | clinical testing | Institute of Human Genetics, University of Leipzig Medical Center | Feb 29, 2024 | Criteria applied: PVS1,PS2,PS4_MOD - |
Pathogenic, criteria provided, single submitter | clinical testing | Institute of Human Genetics, FAU Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg | Mar 20, 2024 | This variant has been identified by standard clinical testing. de novo in a male patient with speech-related developmental disorder, myoclonic atonic therapy-refractory epilepsy and behavioral problems. Selected ACMG criteria: Pathogenic (I):PP5;PS2;PVS1 - |
Pathogenic, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Sep 15, 2023 | Variant summary: SETD1B c.22dupC (p.His8ProfsX30) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant allele was found at a frequency of 9.5e-05 in 136830 control chromosomes, however, this finding should be interpretted with caution as metrics indicate poor quality at this region in the gnomAD database, suggesting this data is unreliable. c.22dupC has been reported in the literature in the heterozygous state in two unrelated individuals affected with Intellectual Developmental Disorder With Seizures And Language Delay, where in both cases it was found to be de novo (Weerts_2021). These data indicate that the variant is very likely associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication has been ascertained in the context of this evaluation (PMID: 34345025). One submitter has cited a clinical-significance assessment for this variant to ClinVar after 2014 and has classified the variant as likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. - |
Pathogenic, criteria provided, single submitter | clinical testing | Victorian Clinical Genetics Services, Murdoch Childrens Research Institute | Oct 08, 2024 | Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as Pathogenic. Following criteria are met: 0102 - Loss of function is a known mechanism of disease in this gene and is associated with intellectual developmental disorder with seizures and language delay (MIM#619000). (I) 0107 - This gene is associated with autosomal dominant disease. (I) 0201 - Variant is predicted to cause nonsense-mediated decay (NMD) and loss of protein (premature termination codon is located at least 54 nucleotides upstream of the final exon-exon junction). (SP) 0251 - This variant is heterozygous. (I) 0302 - Variant is present in gnomAD (v3) <0.001 for a dominant condition (1 heterozygotes, 0 homozygotes). (SP) 0701 - Many other NMD-predicted variants comparable to the one identified in this case have very strong previous evidence for pathogenicity (DECIPHER). (SP) 0801 - This variant has strong previous evidence of pathogenicity in unrelated individuals. This variant has been classified as pathogenic or likely pathogenic by multiple clinical laboratories in ClinVar, and has been observed in heterozygous de novo individuals with SETD1B-related symptoms (PMID: 34345025). (SP) 1203 - This variant has been shown to be de novo in the proband (parental status confirmed) (by trio analysis). (SP) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign - |
Likely pathogenic, no assertion criteria provided | provider interpretation | Solve-RD Consortium | Jun 01, 2022 | Variant confirmed as disease-causing by referring clinical team - |
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | Jan 08, 2024 | The c.22dupC (p.H8Pfs*30) alteration, located in exon 1 (coding exon 1) of the SETD1B gene, consists of a duplication of C at position 22, causing a translational frameshift with a predicted alternate stop codon after 30 amino acids. This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. This variant was not reported in population-based cohorts in the Genome Aggregation Database (gnomAD). This variant has been determined to be the result of a de novo mutation in two individuals with features consistent with SETD1B-related neurodevelopmental disorder (Weerts, 2021). Based on the available evidence, this alteration is classified as pathogenic. - |
Neurodevelopmental disorder Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory of Molecular Genetics (Pr. Bezieau's lab), CHU de Nantes | May 17, 2023 | - - |
Neoplasm Other:1
-, criteria provided, single submitter | clinical testing | Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital | Jul 31, 2024 | - - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at