12-57514958-C-T
Variant summary
Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate
The NM_004990.4(MARS1):c.2104C>T(p.Arg702Trp) variant causes a missense change. The variant allele was found at a frequency of 0.0000124 in 1,614,018 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 Uncertain significance (★★).
Frequency
Consequence
NM_004990.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 4 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152148Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000199 AC: 5AN: 251426Hom.: 0 AF XY: 0.00000736 AC XY: 1AN XY: 135880
GnomAD4 exome AF: 0.0000123 AC: 18AN: 1461870Hom.: 0 Cov.: 32 AF XY: 0.00000688 AC XY: 5AN XY: 727240
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152148Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74324
ClinVar
Submissions by phenotype
Spastic paraplegia 70, autosomal recessive Pathogenic:1
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not specified Uncertain:1
The c.2104C>T (p.R702W) alteration is located in exon 17 (coding exon 17) of the MARS gene. This alteration results from a C to T substitution at nucleotide position 2104, causing the arginine (R) at amino acid position 702 to be replaced by a tryptophan (W). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Charcot-Marie-Tooth disease axonal type 2U;C4225400:Severe early-onset pulmonary alveolar proteinosis due to MARS deficiency Uncertain:1
This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 702 of the MARS protein (p.Arg702Trp). This variant is present in population databases (rs587777228, gnomAD 0.006%). This missense change has been observed in individual(s) with clinical features of hereditary spastic paraplegia or hereditary sensory neuropathy (PMID: 24482476, 28708278). ClinVar contains an entry for this variant (Variation ID: 120187). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). 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. -
not provided Uncertain:1
Observed as heterozygous variant in patient with neuropathy, ataxia, and dysarthria in published literature; however, additional clinical details and segregation information were not provided (PMID: 28708278); Observed with another variant in a patient with corticospinal motor neuron disease in published literature; however, additional it is unknown whether the two variants are on the same (in cis) or opposite (in trans) chromosomes (PMID: 24482476); Observed in individual with familial trigeminal neuralgia; however, variants in other genes were also identified (PMID: 36641423); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 36641423, 28708278, 24482476) -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at