12-6936728-ACAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG-ACAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BA1

The NM_001940.4(ATN1):​c.1503_1508dup​(p.Gln501_Gln502dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. Q487Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.049 ( 220 hom., cov: 0)
Exomes 𝑓: 0.061 ( 603 hom. )
Failed GnomAD Quality Control

Consequence

ATN1
NM_001940.4 inframe_insertion

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 0.621
Variant links:
Genes affected
ATN1 (HGNC:3033): (atrophin 1) Dentatorubral pallidoluysian atrophy (DRPLA) is a rare neurodegenerative disorder characterized by cerebellar ataxia, myoclonic epilepsy, choreoathetosis, and dementia. The disorder is related to the expansion from 7-35 copies to 49-93 copies of a trinucleotide repeat (CAG/CAA) within this gene. The encoded protein includes a serine repeat and a region of alternating acidic and basic amino acids, as well as the variable glutamine repeat. Alternative splicing results in two transcripts variants that encode the same protein. [provided by RefSeq, Jul 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 12-6936728-A-ACAGCAG is Benign according to our data. Variant chr12-6936728-A-ACAGCAG is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 210377.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Benign=3}.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.166 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATN1NM_001940.4 linkuse as main transcriptc.1503_1508dup p.Gln501_Gln502dup inframe_insertion 5/10 ENST00000396684.3
ATN1NM_001007026.2 linkuse as main transcriptc.1503_1508dup p.Gln501_Gln502dup inframe_insertion 5/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATN1ENST00000396684.3 linkuse as main transcriptc.1503_1508dup p.Gln501_Gln502dup inframe_insertion 5/101 NM_001940.4 P1
ATN1ENST00000356654.8 linkuse as main transcriptc.1503_1508dup p.Gln501_Gln502dup inframe_insertion 5/101 P1

Frequencies

GnomAD3 genomes
AF:
0.0485
AC:
7037
AN:
144952
Hom.:
219
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.0228
Gnomad AMI
AF:
0.0892
Gnomad AMR
AF:
0.0464
Gnomad ASJ
AF:
0.0376
Gnomad EAS
AF:
0.176
Gnomad SAS
AF:
0.0697
Gnomad FIN
AF:
0.0205
Gnomad MID
AF:
0.0258
Gnomad NFE
AF:
0.0580
Gnomad OTH
AF:
0.0418
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0613
AC:
88020
AN:
1436500
Hom.:
603
Cov.:
0
AF XY:
0.0614
AC XY:
43919
AN XY:
715504
show subpopulations
Gnomad4 AFR exome
AF:
0.0200
Gnomad4 AMR exome
AF:
0.0378
Gnomad4 ASJ exome
AF:
0.0348
Gnomad4 EAS exome
AF:
0.175
Gnomad4 SAS exome
AF:
0.0697
Gnomad4 FIN exome
AF:
0.0210
Gnomad4 NFE exome
AF:
0.0613
Gnomad4 OTH exome
AF:
0.0610
GnomAD4 genome
AF:
0.0485
AC:
7036
AN:
145052
Hom.:
220
Cov.:
0
AF XY:
0.0473
AC XY:
3329
AN XY:
70426
show subpopulations
Gnomad4 AFR
AF:
0.0228
Gnomad4 AMR
AF:
0.0464
Gnomad4 ASJ
AF:
0.0376
Gnomad4 EAS
AF:
0.176
Gnomad4 SAS
AF:
0.0697
Gnomad4 FIN
AF:
0.0205
Gnomad4 NFE
AF:
0.0580
Gnomad4 OTH
AF:
0.0408

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:4
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1Benign:1
Benign, criteria provided, single submitterclinical testingInstitute for Genomic Medicine (IGM) Clinical Laboratory, Nationwide Children's HospitalMar 20, 2017Normal variation in repetative sequence -
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoJun 27, 2014- -
not provided Benign:2
Likely benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 19, 2020This variant is associated with the following publications: (PMID: 20977674, 15148151, 23263592, 8136840) -
Dentatorubral-pallidoluysian atrophy Benign:1
Benign, criteria provided, single submitterclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical CenterSep 28, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs60216939; hg19: chr12-7045891; API