12-6936728-ACAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG-ACAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_001940.4(ATN1):​c.1479_1508dup​(p.Gln493_Gln502dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. Q487Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00045 ( 0 hom., cov: 0)
Exomes 𝑓: 0.00016 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

ATN1
NM_001940.4 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

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 Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAd4 at 65 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATN1NM_001940.4 linkuse as main transcriptc.1479_1508dup p.Gln493_Gln502dup inframe_insertion 5/10 ENST00000396684.3
ATN1NM_001007026.2 linkuse as main transcriptc.1479_1508dup p.Gln493_Gln502dup inframe_insertion 5/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATN1ENST00000396684.3 linkuse as main transcriptc.1479_1508dup p.Gln493_Gln502dup inframe_insertion 5/101 NM_001940.4 P1
ATN1ENST00000356654.8 linkuse as main transcriptc.1479_1508dup p.Gln493_Gln502dup inframe_insertion 5/101 P1

Frequencies

GnomAD3 genomes
AF:
0.000448
AC:
65
AN:
145034
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.000207
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000144
Gnomad ASJ
AF:
0.000889
Gnomad EAS
AF:
0.000634
Gnomad SAS
AF:
0.000451
Gnomad FIN
AF:
0.000298
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000645
Gnomad OTH
AF:
0.000509
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000156
AC:
225
AN:
1438900
Hom.:
0
Cov.:
0
AF XY:
0.000167
AC XY:
120
AN XY:
716718
show subpopulations
Gnomad4 AFR exome
AF:
0.0000310
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000350
Gnomad4 EAS exome
AF:
0.00119
Gnomad4 SAS exome
AF:
0.000304
Gnomad4 FIN exome
AF:
0.000152
Gnomad4 NFE exome
AF:
0.000109
Gnomad4 OTH exome
AF:
0.000252
GnomAD4 genome
AF:
0.000448
AC:
65
AN:
145134
Hom.:
0
Cov.:
0
AF XY:
0.000426
AC XY:
30
AN XY:
70474
show subpopulations
Gnomad4 AFR
AF:
0.000206
Gnomad4 AMR
AF:
0.000144
Gnomad4 ASJ
AF:
0.000889
Gnomad4 EAS
AF:
0.000635
Gnomad4 SAS
AF:
0.000451
Gnomad4 FIN
AF:
0.000298
Gnomad4 NFE
AF:
0.000645
Gnomad4 OTH
AF:
0.000504

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 10, 2022The c.1479_1508dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCA (p.Q493_Q502dup) alteration is located in exon 5 (coding exon 4) of the ATN1 gene. The alteration consists of an in-frame duplication of 30 nucleotides from position 1479 to 1508, resulting in the duplication of 10 residues. Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

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