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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
NM_001940.4 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.621
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]
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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 |
---|---|---|---|---|---|---|---|
ATN1 | NM_001940.4 | c.1479_1508dup | p.Gln493_Gln502dup | inframe_insertion | 5/10 | ENST00000396684.3 | |
ATN1 | NM_001007026.2 | c.1479_1508dup | p.Gln493_Gln502dup | inframe_insertion | 5/10 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
ATN1 | ENST00000396684.3 | c.1479_1508dup | p.Gln493_Gln502dup | inframe_insertion | 5/10 | 1 | NM_001940.4 | P1 | |
ATN1 | ENST00000356654.8 | c.1479_1508dup | p.Gln493_Gln502dup | inframe_insertion | 5/10 | 1 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000448 AC: 65AN: 145034Hom.: 0 Cov.: 0
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GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.000156 AC: 225AN: 1438900Hom.: 0 Cov.: 0 AF XY: 0.000167 AC XY: 120AN XY: 716718
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GnomAD4 genome AF: 0.000448 AC: 65AN: 145134Hom.: 0 Cov.: 0 AF XY: 0.000426 AC XY: 30AN XY: 70474
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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 submitter | clinical testing | Ambry Genetics | May 10, 2022 | The 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. - |
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at