13-99985448-AGCGGCGGCGGCAGCGGCGGCGGCGGCTGCGGCGGCG-AGCGGCG
Variant summary
Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP3BS2
The NM_007129.5(ZIC2):βc.1377_1406delβ(p.Ala461_Ala470del) variant causes a inframe deletion change. The variant allele was found at a frequency of 0.0000783 in 1,417,518 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (β β ).
Frequency
Genomes: π 0.000060 ( 0 hom., cov: 32)
Exomes π: 0.000081 ( 1 hom. )
Consequence
ZIC2
NM_007129.5 inframe_deletion
NM_007129.5 inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 5.22
Genes affected
ZIC2 (HGNC:12873): (Zic family member 2) This gene encodes a member of the ZIC family of C2H2-type zinc finger proteins. This protein functions as a transcriptional repressor and may regulate tissue specific expression of dopamine receptor D1. Expansion of an alanine repeat in the C-terminus of the encoded protein and other mutations in this gene cause holoprosencephaly type 5. Holoprosencephaly is the most common structural anomaly of the human brain. A polyhistidine tract polymorphism in this gene may be associated with increased risk of neural tube defects. This gene is closely linked to a gene encoding zinc finger protein of the cerebellum 5, a related family member on chromosome 13. [provided by RefSeq, Jul 2016]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -5 ACMG points.
BP3
Nonframeshift variant in repetitive region in NM_007129.5
BS2
High AC in GnomAd4 at 9 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
ZIC2 | NM_007129.5 | c.1377_1406del | p.Ala461_Ala470del | inframe_deletion | 3/3 | ENST00000376335.8 | NP_009060.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
ZIC2 | ENST00000376335.8 | c.1377_1406del | p.Ala461_Ala470del | inframe_deletion | 3/3 | 1 | NM_007129.5 | ENSP00000365514 | P1 |
Frequencies
GnomAD3 genomes AF: 0.0000596 AC: 9AN: 150892Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000226 AC: 3AN: 132790Hom.: 0 AF XY: 0.0000128 AC XY: 1AN XY: 78048
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GnomAD4 exome AF: 0.0000805 AC: 102AN: 1266626Hom.: 1 AF XY: 0.0000945 AC XY: 59AN XY: 624118
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GnomAD4 genome AF: 0.0000596 AC: 9AN: 150892Hom.: 0 Cov.: 32 AF XY: 0.0000815 AC XY: 6AN XY: 73636
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Holoprosencephaly 5 Uncertain:2
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Apr 01, 2023 | ClinVar contains an entry for this variant (Variation ID: 1343256). This variant has been observed in individuals with holoprosencephaly (PMID: 19177455, 21940735). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant, c.1377_1406del, results in the deletion of 10 amino acid(s) of the ZIC2 protein (p.Ala461_Ala470del), but otherwise preserves the integrity of the reading frame. This variant disrupts a region of the ZIC2 protein in which other variant(s) (p.Ala461_465del) have been observed in individuals with ZIC2-related conditions (PMID: 19955556). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. 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. - |
Uncertain significance, criteria provided, single submitter | clinical testing | Institute of Human Genetics, Clinical Exome/Genome Diagnostics Group, University Hospital Bonn | Jan 14, 2022 | - - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at