14-88416794-C-T
Variant summary
Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_018418.5(SPATA7):c.322C>T(p.Arg108*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000535 in 1,606,728 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 Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. R108R) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_018418.5 stop_gained
Scores
Clinical Significance
Conservation
Publications
- Leber congenital amaurosis 3Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
- Leber congenital amaurosisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- retinitis pigmentosaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- severe early-childhood-onset retinal dystrophyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 16 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000658 AC: 10AN: 152090Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000320 AC: 8AN: 250260 AF XY: 0.0000221 show subpopulations
GnomAD4 exome AF: 0.0000522 AC: 76AN: 1454638Hom.: 0 Cov.: 29 AF XY: 0.0000483 AC XY: 35AN XY: 724112 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000658 AC: 10AN: 152090Hom.: 0 Cov.: 32 AF XY: 0.0000538 AC XY: 4AN XY: 74296 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Leber congenital amaurosis 3 Pathogenic:4Other:1
The SPATA7 c.322C>T variant was identified in an individual with retinitis pigmentosa with a presumed recessive inheritance pattern. Through a review of available evidence we were able to apply the following criteria: PVS1, PM2, PP1. Based on this evidence we have classified this variant as Pathogenic. -
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This sequence change creates a premature translational stop signal (p.Arg108*) in the SPATA7 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SPATA7 are known to be pathogenic (PMID: 19268277, 22334370, 23847139, 26047050, 26261414). This variant is present in population databases (rs80044281, gnomAD 0.01%). This premature translational stop signal has been observed in individuals with Leber congenital amaurosis or retinitis pigmentosa (PMID: 19268277, 22334370). ClinVar contains an entry for this variant (Variation ID: 1395). For these reasons, this variant has been classified as Pathogenic. -
Leber congenital amaurosis Pathogenic:2
ACMG/AMP guidelines: PM2, PVS1, PM3_PS -
Variant summary: SPATA7 c.322C>T (p.Arg108X) results in a premature termination codon, predicted to cause absence of the protein due to nonsense mediated decay, which is a commonly known mechanism for disease. The variant allele was found at a frequency of 3.2e-05 in 250260 control chromosomes (gnomAD). c.322C>T has been reported in the literature in individuals affected with Leber Congenital Amaurosis (e.g. Xiao_2019). The following publication has been ascertained in the context of this evaluation (PMID: 31908400). ClinVar contains an entry for this variant (Variation ID: 1395). Based on the evidence outlined above, the variant was classified as pathogenic. -
not provided Pathogenic:2
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SPATA7-related disorder Pathogenic:1
The SPATA7 c.322C>T (p.Arg108Ter) variant is stop-gained variant predicted to result in premature termination of the protein. The p.Arg108Ter variant has been reported in four studies in which it was identified in a total of seven patients with Leber congenital amaurosis, including four homozygotes and one compound heterozygote, and two compound heterozygotes with autosomal recessive retinitis pigmentosa (Wang et al. 2009; Perrault et al. 2010; Neveling et al. 2012; Xu et al. 2014). The variant was also found in a heterozygous state in six unaffected family members of patients. The variant was absent from at least 150 control individuals but is reported at a frequency of 0.00005 in the European (non-Finnish) population of the Exome Aggregation Consortium. Based on the evidence, the p.Arg108Ter variant is classified as pathogenic for SPATA7-related disorders. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. -
Retinal dystrophy Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at