14-92071010-CCTGCTG-CCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTG

Variant summary

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

The NM_004993.6(ATXN3):​c.915_916insCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG​(p.Gln305_Gly306insGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGln) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.069 ( 524 hom., cov: 20)
Exomes 𝑓: 0.025 ( 221 hom. )
Failed GnomAD Quality Control

Consequence

ATXN3
NM_004993.6 inframe_insertion

Scores

Not classified

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: -0.168
Variant links:
Genes affected
ATXN3 (HGNC:7106): (ataxin 3) Machado-Joseph disease, also known as spinocerebellar ataxia-3, is an autosomal dominant neurologic disorder. The protein encoded by this gene contains (CAG)n repeats in the coding region, and the expansion of these repeats from the normal 12-44 to 52-86 is one cause of Machado-Joseph disease. There is a negative correlation between the age of onset and CAG repeat numbers. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 14-92071010-C-CCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTG is Benign according to our data. Variant chr14-92071010-C-CCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTG is described in ClinVar as [Likely_benign]. Clinvar id is 1050021.Status of the report is no_assertion_criteria_provided, 0 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.0973 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATXN3NM_004993.6 linkuse as main transcriptc.915_916insCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG p.Gln305_Gly306insGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGln inframe_insertion 10/11 ENST00000644486.2 NP_004984.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATXN3ENST00000644486.2 linkuse as main transcriptc.915_916insCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG p.Gln305_Gly306insGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGlnGln inframe_insertion 10/11 NM_004993.6 ENSP00000496695 P1P54252-2

Frequencies

GnomAD3 genomes
AF:
0.0695
AC:
9883
AN:
142238
Hom.:
524
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.0488
Gnomad AMI
AF:
0.107
Gnomad AMR
AF:
0.102
Gnomad ASJ
AF:
0.0660
Gnomad EAS
AF:
0.00409
Gnomad SAS
AF:
0.0352
Gnomad FIN
AF:
0.0723
Gnomad MID
AF:
0.0230
Gnomad NFE
AF:
0.0801
Gnomad OTH
AF:
0.0680
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0249
AC:
32736
AN:
1312834
Hom.:
221
Cov.:
92
AF XY:
0.0263
AC XY:
17266
AN XY:
656116
show subpopulations
Gnomad4 AFR exome
AF:
0.0207
Gnomad4 AMR exome
AF:
0.0433
Gnomad4 ASJ exome
AF:
0.0335
Gnomad4 EAS exome
AF:
0.00192
Gnomad4 SAS exome
AF:
0.0223
Gnomad4 FIN exome
AF:
0.0560
Gnomad4 NFE exome
AF:
0.0230
Gnomad4 OTH exome
AF:
0.0358
GnomAD4 genome
AF:
0.0695
AC:
9888
AN:
142348
Hom.:
524
Cov.:
20
AF XY:
0.0696
AC XY:
4814
AN XY:
69142
show subpopulations
Gnomad4 AFR
AF:
0.0488
Gnomad4 AMR
AF:
0.102
Gnomad4 ASJ
AF:
0.0660
Gnomad4 EAS
AF:
0.00410
Gnomad4 SAS
AF:
0.0353
Gnomad4 FIN
AF:
0.0723
Gnomad4 NFE
AF:
0.0801
Gnomad4 OTH
AF:
0.0678

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-The ATXN3 p.Ala22_Gly23ins13 variant was identified in dbSNP (ID: rs763541221), ClinVar, Cosmic and LOVD 3.0. The variant was not identified in the following control databases: the 1000 Genomes Project, the NHLBI GO Exome Sequencing Project, the Exome Aggregation Consortium (August 8th 2016), or the Genome Aggregation Database (Feb 27, 2017). This variant is an in-frame insertion resulting in the inclusion of 13 CAG repeats. The (CAG)n repeat within the ATXN3 gene was found to cause Machado-Joseph disease at 73-78 repeats while 14-40 repeats was considered the normal range (Limprasert_1996_PMID: 8824876). More recent studies have suggested 52 to 86 repeats as pathogenic (GeneReviews). This CAG repeat expansion would fall within the normal range and this variant is predicted to be a polymorphism by MutationTaster. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time although we would lean towards a more benign role for this variant. This variant is classified as likely benign. -

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: rs193922928; hg19: chr14-92537354; API