Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_001395686.1(DICER1):c.-219C>A variant causes a 5 prime UTR premature start codon gain change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★).
DICER1 (HGNC:17098): (dicer 1, ribonuclease III) This gene encodes a protein possessing an RNA helicase motif containing a DEXH box in its amino terminus and an RNA motif in the carboxy terminus. The encoded protein functions as a ribonuclease and is required by the RNA interference and small temporal RNA (stRNA) pathways to produce the active small RNA component that represses gene expression. This protein also acts as a strong antiviral agent with activity against RNA viruses, including the Zika and SARS-CoV-2 viruses. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2021]
Review Status: criteria provided, single submitter
Collection Method: clinical testing
The p.P19H variant (also known as c.56C>A), located in coding exon 1 of the DICER1 gene, results from a C to A substitution at nucleotide position 56. The proline at codon 19 is replaced by histidine, an amino acid with similar properties. This amino acid position is conserved. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Loss of glycosylation at P19 (P = 0.0264);Loss of glycosylation at P19 (P = 0.0264);Loss of glycosylation at P19 (P = 0.0264);Loss of glycosylation at P19 (P = 0.0264);Loss of glycosylation at P19 (P = 0.0264);Loss of glycosylation at P19 (P = 0.0264);Loss of glycosylation at P19 (P = 0.0264);