15-22786677-AGCGGCGGCGGCGGCGGCGGCG-AGCGGCGGCGGCGGCGGCGGCGGCGGCGGCG

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP3BP6BS2

The NM_144599.5(NIPA1):​c.39_47dupGGCGGCGGC​(p.Ala14_Ala16dup) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00021 ( 0 hom., cov: 6)
Exomes 𝑓: 0.00022 ( 0 hom. )

Consequence

NIPA1
NM_144599.5 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:2

Conservation

PhyloP100: 1.48

Publications

11 publications found
Variant links:
Genes affected
NIPA1 (HGNC:17043): (NIPA magnesium transporter 1) This gene encodes a magnesium transporter that associates with early endosomes and the cell surface in a variety of neuronal and epithelial cells. This protein may play a role in nervous system development and maintenance. Multiple transcript variants encoding different isoforms have been found for this gene. Mutations in this gene have been associated with autosomal dominant spastic paraplegia 6. [provided by RefSeq, Nov 2008]
NIPA1 Gene-Disease associations (from GenCC):
  • hereditary spastic paraplegia 6
    Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_144599.5
BP6
Variant 15-22786677-A-AGCGGCGGCG is Benign according to our data. Variant chr15-22786677-A-AGCGGCGGCG is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 533362.
BS2
High AC in GnomAd4 at 30 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NIPA1NM_144599.5 linkc.39_47dupGGCGGCGGC p.Ala14_Ala16dup disruptive_inframe_insertion Exon 1 of 5 ENST00000337435.9 NP_653200.2
NIPA1NM_001142275.1 linkc.-48+447_-48+455dupGGCGGCGGC intron_variant Intron 1 of 4 NP_001135747.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NIPA1ENST00000337435.9 linkc.39_47dupGGCGGCGGC p.Ala14_Ala16dup disruptive_inframe_insertion Exon 1 of 5 1 NM_144599.5 ENSP00000337452.4

Frequencies

GnomAD3 genomes
AF:
0.000206
AC:
30
AN:
145406
Hom.:
0
Cov.:
6
show subpopulations
Gnomad AFR
AF:
0.000150
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000338
Gnomad ASJ
AF:
0.000296
Gnomad EAS
AF:
0.000414
Gnomad SAS
AF:
0.000850
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000183
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.000218
AC:
202
AN:
926066
Hom.:
0
Cov.:
3
AF XY:
0.000228
AC XY:
101
AN XY:
442810
show subpopulations
African (AFR)
AF:
0.000172
AC:
3
AN:
17460
American (AMR)
AF:
0.000342
AC:
2
AN:
5856
Ashkenazi Jewish (ASJ)
AF:
0.000367
AC:
3
AN:
8166
East Asian (EAS)
AF:
0.00
AC:
0
AN:
8916
South Asian (SAS)
AF:
0.000138
AC:
3
AN:
21810
European-Finnish (FIN)
AF:
0.000125
AC:
1
AN:
8024
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2626
European-Non Finnish (NFE)
AF:
0.000225
AC:
185
AN:
820578
Other (OTH)
AF:
0.000153
AC:
5
AN:
32630
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.400
Heterozygous variant carriers
0
7
15
22
30
37
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000206
AC:
30
AN:
145488
Hom.:
0
Cov.:
6
AF XY:
0.000170
AC XY:
12
AN XY:
70786
show subpopulations
African (AFR)
AF:
0.000149
AC:
6
AN:
40200
American (AMR)
AF:
0.000338
AC:
5
AN:
14790
Ashkenazi Jewish (ASJ)
AF:
0.000296
AC:
1
AN:
3384
East Asian (EAS)
AF:
0.000415
AC:
2
AN:
4816
South Asian (SAS)
AF:
0.000851
AC:
4
AN:
4698
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8836
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
282
European-Non Finnish (NFE)
AF:
0.000183
AC:
12
AN:
65558
Other (OTH)
AF:
0.00
AC:
0
AN:
2030
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
108

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hereditary spastic paraplegia Uncertain:1
Feb 01, 2020
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary spastic paraplegia 6 Uncertain:1
Jan 14, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant, c.39_47dup, results in the insertion of 3 amino acid(s) of the NIPA1 protein (p.Ala14_Ala16dup), but otherwise preserves the integrity of the reading frame. 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 has not been reported in the literature in individuals affected with NIPA1-related conditions. ClinVar contains an entry for this variant (Variation ID: 533362). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. 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. -

not specified Benign:1
Jan 19, 2024
Athena Diagnostics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Apr 07, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
1.5

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs531550505; hg19: chr15-23086391; COSMIC: COSV105905665; COSMIC: COSV105905665; API