15-40602927-CAAA-C
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Variant summary
Our verdict is Likely pathogenic. Variant got 9 ACMG points: 10P and 1B. PVS1PM2BS1_Supporting
The NM_144508.5(KNL1):c.-2_1delAAA(p.Met1del) variant causes a start lost, conservative inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000814 in 1,584,958 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.000039 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000086 ( 1 hom. )
Consequence
KNL1
NM_144508.5 start_lost, conservative_inframe_deletion
NM_144508.5 start_lost, conservative_inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 1.76
Genes affected
KNL1 (HGNC:24054): (kinetochore scaffold 1) The protein encoded by this gene is a component of the multiprotein assembly that is required for creation of kinetochore-microtubule attachments and chromosome segregation. The encoded protein functions as a scaffold for proteins that influence the spindle assembly checkpoint during the eukaryotic cell cycle and it interacts with at least five different kinetochore proteins and two checkpoint kinases. In adults, this gene is predominantly expressed in normal testes, various cancer cell lines and primary tumors from other tissues and is ubiquitously expressed in fetal tissues. This gene was originally identified as a fusion partner with the mixed-lineage leukemia (MLL) gene in t(11;15)(q23;q14). Mutations in this gene cause autosomal recessive primary microcephaly-4 (MCPH4). Alternative splicing results in multiple transcript variants encoding different isoforms. Additional splice variants have been described but their biological validity has not been confirmed. [provided by RefSeq, Jan 2013]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 9 ACMG points.
PVS1
Start lost variant, no new inframe start found.
PM2
Very rare variant in population databases, with high coverage;
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.0000858 (123/1432782) while in subpopulation SAS AF= 0.0014 (117/83616). AF 95% confidence interval is 0.00119. There are 1 homozygotes in gnomad4_exome. There are 101 alleles in male gnomad4_exome subpopulation. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
KNL1 | NM_144508.5 | c.-2_1delAAA | p.Met1del | start_lost, conservative_inframe_deletion | 2/26 | ENST00000399668.7 | NP_653091.3 | |
KNL1 | NM_144508.5 | c.-2_1delAAA | 5_prime_UTR_variant | 2/26 | ENST00000399668.7 | NP_653091.3 | ||
KNL1 | NM_170589.5 | c.-2_1delAAA | p.Met1del | start_lost, conservative_inframe_deletion | 2/27 | NP_733468.3 | ||
KNL1 | NM_170589.5 | c.-2_1delAAA | 5_prime_UTR_variant | 2/27 | NP_733468.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
KNL1 | ENST00000399668.7 | c.-2_1delAAA | p.Met1del | start_lost, conservative_inframe_deletion | 2/26 | 1 | NM_144508.5 | ENSP00000382576.3 | ||
KNL1 | ENST00000399668 | c.-2_1delAAA | 5_prime_UTR_variant | 2/26 | 1 | NM_144508.5 | ENSP00000382576.3 |
Frequencies
GnomAD3 genomes AF: 0.0000395 AC: 6AN: 152058Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.000185 AC: 45AN: 242884Hom.: 0 AF XY: 0.000266 AC XY: 35AN XY: 131702
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GnomAD4 exome AF: 0.0000858 AC: 123AN: 1432782Hom.: 1 AF XY: 0.000141 AC XY: 101AN XY: 714116
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GnomAD4 genome AF: 0.0000394 AC: 6AN: 152176Hom.: 0 Cov.: 31 AF XY: 0.0000403 AC XY: 3AN XY: 74396
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Genetic Services Laboratory, University of Chicago | May 01, 2013 | - - |
Computational scores
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at