15-44567441-A-G
Variant summary
Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2
The NM_025137.4(SPG11):c.6737T>C(p.Ile2246Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000143 in 1,613,714 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I2246M) has been classified as Uncertain significance.
Frequency
Consequence
NM_025137.4 missense
Scores
Clinical Significance
Conservation
Publications
- hereditary spastic paraplegia 11Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Illumina, G2P
- amyotrophic lateral sclerosis type 5Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp
- Charcot-Marie-Tooth disease axonal type 2XInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
- juvenile amyotrophic lateral sclerosisInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Uncertain_significance. The variant received 2 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| SPG11 | NM_025137.4 | c.6737T>C | p.Ile2246Thr | missense_variant | Exon 36 of 40 | ENST00000261866.12 | NP_079413.3 | 
Ensembl
Frequencies
GnomAD3 genomes  0.0000198  AC: 3AN: 151882Hom.:  0  Cov.: 31 show subpopulations 
GnomAD2 exomes  AF:  0.0000278  AC: 7AN: 251462 AF XY:  0.0000147   show subpopulations 
GnomAD4 exome  AF:  0.0000137  AC: 20AN: 1461832Hom.:  0  Cov.: 34 AF XY:  0.0000110  AC XY: 8AN XY: 727218 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000198  AC: 3AN: 151882Hom.:  0  Cov.: 31 AF XY:  0.0000135  AC XY: 1AN XY: 74140 show subpopulations 
ClinVar
Submissions by phenotype
not provided    Uncertain:1 
Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 33589474) -
Hereditary spastic paraplegia 11    Uncertain:1 
This sequence change replaces isoleucine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 2246 of the SPG11 protein (p.Ile2246Thr). This variant is present in population databases (rs762209905, gnomAD 0.004%). This missense change has been observed in individual(s) with amyotrophic lateral sclerosis (PMID: 33589474). ClinVar contains an entry for this variant (Variation ID: 573065). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). 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. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at