16-89508418-A-G

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PS1_ModeratePP5_Very_Strong

The NM_003119.4(SPG7):​c.1A>G​(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000538 in 1,487,502 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000045 ( 0 hom. )

Consequence

SPG7
NM_003119.4 start_lost

Scores

8
2
5

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:7

Conservation

PhyloP100: 1.65

Publications

13 publications found
Variant links:
Genes affected
SPG7 (HGNC:11237): (SPG7 matrix AAA peptidase subunit, paraplegin) This gene encodes a mitochondrial metalloprotease protein that is a member of the AAA family. Members of this protein family share an ATPase domain and have roles in diverse cellular processes including membrane trafficking, intracellular motility, organelle biogenesis, protein folding, and proteolysis. Mutations in this gene cause autosomal recessive spastic paraplegia 7. Two transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, Mar 2014]
SPG7 Gene-Disease associations (from GenCC):
  • hereditary spastic paraplegia 7
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, PanelApp Australia, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
  • autosomal dominant optic atrophy
    Inheritance: AD Classification: STRONG Submitted by: PanelApp Australia
  • lateral sclerosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 14 pathogenic variants. Next in-frame start position is after 44 codons. Genomic position: 89508547. Lost 0.054 part of the original CDS.
PS1
Another start lost variant in NM_003119.4 (SPG7) was described as [Likely_pathogenic] in ClinVar
PP5
Variant 16-89508418-A-G is Pathogenic according to our data. Variant chr16-89508418-A-G is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 193253.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003119.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SPG7
NM_003119.4
MANE Select
c.1A>Gp.Met1?
start_lost
Exon 1 of 17NP_003110.1Q9UQ90-1
SPG7
NM_001363850.1
c.1A>Gp.Met1?
start_lost
Exon 1 of 18NP_001350779.1A0A2R8Y3M4
SPG7
NM_199367.3
c.1A>Gp.Met1?
start_lost
Exon 1 of 10NP_955399.1Q9UQ90-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SPG7
ENST00000645818.2
MANE Select
c.1A>Gp.Met1?
start_lost
Exon 1 of 17ENSP00000495795.2Q9UQ90-1
SPG7
ENST00000268704.7
TSL:1
c.1A>Gp.Met1?
start_lost
Exon 1 of 17ENSP00000268704.3A0A2U3TZH1
SPG7
ENST00000341316.6
TSL:1
c.1A>Gp.Met1?
start_lost
Exon 1 of 10ENSP00000341157.2Q9UQ90-2

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151888
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
88730
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000449
AC:
6
AN:
1335614
Hom.:
0
Cov.:
31
AF XY:
0.00000304
AC XY:
2
AN XY:
658600
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26910
American (AMR)
AF:
0.00
AC:
0
AN:
29986
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23568
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30024
South Asian (SAS)
AF:
0.00
AC:
0
AN:
74624
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33378
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3944
European-Non Finnish (NFE)
AF:
0.00000567
AC:
6
AN:
1057686
Other (OTH)
AF:
0.00
AC:
0
AN:
55494
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000132
AC:
2
AN:
151888
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74218
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41364
American (AMR)
AF:
0.00
AC:
0
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10562
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67908
Other (OTH)
AF:
0.000479
AC:
1
AN:
2086
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.650
Heterozygous variant carriers
0
0
1
1
2
2
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.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
3
-
-
Hereditary spastic paraplegia 7 (3)
3
-
-
not provided (3)
1
-
-
SPG7-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.57
D
BayesDel_noAF
Pathogenic
0.58
CADD
Benign
16
DANN
Benign
0.94
DEOGEN2
Benign
0.061
T
Eigen
Benign
0.099
Eigen_PC
Benign
0.023
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.99
D
MetaRNN
Pathogenic
0.98
D
MetaSVM
Pathogenic
0.86
D
PhyloP100
1.7
PROVEAN
Benign
0.12
N
REVEL
Pathogenic
0.70
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.71
P
Vest4
0.67
MutPred
0.86
Gain of relative solvent accessibility (P = 0.0166)
MVP
0.95
ClinPred
0.99
D
GERP RS
2.8
PromoterAI
-0.68
Under-expression
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.90
gMVP
0.48
Mutation Taster
=9/191
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs794726906; hg19: chr16-89574826; API