16-89529488-CTG-C
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Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_003119.4(SPG7):c.773_774del(p.Val258GlyfsTer30) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000558 in 1,612,884 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000041 ( 0 hom. )
Consequence
SPG7
NM_003119.4 frameshift
NM_003119.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.284
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]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 16-89529488-CTG-C is Pathogenic according to our data. Variant chr16-89529488-CTG-C is described in ClinVar as [Pathogenic]. Clinvar id is 504920.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
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SPG7 | NM_003119.4 | c.773_774del | p.Val258GlyfsTer30 | frameshift_variant | 6/17 | ENST00000645818.2 | NP_003110.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
SPG7 | ENST00000645818.2 | c.773_774del | p.Val258GlyfsTer30 | frameshift_variant | 6/17 | NM_003119.4 | ENSP00000495795 | P2 |
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152220Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.00000803 AC: 2AN: 249210Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 134930
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GnomAD4 exome AF: 0.00000411 AC: 6AN: 1460664Hom.: 0 AF XY: 0.00000275 AC XY: 2AN XY: 726648
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GnomAD4 genome AF: 0.0000197 AC: 3AN: 152220Hom.: 0 Cov.: 33 AF XY: 0.0000134 AC XY: 1AN XY: 74360
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Hereditary spastic paraplegia 7 Pathogenic:5
Pathogenic, no assertion criteria provided | literature only | OMIM | Jun 12, 1998 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Mendelics | May 28, 2019 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 15, 2024 | This sequence change creates a premature translational stop signal (p.Val258Glyfs*30) in the SPG7 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SPG7 are known to be pathogenic (PMID: 21623769, 22964162). This variant is present in population databases (rs768136171, gnomAD 0.007%). This premature translational stop signal has been observed in individual(s) with autosomal recessive hereditary spastic paraplegia (PMID: 9635427). This variant is also known as 784del2. ClinVar contains an entry for this variant (Variation ID: 504920). For these reasons, this variant has been classified as Pathogenic. - |
Pathogenic, criteria provided, single submitter | research | PROSPAX: an integrated multimodal progression chart in spastic ataxias, Center for Neurology; Hertie-Institute for Clinical Brain Research | Jan 01, 2022 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | Mar 24, 2022 | - - |
SPG7-related disorder Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | PreventionGenetics, part of Exact Sciences | Nov 21, 2022 | The SPG7 c.773_774delTG variant is predicted to result in a frameshift and premature protein termination (p.Val258Glyfs*30). This variant was reported in the homozygous and compound heterozygous states in patients with hereditary spastic paraplegia (Casari et al. 1998. PubMed ID: 9635427; da Graça et al. 2021. PubMed ID: 33956305; Table S2 in Mancini et al. 2019. PubMed ID: 30098094; Primiano et al. 2020. PubMed ID: 32317346). This variant was also found in a patient with dominant optic atrophy (Charif et al. 2020. PubMed ID: 32548275). This variant is reported in 0.0033% of alleles in individuals of South Asian descent in gnomAD (http://gnomad.broadinstitute.org/variant/16-89595896-CTG-C). Frameshift variants in SPG7 are expected to be pathogenic. This variant is interpreted as pathogenic. - |
Hereditary spastic paraplegia Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Mar 28, 2016 | The p.Val258GlyfsX30 variant in SPG7 has been reported in one homozygous individ ual with spastic papaplegia (Casari 1998) and was identified in 2/105,040 of chr omosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.o rg). This variant causes a frameshift, which is predicted to alter the protein?s amino acid sequence beginning at position 258 and lead to a premature terminati on codon 30 amino acids downstream. This alteration is then predicted to lead to a truncated or absent protein. Variants causing loss of function in the SPG7 ge ne are associated with spastic paraplegia. In summary, this variant meets our cr iteria to be classified as pathogenic for spastic paraplegia in an autosomal rec essive manner based upon its predicted functional impact and homozygous case obs ervation. - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at