16-89544765-C-T
Variant summary
Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM1PP3_Moderate
The NM_003119.4(SPG7):c.1442C>T(p.Thr481Met) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000805 in 1,613,948 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 Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T481R) has been classified as Uncertain significance.
Frequency
Consequence
NM_003119.4 missense
Scores
Clinical Significance
Conservation
Publications
- hereditary spastic paraplegia 7Inheritance: AR, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, G2P, Orphanet, Labcorp Genetics (formerly Invitae)
- lateral sclerosisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Our verdict: Uncertain_significance. The variant received 4 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.0000197  AC: 3AN: 152244Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000119  AC: 3AN: 251270 AF XY:  0.0000147   show subpopulations 
GnomAD4 exome  AF:  0.00000684  AC: 10AN: 1461704Hom.:  0  Cov.: 31 AF XY:  0.00000963  AC XY: 7AN XY: 727156 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000197  AC: 3AN: 152244Hom.:  0  Cov.: 32 AF XY:  0.0000403  AC XY: 3AN XY: 74384 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Hereditary spastic paraplegia    Uncertain:1 
- -
not provided    Uncertain:1 
- -
Hereditary spastic paraplegia 7    Uncertain:1 
This sequence change replaces threonine, which is neutral and polar, with methionine, which is neutral and non-polar, at codon 481 of the SPG7 protein (p.Thr481Met). This variant is present in population databases (rs376713807, gnomAD 0.007%). This variant has not been reported in the literature in individuals affected with SPG7-related conditions. ClinVar contains an entry for this variant (Variation ID: 424694). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt SPG7 protein function with a positive predictive value of 80%. 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