17-17216427-A-AG

Variant names:

• chr17-17216427-A-AG
• rs864622651
• NM_144997.7:c.1252dupC

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1 PM2 PP5_Moderate

The NM_144997.7(FLCN):​c.1252dupC​(p.Leu418ProfsTer38) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (★). Synonymous variant affecting the same amino acid position (i.e. L418L) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.

• Frequency: Genomes: not found (cov: 32)
• Consequence: FLCN NM_144997.7 frameshift
• Clinical Significance: Pathogenic criteria provided, single submitter P:1
• Conservation: PhyloP100: 3.51
• Publications: 0 publications found

Genes affected

FLCN (HGNC:27310): (folliculin) This gene is located within the Smith-Magenis syndrome region on chromosome 17. Mutations in this gene are associated with Birt-Hogg-Dube syndrome, which is characterized by fibrofolliculomas, renal tumors, lung cysts, and pneumothorax. Alternative splicing of this gene results in two transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]

ENSG00000264187 (HGNC:):

MPRIP (HGNC:30321): (myosin phosphatase Rho interacting protein) Enables cadherin binding activity. Predicted to be involved in actin filament organization. Located in actin cytoskeleton and cytosol. [provided by Alliance of Genome Resources, Apr 2022]

ACMG classification

Our verdict: Pathogenic. The variant received 12 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 17-17216427-A-AG is Pathogenic according to our data. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-17216427-A-AG is described in CliVar as Pathogenic. Clinvar id is 1761074.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
FLCN	NM_144997.7	c.1252dupC	p.Leu418ProfsTer38	frameshift_variant	Exon 11 of 14	ENST00000285071.9	NP_659434.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
FLCN	ENST00000285071.9	c.1252dupC	p.Leu418ProfsTer38	frameshift_variant	Exon 11 of 14	1	NM_144997.7	ENSP00000285071.4
ENSG00000264187	ENST00000427497.3	n.*86dupC		non_coding_transcript_exon_variant	Exon 7 of 12	1		ENSP00000394249.3
ENSG00000264187	ENST00000427497.3	n.*86dupC		3_prime_UTR_variant	Exon 7 of 12	1		ENSP00000394249.3
MPRIP	ENST00000578209.5	c.*18-1061dupG		intron_variant	Intron 5 of 5	3		ENSP00000464276.1

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 31

GnomAD4 genome Cov.: 32

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1

Revision: criteria provided, single submitter

Submissions by phenotype

Hereditary cancer-predisposing syndrome Pathogenic:1

Apr 07, 2023

Ambry Genetics

Significance: Pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

The c.1252dupC variant, located in coding exon 8 of the FLCN gene, results from a duplication of C at nucleotide position 1252, causing a translational frameshift with a predicted alternate stop codon (p.L418Pfs*38). This variant is considered to be rare based on population cohorts in the Genome Aggregation Database (gnomAD). This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
PhyloP100		3.5

Splicing

Name	Calibrated prediction	Score	Prediction
SpliceAI score (max)		0.010		Details are displayed if max score is > 0.2

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

Other links and lift over

dbSNP: rs864622651; hg19: chr17-17119741;