Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PVS1PP5_Moderate
The NM_000430.4(PAFAH1B1):c.910delA(p.Ser304ValfsTer29) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000621 in 1,449,668 control chromosomes in the GnomAD database, with no homozygous occurrence. There is a variant allele frequency bias in the population database for this variant (GnomAdExome4), which may indicate mosaicism or somatic mutations in the reference population data. Variant has been reported in ClinVar as Pathogenic (★). Variant results in nonsense mediated mRNA decay.
PAFAH1B1 (HGNC:8574): (platelet activating factor acetylhydrolase 1b regulatory subunit 1) This locus was identified as encoding a gene that when mutated or lost caused the lissencephaly associated with Miller-Dieker lissencephaly syndrome. This gene encodes the non-catalytic alpha subunit of the intracellular Ib isoform of platelet-activating factor acteylhydrolase, a heterotrimeric enzyme that specifically catalyzes the removal of the acetyl group at the SN-2 position of platelet-activating factor (identified as 1-O-alkyl-2-acetyl-sn-glyceryl-3-phosphorylcholine). Two other isoforms of intracellular platelet-activating factor acetylhydrolase exist: one composed of multiple subunits, the other, a single subunit. In addition, a single-subunit isoform of this enzyme is found in serum. [provided by RefSeq, Apr 2009]
Our verdict: Pathogenic. The variant received 10 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 17-2676507-TA-T is Pathogenic according to our data. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2676507-TA-T is described in CliVar as Pathogenic. Clinvar id is 159551.Status of the report is criteria_provided_single_submitter, 1 stars.
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
33200
American (AMR)
AF:
0.00
AC:
0
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26050
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39612
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85998
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53394
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5106
European-Non Finnish (NFE)
AF:
0.00000817
AC:
9
AN:
1101662
Other (OTH)
AF:
0.00
AC:
0
AN:
59934
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.