18-23531716-G-GT
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Variant summary
Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_000271.5(NPC1):c.*485_*486insA variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000338 in 1,598,646 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000035 ( 0 hom. )
Consequence
NPC1
NM_000271.5 3_prime_UTR
NM_000271.5 3_prime_UTR
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.442
Genes affected
NPC1 (HGNC:7897): (NPC intracellular cholesterol transporter 1) This gene encodes a large protein that resides in the limiting membrane of endosomes and lysosomes and mediates intracellular cholesterol trafficking via binding of cholesterol to its N-terminal domain. It is predicted to have a cytoplasmic C-terminus, 13 transmembrane domains, and 3 large loops in the lumen of the endosome - the last loop being at the N-terminus. This protein transports low-density lipoproteins to late endosomal/lysosomal compartments where they are hydrolized and released as free cholesterol. Defects in this gene cause Niemann-Pick type C disease, a rare autosomal recessive neurodegenerative disorder characterized by over accumulation of cholesterol and glycosphingolipids in late endosomal/lysosomal compartments.[provided by RefSeq, Aug 2009]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 2 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
NPC1 | NM_000271.5 | c.*485_*486insA | 3_prime_UTR_variant | 25/25 | ENST00000269228.10 | ||
RMC1 | NM_013326.5 | c.*19dup | 3_prime_UTR_variant | 20/20 | ENST00000269221.8 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
RMC1 | ENST00000269221.8 | c.*19dup | 3_prime_UTR_variant | 20/20 | 1 | NM_013326.5 | P1 | ||
NPC1 | ENST00000269228.10 | c.*485_*486insA | 3_prime_UTR_variant | 25/25 | 1 | NM_000271.5 | P1 |
Frequencies
GnomAD3 genomes AF: 0.0000198 AC: 3AN: 151876Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000256 AC: 6AN: 234422Hom.: 0 AF XY: 0.0000395 AC XY: 5AN XY: 126644
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GnomAD4 exome AF: 0.0000353 AC: 51AN: 1446770Hom.: 0 Cov.: 31 AF XY: 0.0000375 AC XY: 27AN XY: 719086
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GnomAD4 genome AF: 0.0000198 AC: 3AN: 151876Hom.: 0 Cov.: 32 AF XY: 0.0000405 AC XY: 3AN XY: 74146
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Niemann-Pick disease, type C Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Jun 14, 2016 | - - |
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at