18-23544946-C-CT

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP6_ModerateBS2

The NM_000271.5(NPC1):​c.1947+13_1947+14insA variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000511 in 1,329,796 control chromosomes in the GnomAD database, including 4 homozygotes. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.000059 ( 2 hom., cov: 27)
Exomes 𝑓: 0.000050 ( 2 hom. )

Consequence

NPC1
NM_000271.5 intron

Scores

Not classified

Clinical Significance

Likely benign criteria provided, single submitter B:2

Conservation

PhyloP100: -0.996
Variant links:
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 Likely_benign. Variant got -6 ACMG points.

BP6
Variant 18-23544946-C-CT is Benign according to our data. Variant chr18-23544946-C-CT is described in ClinVar as [Likely_benign]. Clinvar id is 1539541.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NPC1NM_000271.5 linkc.1947+13_1947+14insA intron_variant ENST00000269228.10 NP_000262.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NPC1ENST00000269228.10 linkc.1947+13_1947+14insA intron_variant 1 NM_000271.5 ENSP00000269228.4 O15118-1
NPC1ENST00000591051.1 linkc.1023+13_1023+14insA intron_variant 2 ENSP00000467636.1 K7EQ23
NPC1ENST00000540608.5 linkn.1861+13_1861+14insA intron_variant 2

Frequencies

GnomAD3 genomes
AF:
0.0000589
AC:
8
AN:
135902
Hom.:
2
Cov.:
27
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000724
Gnomad ASJ
AF:
0.000303
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000244
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000657
Gnomad OTH
AF:
0.000534
GnomAD4 exome
AF:
0.0000503
AC:
60
AN:
1193800
Hom.:
2
Cov.:
25
AF XY:
0.0000564
AC XY:
34
AN XY:
602958
show subpopulations
Gnomad4 AFR exome
AF:
0.0000330
Gnomad4 AMR exome
AF:
0.000192
Gnomad4 ASJ exome
AF:
0.000488
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000397
Gnomad4 OTH exome
AF:
0.0000592
GnomAD4 genome
AF:
0.0000588
AC:
8
AN:
135996
Hom.:
2
Cov.:
27
AF XY:
0.0000751
AC XY:
5
AN XY:
66576
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000723
Gnomad4 ASJ
AF:
0.000303
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000245
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000657
Gnomad4 OTH
AF:
0.000529

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

NPC1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesSep 14, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Niemann-Pick disease, type C1 Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 17, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1555634643; hg19: chr18-21124910; API