18-45865765-C-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 2P and 10B. PM2BP4_StrongBP6_ModerateBS1

The NM_020964.3(EPG5):​c.6622-6G>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00666 in 1,306,956 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.0039 ( 0 hom., cov: 21)
Exomes 𝑓: 0.0067 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

EPG5
NM_020964.3 splice_region, intron

Scores

2
Splicing: ADA: 0.00001476
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.245
Variant links:
Genes affected
EPG5 (HGNC:29331): (ectopic P-granules 5 autophagy tethering factor) This gene encodes a large coiled coil domain-containing protein that functions in autophagy during starvation conditions. Mutations in this gene cause Vici syndrome. [provided by RefSeq, Aug 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

PM2
Variant has high frequency in the AFR(0.00362458) population. However there is too low homozygotes in high coverage region: (expected more than 14, got 0).
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP6
Variant 18-45865765-C-A is Benign according to our data. Variant chr18-45865765-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 466262.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.00666 (8710/1306956) while in subpopulation SAS AF= 0.0189 (1276/67662). AF 95% confidence interval is 0.018. There are 0 homozygotes in gnomad4_exome. There are 4857 alleles in male gnomad4_exome subpopulation. Median coverage is 31. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPG5NM_020964.3 linkuse as main transcriptc.6622-6G>T splice_region_variant, intron_variant ENST00000282041.11 NP_066015.2 Q9HCE0-1Q9BTI0

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPG5ENST00000282041.11 linkuse as main transcriptc.6622-6G>T splice_region_variant, intron_variant 1 NM_020964.3 ENSP00000282041.4 Q9HCE0-1

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
392
AN:
101754
Hom.:
0
Cov.:
21
FAILED QC
Gnomad AFR
AF:
0.00429
Gnomad AMI
AF:
0.0103
Gnomad AMR
AF:
0.00203
Gnomad ASJ
AF:
0.00169
Gnomad EAS
AF:
0.00201
Gnomad SAS
AF:
0.00220
Gnomad FIN
AF:
0.00786
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00397
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00666
AC:
8710
AN:
1306956
Hom.:
0
Cov.:
31
AF XY:
0.00752
AC XY:
4857
AN XY:
646222
show subpopulations
Gnomad4 AFR exome
AF:
0.00809
Gnomad4 AMR exome
AF:
0.0175
Gnomad4 ASJ exome
AF:
0.0158
Gnomad4 EAS exome
AF:
0.00990
Gnomad4 SAS exome
AF:
0.0189
Gnomad4 FIN exome
AF:
0.0124
Gnomad4 NFE exome
AF:
0.00492
Gnomad4 OTH exome
AF:
0.00782
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00385
AC:
392
AN:
101764
Hom.:
0
Cov.:
21
AF XY:
0.00417
AC XY:
204
AN XY:
48958
show subpopulations
Gnomad4 AFR
AF:
0.00428
Gnomad4 AMR
AF:
0.00203
Gnomad4 ASJ
AF:
0.00169
Gnomad4 EAS
AF:
0.00202
Gnomad4 SAS
AF:
0.00221
Gnomad4 FIN
AF:
0.00786
Gnomad4 NFE
AF:
0.00397
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.00729
Hom.:
0

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Vici syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 03, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.82
CADD
Benign
2.5
DANN
Benign
0.49

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000015
dbscSNV1_RF
Benign
0.0080
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: rs1309916888; hg19: chr18-43445730; COSMIC: COSV56351373; API