18-45865765-CAAAAAAA-CAAAAAAAAAAAAAAAAAAAAAA

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.

The NM_020964.3(EPG5):​c.6622-21_6622-7dupTTTTTTTTTTTTTTT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000567 in 1,411,844 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type INS_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.0000098 ( 0 hom., cov: 25)
Exomes 𝑓: 0.0000053 ( 0 hom. )

Consequence

EPG5
NM_020964.3 splice_region, intron

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.327

Publications

3 publications found
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]
EPG5 Gene-Disease associations (from GenCC):
  • Vici syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Orphanet, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
EPG5NM_020964.3 linkc.6622-21_6622-7dupTTTTTTTTTTTTTTT splice_region_variant, intron_variant Intron 38 of 43 ENST00000282041.11 NP_066015.2 Q9HCE0-1Q9BTI0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
EPG5ENST00000282041.11 linkc.6622-7_6622-6insTTTTTTTTTTTTTTT splice_region_variant, intron_variant Intron 38 of 43 1 NM_020964.3 ENSP00000282041.4 Q9HCE0-1

Frequencies

GnomAD3 genomes
AF:
0.00000975
AC:
1
AN:
102554
Hom.:
0
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.0000398
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000535
AC:
7
AN:
1309290
Hom.:
0
Cov.:
0
AF XY:
0.00000618
AC XY:
4
AN XY:
647536
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.000106
AC:
3
AN:
28370
American (AMR)
AF:
0.0000325
AC:
1
AN:
30794
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20628
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37546
South Asian (SAS)
AF:
0.00
AC:
0
AN:
68130
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37564
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4242
European-Non Finnish (NFE)
AF:
0.00000292
AC:
3
AN:
1027586
Other (OTH)
AF:
0.00
AC:
0
AN:
54430
⚠️ 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.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.275
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00000975
AC:
1
AN:
102554
Hom.:
0
Cov.:
25
AF XY:
0.00
AC XY:
0
AN XY:
49248
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000398
AC:
1
AN:
25148
American (AMR)
AF:
0.00
AC:
0
AN:
11364
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2386
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3992
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3644
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6252
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
164
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
47580
Other (OTH)
AF:
0.00
AC:
0
AN:
1434
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.275
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
-0.33

Splicing

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

Publications

Other links and lift over

dbSNP: rs11333207; hg19: chr18-43445730; API