19-2249482-AC-A
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_000479.5(AMH):βc.151delβ(p.Gln51LysfsTer26) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000996 in 1,606,804 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (β ). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: π 0.000013 ( 0 hom., cov: 34)
Exomes π: 0.0000096 ( 0 hom. )
Consequence
AMH
NM_000479.5 frameshift
NM_000479.5 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: -0.0600
Genes affected
AMH (HGNC:464): (anti-Mullerian hormone) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate N- and C-terminal cleavage products that homodimerize and associate to form a biologically active noncovalent complex. This complex binds to the anti-Mullerian hormone receptor type 2 and causes the regression of Mullerian ducts in the male embryo that would otherwise differentiate into the uterus and fallopian tubes. This protein also plays a role in Leydig cell differentiation and function and follicular development in adult females. Mutations in this gene result in persistent Mullerian duct syndrome. [provided by RefSeq, Jul 2016]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 12 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 19-2249482-AC-A is Pathogenic according to our data. Variant chr19-2249482-AC-A is described in ClinVar as [Pathogenic]. Clinvar id is 1323119.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
AMH | NM_000479.5 | c.151del | p.Gln51LysfsTer26 | frameshift_variant | 1/5 | ENST00000221496.5 | NP_000470.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
AMH | ENST00000221496.5 | c.151del | p.Gln51LysfsTer26 | frameshift_variant | 1/5 | 1 | NM_000479.5 | ENSP00000221496 | P1 | |
AMH | ENST00000592877.1 | n.175del | non_coding_transcript_exon_variant | 1/2 | 3 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152138Hom.: 0 Cov.: 34
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GnomAD4 exome AF: 0.00000962 AC: 14AN: 1454666Hom.: 0 Cov.: 34 AF XY: 0.0000111 AC XY: 8AN XY: 723384
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GnomAD4 genome AF: 0.0000131 AC: 2AN: 152138Hom.: 0 Cov.: 34 AF XY: 0.00 AC XY: 0AN XY: 74322
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Persistent Mullerian duct syndrome Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Revvity Omics, Revvity | Dec 22, 2019 | - - |
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at