19-35546813-G-A
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Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong
The NM_032635.4(TMEM147):c.344+5G>A variant causes a splice region, intron change. The variant allele was found at a frequency of 0.00000929 in 1,614,062 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000096 ( 0 hom. )
Consequence
TMEM147
NM_032635.4 splice_region, intron
NM_032635.4 splice_region, intron
Scores
2
Splicing: ADA: 1.000
2
Clinical Significance
Conservation
PhyloP100: 4.98
Genes affected
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 10 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 19-35546813-G-A is Pathogenic according to our data. Variant chr19-35546813-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1708023.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-35546813-G-A is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
TMEM147 | NM_032635.4 | c.344+5G>A | splice_region_variant, intron_variant | ENST00000222284.10 | NP_116024.1 | |||
TMEM147 | NM_001242597.2 | c.197+5G>A | splice_region_variant, intron_variant | NP_001229526.1 | ||||
TMEM147 | NM_001242598.2 | c.207+228G>A | intron_variant | NP_001229527.1 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152224Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.0000119 AC: 3AN: 251376Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135878
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GnomAD4 exome AF: 0.00000958 AC: 14AN: 1461838Hom.: 0 Cov.: 31 AF XY: 0.0000138 AC XY: 10AN XY: 727218
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152224Hom.: 0 Cov.: 33 AF XY: 0.00 AC XY: 0AN XY: 74370
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ClinVar
Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | GeneDx | May 09, 2024 | Not observed at significant frequency in large population cohorts (gnomAD); Published functional studies suggest a damaging effect due to skipping of exon 4 (PMID: 36044892); This variant is associated with the following publications: (PMID: 36044892) - |
Intellectual disability, severe;C0424503:Abnormal facial shape;C1848207:Poor speech;C1854301:Motor delay;C1854882:Absent speech Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Equipe Genetique des Anomalies du Developpement, Université de Bourgogne | - | - - |
Neurodevelopmental disorder with facial dysmorphism, absent language, and pseudo-pelger-huet anomaly Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Oct 19, 2022 | - - |
Computational scores
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Name
Calibrated prediction
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
RBP_binding_hub_radar
RBP_regulation_power_radar
Splicing
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Calibrated prediction
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dbscSNV1_ADA
Pathogenic
dbscSNV1_RF
Pathogenic
SpliceAI score (max)
Details are displayed if max score is > 0.2
DS_DL_spliceai
Position offset: -5
Find out detailed SpliceAI scores and Pangolin per-transcript scores at