19-40394272-TTCCTCCTCCTCC-TTCCTCCTCC

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP3BP6_Very_StrongBA1

The NM_181882.3(PRX):​c.4077_4079delGGA​(p.Glu1360del) variant causes a disruptive inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0177 in 1,368,446 control chromosomes in the GnomAD database, including 726 homozygotes. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.021 ( 139 hom., cov: 32)
Exomes 𝑓: 0.017 ( 587 hom. )

Consequence

PRX
NM_181882.3 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts U:4B:8

Conservation

PhyloP100: 1.16

Publications

6 publications found
Variant links:
Genes affected
PRX (HGNC:13797): (periaxin) This gene encodes a protein involved in peripheral nerve myelin upkeep. The encoded protein contains 2 PDZ domains which were named after PSD95 (post synaptic density protein), DlgA (Drosophila disc large tumor suppressor), and ZO1 (a mammalian tight junction protein). Two alternatively spliced transcript variants have been described for this gene which encode different protein isoforms and which are targeted differently in the Schwann cell. Mutations in this gene cause Charcot-Marie-Tooth neuoropathy, type 4F and Dejerine-Sottas neuropathy. [provided by RefSeq, Jul 2008]
PRX Gene-Disease associations (from GenCC):
  • Charcot-Marie-Tooth disease type 4
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Charcot-Marie-Tooth disease type 4F
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics
  • Charcot-Marie-Tooth disease type 3
    Inheritance: AD, AR Classification: MODERATE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_181882.3
BP6
Variant 19-40394272-TTCC-T is Benign according to our data. Variant chr19-40394272-TTCC-T is described in ClinVar as Benign. ClinVar VariationId is 215547.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.111 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_181882.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PRX
NM_181882.3
MANE Select
c.4077_4079delGGAp.Glu1360del
disruptive_inframe_deletion
Exon 7 of 7NP_870998.2
PRX
NM_001411127.1
c.4362_4364delGGAp.Glu1455del
disruptive_inframe_deletion
Exon 7 of 7NP_001398056.1
PRX
NM_020956.2
c.*4282_*4284delGGA
3_prime_UTR
Exon 6 of 6NP_066007.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PRX
ENST00000324001.8
TSL:1 MANE Select
c.4077_4079delGGAp.Glu1360del
disruptive_inframe_deletion
Exon 7 of 7ENSP00000326018.6
PRX
ENST00000291825.11
TSL:1
c.*4282_*4284delGGA
3_prime_UTR
Exon 6 of 6ENSP00000291825.6
PRX
ENST00000674005.2
c.4362_4364delGGAp.Glu1455del
disruptive_inframe_deletion
Exon 7 of 7ENSP00000501261.1

Frequencies

GnomAD3 genomes
AF:
0.0214
AC:
3222
AN:
150898
Hom.:
137
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0246
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.115
Gnomad ASJ
AF:
0.000289
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00790
Gnomad FIN
AF:
0.00480
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00484
Gnomad OTH
AF:
0.0217
GnomAD2 exomes
AF:
0.0729
AC:
10638
AN:
145830
AF XY:
0.0651
show subpopulations
Gnomad AFR exome
AF:
0.0460
Gnomad AMR exome
AF:
0.301
Gnomad ASJ exome
AF:
0.0399
Gnomad EAS exome
AF:
0.0149
Gnomad FIN exome
AF:
0.0173
Gnomad NFE exome
AF:
0.0305
Gnomad OTH exome
AF:
0.0639
GnomAD4 exome
AF:
0.0173
AC:
21017
AN:
1217436
Hom.:
587
AF XY:
0.0175
AC XY:
10444
AN XY:
596600
show subpopulations
African (AFR)
AF:
0.0301
AC:
830
AN:
27550
American (AMR)
AF:
0.245
AC:
8676
AN:
35484
Ashkenazi Jewish (ASJ)
AF:
0.0117
AC:
231
AN:
19692
East Asian (EAS)
AF:
0.00356
AC:
109
AN:
30656
South Asian (SAS)
AF:
0.0283
AC:
1477
AN:
52134
European-Finnish (FIN)
AF:
0.00842
AC:
355
AN:
42140
Middle Eastern (MID)
AF:
0.0133
AC:
65
AN:
4894
European-Non Finnish (NFE)
AF:
0.00872
AC:
8339
AN:
955846
Other (OTH)
AF:
0.0191
AC:
935
AN:
49040
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.441
Heterozygous variant carriers
0
887
1774
2662
3549
4436
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
356
712
1068
1424
1780
<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:
0.0214
AC:
3231
AN:
151010
Hom.:
139
Cov.:
32
AF XY:
0.0230
AC XY:
1698
AN XY:
73744
show subpopulations
African (AFR)
AF:
0.0246
AC:
1014
AN:
41296
American (AMR)
AF:
0.115
AC:
1756
AN:
15218
Ashkenazi Jewish (ASJ)
AF:
0.000289
AC:
1
AN:
3460
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5114
South Asian (SAS)
AF:
0.00811
AC:
39
AN:
4806
European-Finnish (FIN)
AF:
0.00480
AC:
49
AN:
10208
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00484
AC:
327
AN:
67610
Other (OTH)
AF:
0.0215
AC:
45
AN:
2096
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
143
286
428
571
714
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
30
60
90
120
150
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0738
Hom.:
0
Bravo
AF:
0.0340

ClinVar

Significance: Benign
Submissions summary: Uncertain:4Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Aug 13, 2015
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Charcot-Marie-Tooth disease Uncertain:1Benign:1
Aug 14, 2019
Genesis Genome Database
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

Molecular Genetics Laboratory, London Health Sciences Centre
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Charcot-Marie-Tooth disease type 4 Uncertain:1Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Aug 14, 2019
Genesis Genome Database
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

Charcot-Marie-Tooth disease type 5 Uncertain:1
Aug 14, 2019
Genesis Genome Database
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

Charcot-Marie-Tooth disease, type I Uncertain:1
Aug 14, 2019
Genesis Genome Database
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

Spinocerebellar ataxia 46 Benign:1
May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Charcot-Marie-Tooth disease type 4F Benign:1
May 24, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:1
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
1.2
Mutation Taster
=86/14
polymorphism (auto)

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

Other links and lift over

dbSNP: rs139624657; hg19: chr19-40900179; COSMIC: COSV52519949; COSMIC: COSV52519949; API