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GeneBe

2-232484472-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM2PP3_StrongPP5_Moderate

The NM_004826.4(ECEL1):​c.1184G>A​(p.Arg395Gln) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00000411 in 1,461,240 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

ECEL1
NM_004826.4 missense, splice_region

Scores

3
6
10
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 3.68
Variant links:
Genes affected
ECEL1 (HGNC:3147): (endothelin converting enzyme like 1) This gene encodes a member of the M13 family of endopeptidases. Members of this family are zinc-containing type II integral-membrane proteins that are important regulators of neuropeptide and peptide hormone activity. Mutations in this gene are associated with autosomal recessive distal arthrogryposis, type 5D. This gene has multiple pseudogenes on chromosome 2. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Mar 2014]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF, max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 2-232484472-C-T is Pathogenic according to our data. Variant chr2-232484472-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 235819.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr2-232484472-C-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ECEL1NM_004826.4 linkuse as main transcriptc.1184G>A p.Arg395Gln missense_variant, splice_region_variant 6/18 ENST00000304546.6
ECEL1NM_001290787.2 linkuse as main transcriptc.1184G>A p.Arg395Gln missense_variant, splice_region_variant 6/18

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ECEL1ENST00000304546.6 linkuse as main transcriptc.1184G>A p.Arg395Gln missense_variant, splice_region_variant 6/181 NM_004826.4 P4O95672-1
ECEL1ENST00000409941.1 linkuse as main transcriptc.1184G>A p.Arg395Gln missense_variant, splice_region_variant 5/171 A1O95672-2
ECEL1ENST00000482346.1 linkuse as main transcriptn.1495G>A splice_region_variant, non_coding_transcript_exon_variant 5/172

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1461240
Hom.:
0
Cov.:
33
AF XY:
0.00000138
AC XY:
1
AN XY:
726880
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Distal arthrogryposis type 5D Pathogenic:1
Pathogenic, criteria provided, single submitterresearchUniversity of Washington Center for Mendelian Genomics, University of WashingtonJan 08, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Pathogenic
0.29
D
BayesDel_noAF
Pathogenic
0.18
CADD
Pathogenic
35
DANN
Uncertain
0.99
DEOGEN2
Benign
0.35
T;.
Eigen
Benign
0.18
Eigen_PC
Benign
0.22
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.95
D;D
M_CAP
Uncertain
0.12
D
MetaRNN
Pathogenic
0.78
D;D
MetaSVM
Benign
-0.42
T
MutationAssessor
Uncertain
2.1
M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-1.8
N;N
REVEL
Uncertain
0.41
Sift
Benign
0.11
T;T
Sift4G
Benign
0.20
T;T
Polyphen
0.95
P;P
Vest4
0.85
MutPred
0.46
Loss of MoRF binding (P = 0.0164);Loss of MoRF binding (P = 0.0164);
MVP
0.80
MPC
0.52
ClinPred
0.95
D
GERP RS
4.8
Varity_R
0.36
gMVP
0.63

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.99
SpliceAI score (max)
0.64
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.64
Position offset: -42

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: rs765430577; hg19: chr2-233349182; API