21-33722604-CTT-CT

Variant summary

Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PVS1PP5

The NM_003024.3(ITSN1):​c.147delT​(p.Gln50AsnfsTer9) variant causes a frameshift change. The variant allele was found at a frequency of 0.0000644 in 1,351,052 control chromosomes in the GnomAD database, with no homozygous occurrence. There is a variant allele frequency bias in the population database for this variant (GnomAdExome4), which may indicate mosaicism or somatic mutations in the reference population data. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000064 ( 0 hom. )

Consequence

ITSN1
NM_003024.3 frameshift

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1

Conservation

PhyloP100: 6.16

Publications

1 publications found
Variant links:
Genes affected
ITSN1 (HGNC:6183): (intersectin 1) The protein encoded by this gene is a cytoplasmic membrane-associated protein that indirectly coordinates endocytic membrane traffic with the actin assembly machinery. In addition, the encoded protein may regulate the formation of clathrin-coated vesicles and could be involved in synaptic vesicle recycling. This protein has been shown to interact with dynamin, CDC42, SNAP23, SNAP25, SPIN90, EPS15, EPN1, EPN2, and STN2. Multiple transcript variants encoding different isoforms have been found for this gene, but the full-length nature of only two of them have been characterized so far. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 9 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 21-33722604-CT-C is Pathogenic according to our data. Variant chr21-33722604-CT-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 4056867.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003024.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ITSN1
NM_003024.3
MANE Select
c.147delTp.Gln50AsnfsTer9
frameshift
Exon 4 of 40NP_003015.2
ITSN1
NM_001331010.2
c.147delTp.Gln50AsnfsTer9
frameshift
Exon 4 of 39NP_001317939.1Q15811-8
ITSN1
NM_001001132.2
c.147delTp.Gln50AsnfsTer9
frameshift
Exon 4 of 30NP_001001132.1Q15811-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ITSN1
ENST00000381318.8
TSL:1 MANE Select
c.147delTp.Gln50AsnfsTer9
frameshift
Exon 4 of 40ENSP00000370719.3Q15811-1
ITSN1
ENST00000399367.7
TSL:1
c.147delTp.Gln50AsnfsTer9
frameshift
Exon 4 of 39ENSP00000382301.3Q15811-8
ITSN1
ENST00000381291.8
TSL:1
c.147delTp.Gln50AsnfsTer9
frameshift
Exon 4 of 30ENSP00000370691.4Q15811-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.000206
AC:
40
AN:
194462
AF XY:
0.000122
show subpopulations
Gnomad AFR exome
AF:
0.0000758
Gnomad AMR exome
AF:
0.000749
Gnomad ASJ exome
AF:
0.000519
Gnomad EAS exome
AF:
0.000227
Gnomad FIN exome
AF:
0.0000500
Gnomad NFE exome
AF:
0.000140
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000644
AC:
87
AN:
1351052
Hom.:
0
Cov.:
35
AF XY:
0.0000417
AC XY:
28
AN XY:
670764
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000698
AC:
2
AN:
28658
American (AMR)
AF:
0.000739
AC:
24
AN:
32486
Ashkenazi Jewish (ASJ)
AF:
0.000181
AC:
4
AN:
22126
East Asian (EAS)
AF:
0.00
AC:
0
AN:
33924
South Asian (SAS)
AF:
0.000165
AC:
12
AN:
72934
European-Finnish (FIN)
AF:
0.0000640
AC:
3
AN:
46902
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5194
European-Non Finnish (NFE)
AF:
0.0000360
AC:
38
AN:
1054926
Other (OTH)
AF:
0.0000742
AC:
4
AN:
53902
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.243
Heterozygous variant carriers
0
14
29
43
58
72
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
Cov.:
32
Alfa
AF:
0.000204
Hom.:
0

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Inborn genetic diseases (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
6.2
Mutation Taster
=1/199
disease causing (fs/PTC)

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: rs746959118; hg19: chr21-35094909; COSMIC: COSV66084610; COSMIC: COSV66084610; API