22-18078374-GTTATGAAGAGCGATTCTTC-TGCAGCCCCCCTCAGGGGGCTCGGGG

Variant names:

• chr22-18078374-GTTATGAAGAGCGATTCTTC-TGCAGCCCCCCTCAGGGGGCTCGGGG
• NM_001127649.3:c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG

Variant summary

Our verdict is Pathogenic. The variant received 14 ACMG points: 14P and 0B. PVS1 PS1_Moderate PM2 PP5_Moderate

The NM_001127649.3(PEX26):​c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG​(p.Met1_Ser6delinsCysSerProProGlnGlyAlaArgGly) variant causes a start lost, disruptive inframe insertion change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Likely pathogenic (★).

• Frequency: Genomes: not found (cov: 32)
• Consequence: PEX26 NM_001127649.3 start_lost, disruptive_inframe_insertion
• Clinical Significance: Likely pathogenic criteria provided, single submitter P:1
• Conservation: PhyloP100: 4.42
• Publications: 0 publications found

Genes affected

PEX26 (HGNC:22965): (peroxisomal biogenesis factor 26) This gene belongs to the peroxin-26 gene family. It is probably required for protein import into peroxisomes. It anchors PEX1 and PEX6 to peroxisome membranes, possibly to form heteromeric AAA ATPase complexes required for the import of proteins into peroxisomes. Defects in this gene are the cause of peroxisome biogenesis disorder complementation group 8 (PBD-CG8). PBD refers to a group of peroxisomal disorders arising from a failure of protein import into the peroxisomal membrane or matrix. The PBD group is comprised of four disorders: Zellweger syndrome (ZWS), neonatal adrenoleukodystrophy (NALD), infantile Refsum disease (IRD), and classical rhizomelic chondrodysplasia punctata (RCDP). Alternatively spliced transcript variants have been identified for this gene. [provided by RefSeq, Dec 2010]

PEX26 Gene-Disease associations (from GenCC):

• peroxisome biogenesis disorder

  Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
• peroxisome biogenesis disorder 7A (Zellweger)

  Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
• peroxisome biogenesis disorder 7B

  Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics
• Zellweger spectrum disorders

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

ENSG00000288683 (HGNC:):

ACMG classification

Our verdict: Pathogenic. The variant received 14 ACMG points.

• PVS1: Start lost variant, no new inframe start found.
• PS1: Another start lost variant in NM_001127649.3 (PEX26) was described as [Pathogenic] in ClinVar
• PM2: Very rare variant in population databases, with high coverage
• PP5: Variant 22-18078374-GTTATGAAGAGCGATTCTTC-TGCAGCCCCCCTCAGGGGGCTCGGGG is Pathogenic according to our data. Variant chr22-18078374-GTTATGAAGAGCGATTCTTC-TGCAGCCCCCCTCAGGGGGCTCGGGG is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 2934975.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001127649.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	PEX26	NM_001127649.3	MANE Select	c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG	p.Met1_Ser6delinsCysSerProProGlnGlyAlaArgGly	start_lost disruptive_inframe_insertion	N/A	NP_001121121.1	Q7Z412-1
	PEX26	NM_001127649.3	MANE Select	c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG		5_prime_UTR	Exon 1 of 5	NP_001121121.1	Q7Z412-1
	PEX26	NM_017929.6		c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG	p.Met1_Ser6delinsCysSerProProGlnGlyAlaArgGly	start_lost disruptive_inframe_insertion	N/A	NP_060399.1	Q7Z412-1

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	PEX26	ENST00000399744.8	TSL:1 MANE Select	c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG	p.Met1_Ser6delinsCysSerProProGlnGlyAlaArgGly	start_lost disruptive_inframe_insertion	N/A	ENSP00000382648.4	Q7Z412-1
	PEX26	ENST00000329627.11	TSL:1	c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG	p.Met1_Ser6delinsCysSerProProGlnGlyAlaArgGly	start_lost disruptive_inframe_insertion	N/A	ENSP00000331106.5	Q7Z412-1
	PEX26	ENST00000428061.2	TSL:1	c.-3_17delGTTATGAAGAGCGATTCTTCinsTGCAGCCCCCCTCAGGGGGCTCGGGG	p.Met1_Ser6delinsSerProProGlnGlyAlaArgGly	start_lost disruptive_inframe_insertion	N/A	ENSP00000412441.2	Q7Z412-2

Frequencies

GnomAD3 genomes Cov.: 32

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome Cov.: 32

ClinVar

ClinVar submissions

Significance: Likely pathogenic

Revision: criteria provided, single submitter

Pathogenic	VUS	Benign	Condition
1	-	-	Peroxisome biogenesis disorder 7B;C3888385:Peroxisome biogenesis disorder 7A (Zellweger) (1)

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
PhyloP100		4.4

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Other links and lift over

hg19: chr22-18561140;