22-50079918-G-T

Variant summary

Our verdict is Likely pathogenic. Variant got 9 ACMG points: 9P and 0B. PM2PM5PP3_StrongPP5

The NM_015166.4(MLC1):​c.423C>A​(p.Asn141Lys) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000687 in 1,456,550 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 predict no significant impact on normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N141S) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

MLC1
NM_015166.4 missense, splice_region

Scores

3
6
10
Splicing: ADA: 0.0001454
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 0.735
Variant links:
Genes affected
MLC1 (HGNC:17082): (modulator of VRAC current 1) The function of this gene product is unknown; however, homology to other proteins suggests that it may be an integral membrane transporter. Mutations in this gene have been associated with megalencephalic leukoencephalopathy with subcortical cysts, an autosomal recessive neurological disorder. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 9 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr22-50079919-T-C is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.947
PP5
Variant 22-50079918-G-T is Pathogenic according to our data. Variant chr22-50079918-G-T is described in ClinVar as [Pathogenic]. Clinvar id is 4717.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr22-50079918-G-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MLC1NM_015166.4 linkuse as main transcriptc.423C>A p.Asn141Lys missense_variant, splice_region_variant 5/12 ENST00000311597.10 NP_055981.1 Q15049-1A0A024R4V4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MLC1ENST00000311597.10 linkuse as main transcriptc.423C>A p.Asn141Lys missense_variant, splice_region_variant 5/121 NM_015166.4 ENSP00000310375.6 Q15049-1
MLC1ENST00000395876.6 linkuse as main transcriptc.423C>A p.Asn141Lys missense_variant, splice_region_variant 5/121 ENSP00000379216.2 Q15049-1
MLC1ENST00000442311.1 linkuse as main transcriptc.333C>A p.Asn111Lys missense_variant, splice_region_variant 4/85 ENSP00000401385.1 A6PVC3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.87e-7
AC:
1
AN:
1456550
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
724998
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Megalencephalic leukoencephalopathy with subcortical cysts 1 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMMar 01, 2002- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.84
BayesDel_addAF
Uncertain
0.063
T
BayesDel_noAF
Benign
-0.15
CADD
Benign
7.7
DANN
Benign
0.90
DEOGEN2
Benign
0.39
T;T;.
Eigen
Benign
-0.84
Eigen_PC
Benign
-0.91
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.82
.;T;D
M_CAP
Pathogenic
0.31
D
MetaRNN
Pathogenic
0.95
D;D;D
MetaSVM
Uncertain
0.28
D
MutationAssessor
Benign
0.81
L;L;.
PrimateAI
Benign
0.42
T
PROVEAN
Uncertain
-4.3
D;D;D
REVEL
Uncertain
0.53
Sift
Uncertain
0.0050
D;D;D
Sift4G
Uncertain
0.012
D;D;D
Polyphen
0.79
P;P;.
Vest4
0.62
MutPred
0.87
Gain of ubiquitination at N141 (P = 0.0247);Gain of ubiquitination at N141 (P = 0.0247);.;
MVP
0.62
MPC
0.92
ClinPred
0.99
D
GERP RS
-3.3
Varity_R
0.43
gMVP
0.87

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00015
dbscSNV1_RF
Benign
0.13
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs121908343; hg19: chr22-50518347; API