3-179875406-T-C

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PVS1PM2

The NM_001256756.2(PEX5L):ā€‹c.1A>Gā€‹(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,892 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 31)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

PEX5L
NM_001256756.2 start_lost

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.06
Variant links:
Genes affected
PEX5L (HGNC:30024): (peroxisomal biogenesis factor 5 like) Enables peroxisome matrix targeting signal-1 binding activity and small GTPase binding activity. Predicted to be involved in protein import into peroxisome matrix, docking and regulation of cAMP-mediated signaling. Predicted to act upstream of or within maintenance of protein location and regulation of membrane potential. Located in cytosol. Part of receptor complex. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PVS1
Start lost variant, no new inframe start found.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PEX5LNM_016559.3 linkuse as main transcriptc.577A>G p.Met193Val missense_variant 6/15 ENST00000467460.6 NP_057643.1 Q8IYB4-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PEX5LENST00000467460.6 linkuse as main transcriptc.577A>G p.Met193Val missense_variant 6/151 NM_016559.3 ENSP00000419975.1 Q8IYB4-1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251470
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135914
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460892
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726808
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.:
31

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 06, 2024The c.577A>G (p.M193V) alteration is located in exon 6 (coding exon 6) of the PEX5L gene. This alteration results from a A to G substitution at nucleotide position 577, causing the methionine (M) at amino acid position 193 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.052
BayesDel_addAF
Benign
-0.069
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
16
DANN
Benign
0.89
DEOGEN2
Benign
0.12
.;T;.;.;.;.;.;.;.;T;T;.
Eigen
Benign
-0.46
Eigen_PC
Benign
-0.28
FATHMM_MKL
Benign
0.41
N
LIST_S2
Uncertain
0.88
D;D;D;D;D;D;D;.;D;D;D;D
M_CAP
Benign
0.055
D
MetaRNN
Benign
0.10
T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
0.0
.;N;.;.;.;.;.;.;.;.;.;.
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.32
N;N;N;N;N;N;N;N;N;D;D;N
REVEL
Benign
0.22
Sift
Benign
0.32
T;T;T;T;D;T;T;T;T;D;.;D
Sift4G
Benign
0.52
T;T;T;T;T;T;T;T;T;.;.;.
Polyphen
0.0010, 0.0020, 0.0080
.;B;B;B;.;.;.;.;.;.;.;.
Vest4
0.22
MutPred
0.22
.;Gain of glycosylation at S198 (P = 0.0055);.;.;.;.;.;.;.;.;.;.;
MVP
0.55
MPC
0.41
ClinPred
0.059
T
GERP RS
2.2
Varity_R
0.098
gMVP
0.067

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

LitVar

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

Other links and lift over

dbSNP: rs1468030868; hg19: chr3-179593194; API