Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2
The NM_001366207.1(DLG1):c.2590G>A(p.Asp864Asn) variant causes a missense change. The variant allele was found at a frequency of 0.0000101 in 1,583,028 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
DLG1 (HGNC:2900): (discs large MAGUK scaffold protein 1) This gene encodes a multi-domain scaffolding protein that is required for normal development. This protein may have a role in septate junction formation, signal transduction, cell proliferation, synaptogenesis and lymphocyte activation. A multitude of transcript variants deriving from alternative splicing and the use of multiple alternate promoter have been observed, including some splice variants that may be specific to brain and other tissues. An upstream uORF may regulate translation at some splice variants of this gene. [provided by RefSeq, Sep 2018]
Review Status: criteria provided, single submitter
Collection Method: clinical testing
The c.2689G>A (p.D897N) alteration is located in exon 26 (coding exon 25) of the DLG1 gene. This alteration results from a G to A substitution at nucleotide position 2689, causing the aspartic acid (D) at amino acid position 897 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -