3-45827459-C-A

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_020347.4(LZTFL1):​c.778G>T​(p.Glu260*) variant causes a stop gained, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000208 in 1,441,776 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

LZTFL1
NM_020347.4 stop_gained, splice_region

Scores

5
1
1
Splicing: ADA: 0.9999
1

Clinical Significance

Pathogenic no assertion criteria provided P:1O:1

Conservation

PhyloP100: 7.50

Publications

2 publications found
Variant links:
Genes affected
LZTFL1 (HGNC:6741): (leucine zipper transcription factor like 1) This gene encodes a ubiquitously expressed protein that localizes to the cytoplasm. This protein interacts with Bardet-Biedl Syndrome (BBS) proteins and, through its interaction with BBS protein complexes, regulates protein trafficking to the ciliary membrane. Nonsense mutations in this gene cause a form of Bardet-Biedl Syndrome; a ciliopathy characterized in part by polydactyly, obesity, cognitive impairment, hypogonadism, and kidney failure. This gene may also function as a tumor suppressor; possibly by interacting with E-cadherin and the actin cytoskeleton and thereby regulating the transition of epithelial cells to mesenchymal cells. [provided by RefSeq, Aug 2020]
LZTFL1 Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Bardet-Biedl syndrome 17
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • Bardet-Biedl syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 3-45827459-C-A is Pathogenic according to our data. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr3-45827459-C-A is described in CliVar as Pathogenic. Clinvar id is 126381.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LZTFL1NM_020347.4 linkc.778G>T p.Glu260* stop_gained, splice_region_variant Exon 9 of 10 ENST00000296135.11 NP_065080.1 Q9NQ48-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LZTFL1ENST00000296135.11 linkc.778G>T p.Glu260* stop_gained, splice_region_variant Exon 9 of 10 1 NM_020347.4 ENSP00000296135.6 Q9NQ48-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000798
AC:
2
AN:
250564
AF XY:
0.00000738
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000882
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000208
AC:
3
AN:
1441776
Hom.:
0
Cov.:
26
AF XY:
0.00
AC XY:
0
AN XY:
718590
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
33038
American (AMR)
AF:
0.00
AC:
0
AN:
44636
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26000
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39588
South Asian (SAS)
AF:
0.0000117
AC:
1
AN:
85714
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53152
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5730
European-Non Finnish (NFE)
AF:
9.14e-7
AC:
1
AN:
1094288
Other (OTH)
AF:
0.0000168
AC:
1
AN:
59630
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.001943), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.358
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
0

ClinVar

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

Submissions by phenotype

Bardet-Biedl syndrome 17 Pathogenic:1
May 01, 2014
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Bardet-Biedl syndrome 1 Other:1
-
GeneReviews
Significance:not provided
Review Status:no classification provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.55
D
BayesDel_noAF
Pathogenic
0.65
CADD
Pathogenic
42
DANN
Uncertain
1.0
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
0.98
FATHMM_MKL
Pathogenic
0.99
D
PhyloP100
7.5
Vest4
0.46
ClinPred
1.0
D
GERP RS
5.0
Mutation Taster
=0/200
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
SpliceAI score (max)
0.030
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: rs515726136; hg19: chr3-45868951; API