3-63912714-A-AGCAGCAGCAGCAGCC

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP3BS2

The NM_001377405.1(ATXN7):​c.118_119insAGCAGCAGCAGCCGC​(p.Gln39_Pro40insGlnGlnGlnGlnPro) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00032 in 147,008 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type INS_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.00032 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000073 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

ATXN7
NM_001377405.1 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.825

Publications

3 publications found
Variant links:
Genes affected
ATXN7 (HGNC:10560): (ataxin 7) The autosomal dominant cerebellar ataxias (ADCA) are a heterogeneous group of neurodegenerative disorders characterized by progressive degeneration of the cerebellum, brain stem and spinal cord. Clinically, ADCA has been divided into three groups: ADCA types I-III. ADCAI is genetically heterogeneous, with five genetic loci, designated spinocerebellar ataxia (SCA) 1, 2, 3, 4 and 6, being assigned to five different chromosomes. ADCAII, which always presents with retinal degeneration (SCA7), and ADCAIII often referred to as the 'pure' cerebellar syndrome (SCA5), are most likely homogeneous disorders. Several SCA genes have been cloned and shown to contain CAG repeats in their coding regions. ADCA is caused by the expansion of the CAG repeats, producing an elongated polyglutamine tract in the corresponding protein. The expanded repeats are variable in size and unstable, usually increasing in size when transmitted to successive generations. This locus has been mapped to chromosome 3, and it has been determined that the diseased allele associated with spinocerebellar ataxia-7 contains 37-306 CAG repeats (near the N-terminus), compared to 4-35 in the normal allele. The encoded protein is a component of the SPT3/TAF9/GCN5 acetyltransferase (STAGA) and TBP-free TAF-containing (TFTC) chromatin remodeling complexes, and it thus plays a role in transcriptional regulation. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2016]
ATXN7 Gene-Disease associations (from GenCC):
  • spinocerebellar ataxia 7
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • spinocerebellar ataxia type 7
    Inheritance: AD Classification: MODERATE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001377405.1
BS2
High AC in GnomAd4 at 47 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001377405.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATXN7
NM_001377405.1
MANE Select
c.118_119insAGCAGCAGCAGCCGCp.Gln39_Pro40insGlnGlnGlnGlnPro
disruptive_inframe_insertion
Exon 3 of 13NP_001364334.1O15265-1
ATXN7
NM_001177387.1
c.118_119insAGCAGCAGCAGCCGCp.Gln39_Pro40insGlnGlnGlnGlnPro
disruptive_inframe_insertion
Exon 2 of 13NP_001170858.1O15265-2
ATXN7
NM_000333.4
c.118_119insAGCAGCAGCAGCCGCp.Gln39_Pro40insGlnGlnGlnGlnPro
disruptive_inframe_insertion
Exon 3 of 13NP_000324.1O15265-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATXN7
ENST00000674280.1
MANE Select
c.118_119insAGCAGCAGCAGCCGCp.Gln39_Pro40insGlnGlnGlnGlnPro
disruptive_inframe_insertion
Exon 3 of 13ENSP00000501377.1O15265-1
ATXN7
ENST00000295900.10
TSL:1
c.118_119insAGCAGCAGCAGCCGCp.Gln39_Pro40insGlnGlnGlnGlnPro
disruptive_inframe_insertion
Exon 3 of 13ENSP00000295900.6O15265-1
ATXN7
ENST00000522345.2
TSL:2
c.118_119insAGCAGCAGCAGCCGCp.Gln39_Pro40insGlnGlnGlnGlnPro
disruptive_inframe_insertion
Exon 1 of 12ENSP00000428067.2O15265-2

Frequencies

GnomAD3 genomes
AF:
0.000313
AC:
46
AN:
146902
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000695
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000673
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000207
Gnomad SAS
AF:
0.000420
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000211
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000732
AC:
78
AN:
1065468
Hom.:
0
Cov.:
32
AF XY:
0.0000666
AC XY:
34
AN XY:
510524
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000956
AC:
2
AN:
20914
American (AMR)
AF:
0.00
AC:
0
AN:
11452
Ashkenazi Jewish (ASJ)
AF:
0.0000753
AC:
1
AN:
13278
East Asian (EAS)
AF:
0.00
AC:
0
AN:
19748
South Asian (SAS)
AF:
0.000154
AC:
4
AN:
25970
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31602
Middle Eastern (MID)
AF:
0.000368
AC:
1
AN:
2714
European-Non Finnish (NFE)
AF:
0.0000756
AC:
68
AN:
899506
Other (OTH)
AF:
0.0000496
AC:
2
AN:
40284
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.285
Heterozygous variant carriers
0
8
16
23
31
39
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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
AF:
0.000320
AC:
47
AN:
147008
Hom.:
0
Cov.:
31
AF XY:
0.000294
AC XY:
21
AN XY:
71546
show subpopulations
African (AFR)
AF:
0.000717
AC:
29
AN:
40426
American (AMR)
AF:
0.0000672
AC:
1
AN:
14886
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3390
East Asian (EAS)
AF:
0.000208
AC:
1
AN:
4808
South Asian (SAS)
AF:
0.000420
AC:
2
AN:
4762
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9136
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
286
European-Non Finnish (NFE)
AF:
0.000211
AC:
14
AN:
66358
Other (OTH)
AF:
0.00
AC:
0
AN:
2048
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.422
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.00
Hom.:
0

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.82
Mutation Taster
=81/19
polymorphism

Splicing

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

Publications

Other links and lift over

dbSNP: rs770364745; hg19: chr3-63898390; API