4-169537856-G-A
Variant summary
Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PVS1PP5
The NM_001199397.3(NEK1):c.1618C>T(p.Arg540*) variant causes a stop gained change. The variant allele was found at a frequency of 0.00000754 in 1,459,168 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_001199397.3 stop_gained
Scores
Clinical Significance
Conservation
Publications
- amyotrophic lateral sclerosis, susceptibility to, 24Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, ClinGen
- short-rib thoracic dysplasia 6 with or without polydactylyInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
- orofaciodigital syndrome type IIInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- short rib-polydactyly syndrome, Majewski typeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 9 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| NEK1 | NM_001199397.3 | c.1618C>T | p.Arg540* | stop_gained | Exon 19 of 36 | ENST00000507142.6 | NP_001186326.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| NEK1 | ENST00000507142.6 | c.1618C>T | p.Arg540* | stop_gained | Exon 19 of 36 | 1 | NM_001199397.3 | ENSP00000424757.2 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD2 exomes AF: 0.00000807 AC: 2AN: 247770 AF XY: 0.0000149 show subpopulations
GnomAD4 exome AF: 0.00000754 AC: 11AN: 1459168Hom.: 0 Cov.: 30 AF XY: 0.00000551 AC XY: 4AN XY: 725860 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Short-rib thoracic dysplasia 6 with or without polydactyly Pathogenic:2
not provided Pathogenic:1
DNA sequence analysis of the NEK1 gene demonstrated a sequence change, c.1618C>T, which results in the creation of a premature stop codon at amino acid position 540, p.Arg540*. This sequence change is predicted to result in an abnormal transcript, which may be degraded, or may lead to the production of a truncated NEK1 protein with potentially abnormal function. This particular sequence change has been described in the compound heterozygous state in an individual with short rib thoracic dysplasia (PMID: 29068549) and in individuals with suspected familial amyotrophic lateral sclerosis (ALS) (PMIDs: 26945885, 27455347). This sequence change has been described in the gnomAD database with a frequency of 0.0065% in the African/African-American subpopulation (dbSNP rs758677637). Cell models of the p.Arg540* sequence change demonstrate defects in microtubule dynamics and cytoskeleton and nucleocytoplasmic transport versus wild-type NEK1 protein (PMID: 37585529). Taken together, the available evidence indicates that this sequence change is pathogenic.
NEK1-related disorder Pathogenic:1
The NEK1 c.1618C>T variant is predicted to result in premature protein termination (p.Arg540*). This variant was reported along with a second premature termination variant in a patient with short-rib thoracic dysplasia type II (Table S2, Zhang et al. 2017. PubMed ID: 29068549). This variant is reported in 0.0065% of alleles in individuals of African descent in gnomAD, including 11 heterozygous individuals in the gnomAD v4.1.0 dataset (https://gnomad.broadinstitute.org/variant/4-169537856-G-A?dataset=gnomad_r4). Nonsense variants in NEK1 are expected to be pathogenic. This variant is interpreted as pathogenic.
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at