4-3074876-CCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG-CCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAG

Variant names:

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP3BP6_ModerateBS1BS2

The ENST00000355072.11(HTT):c.93_110dupGCAGCAGCAGCAGCAGCA(p.Gln32_Gln37dup) variant causes a disruptive inframe insertion change. 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. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.013 ( 33 hom., cov: 0)

Exomes 𝑓: 0.0045 ( 47 hom. )

Consequence

HTT
ENST00000355072.11 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Benign criteria provided, single submitter U:1B:1

Conservation

PhyloP100: 4.84

Publications

6 publications found

Variant links:

Genes affected

HTT (HGNC:4851): (huntingtin) Huntingtin is a disease gene linked to Huntington's disease, a neurodegenerative disorder characterized by loss of striatal neurons. This is thought to be caused by an expanded, unstable trinucleotide repeat in the huntingtin gene, which translates as a polyglutamine repeat in the protein product. A fairly broad range of trinucleotide repeats (9-35) has been identified in normal controls, and repeat numbers in excess of 40 have been described as pathological. The huntingtin locus is large, spanning 180 kb and consisting of 67 exons. The huntingtin gene is widely expressed and is required for normal development. It is expressed as 2 alternatively polyadenylated forms displaying different relative abundance in various fetal and adult tissues. The larger transcript is approximately 13.7 kb and is expressed predominantly in adult and fetal brain whereas the smaller transcript of approximately 10.3 kb is more widely expressed. The genetic defect leading to Huntington's disease may not necessarily eliminate transcription, but may confer a new property on the mRNA or alter the function of the protein. One candidate is the huntingtin-associated protein-1, highly expressed in brain, which has increased affinity for huntingtin protein with expanded polyglutamine repeats. This gene contains an upstream open reading frame in the 5' UTR that inhibits expression of the huntingtin gene product through translational repression. [provided by RefSeq, Jul 2016]

HTT Gene-Disease associations (from GenCC):

Huntington disease
Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae), Orphanet
Lopes-Maciel-Rodan syndrome
Inheritance: AR Classification: STRONG, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
juvenile Huntington disease
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

HTT links:

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

BP3

Nonframeshift variant in repetitive region in ENST00000355072.11

BP6

Variant 4-3074876-C-CCAGCAGCAGCAGCAGCAG is Benign according to our data. Variant chr4-3074876-C-CCAGCAGCAGCAGCAGCAG is described in ClinVar as Benign. ClinVar VariationId is 1049703.Status of the report is criteria_provided_single_submitter, 1 stars.

BS1

Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.0132 (1745/131866) while in subpopulation AMR AF = 0.0199 (267/13410). AF 95% confidence interval is 0.0179. There are 33 homozygotes in GnomAd4. There are 882 alleles in the male GnomAd4 subpopulation. Median coverage is 0. This position passed quality control check.

BS2

High Homozygotes in GnomAd4 at 33 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000355072.11. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	HTT	NM_001388492.1	MANE Select	c.93_110dupGCAGCAGCAGCAGCAGCA	p.Gln32_Gln37dup	disruptive_inframe_insertion	Exon 1 of 67	NP_001375421.1
	HTT	NM_002111.8		c.93_110dupGCAGCAGCAGCAGCAGCA	p.Gln32_Gln37dup	disruptive_inframe_insertion	Exon 1 of 67	NP_002102.4

Ensembl Transcripts

Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein
HTT	ENST00000355072.11	TSL:1 MANE Select	c.93_110dupGCAGCAGCAGCAGCAGCA	p.Gln32_Gln37dup	disruptive_inframe_insertion	Exon 1 of 67	ENSP00000347184.5
HTT	ENST00000680291.1		n.238_255dupGCAGCAGCAGCAGCAGCA		non_coding_transcript_exon	Exon 1 of 41
HTT	ENST00000681528.1		c.6-12021_6-12004dupGCAGCAGCAGCAGCAGCA		intron	N/A	ENSP00000506116.1

Frequencies

GnomAD3 genomes

AF:

0.0133

AC:

1747

AN:

131768

Hom.:

Cov.:

show subpopulations

Gnomad AFR

AF:

0.0105

Gnomad AMI

AF:

0.00

Gnomad AMR

AF:

0.0199

Gnomad ASJ

AF:

0.0279

Gnomad EAS

AF:

0.00459

Gnomad SAS

AF:

0.0115

Gnomad FIN

AF:

0.0129

Gnomad MID

AF:

0.0149

Gnomad NFE

AF:

0.0136

Gnomad OTH

AF:

0.0117

GnomAD4 exome

AF:

0.00450

AC:

5512

AN:

1225724

Hom.:

Cov.:

AF XY:

0.00482

AC XY:

2932

AN XY:

608080

show subpopulations

African (AFR)

AF:

0.00407

AC:

105

AN:

25810

American (AMR)

AF:

0.00888

AC:

269

AN:

30296

Ashkenazi Jewish (ASJ)

AF:

0.0169

AC:

385

AN:

22730

East Asian (EAS)

AF:

0.00199

AC:

AN:

29094

South Asian (SAS)

AF:

0.00541

AC:

391

AN:

72220

European-Finnish (FIN)

AF:

0.00920

AC:

299

AN:

32494

Middle Eastern (MID)

AF:

0.00397

AC:

AN:

3780

European-Non Finnish (NFE)

AF:

0.00380

AC:

3638

AN:

957468

Other (OTH)

AF:

0.00679

AC:

352

AN:

51832

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.472

Heterozygous variant carriers

190

380

571

761

951

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Exome Het

Exome Hom

Variant carriers

100

<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:

0.0132

AC:

1745

AN:

131866

Hom.:

Cov.:

AF XY:

0.0139

AC XY:

882

AN XY:

63416

show subpopulations

African (AFR)

AF:

0.0104

AC:

371

AN:

35514

American (AMR)

AF:

0.0199

AC:

267

AN:

13410

Ashkenazi Jewish (ASJ)

AF:

0.0279

AC:

AN:

3190

East Asian (EAS)

AF:

0.00436

AC:

AN:

4124

South Asian (SAS)

AF:

0.0113

AC:

AN:

3910

European-Finnish (FIN)

AF:

0.0129

AC:

AN:

7368

Middle Eastern (MID)

AF:

0.0159

AC:

AN:

252

European-Non Finnish (NFE)

AF:

0.0136

AC:

836

AN:

61484

Other (OTH)

AF:

0.0116

AC:

AN:

1814

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.546

Heterozygous variant carriers

124

186

248

310

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Genome Het

Genome Hom

Variant carriers

100

<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.:

452

ClinVar

ClinVar submissions as Germline

Significance:Benign

Revision:criteria provided, single submitter

View on ClinVar

Pathogenic

VUS

Benign

Condition

not provided (1)

not specified (1)

Computational scores

Source: dbNSFP v4.9

Name

Calibrated prediction

Score

Prediction

PhyloP100

4.8

Mutation Taster

=80/20

polymorphism

(source)

Splicing

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

Publications

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Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

Publications

ACMG classification

Variant Effect in Transcripts

RefSeq Transcripts

Ensembl Transcripts

Frequencies

Age Distribution

Age Distribution

ClinVar

ClinVar submissions as Germline

Computational scores

Splicing

Publications

Other links and lift over