4-3493129-C-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_173660.5(DOK7):​c.1143C>T​(p.Pro381Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00321 in 1,594,468 control chromosomes in the GnomAD database, including 80 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.013 ( 35 hom., cov: 34)
Exomes 𝑓: 0.0021 ( 45 hom. )

Consequence

DOK7
NM_173660.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: -2.84
Variant links:
Genes affected
DOK7 (HGNC:26594): (docking protein 7) The protein encoded by this gene is essential for neuromuscular synaptogenesis. The protein functions in aneural activation of muscle-specific receptor kinase, which is required for postsynaptic differentiation, and in the subsequent clustering of the acetylcholine receptor in myotubes. This protein can also induce autophosphorylation of muscle-specific receptor kinase. Mutations in this gene are a cause of familial limb-girdle myasthenia autosomal recessive, which is also known as congenital myasthenic syndrome type 1B. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.8).
BP6
Variant 4-3493129-C-T is Benign according to our data. Variant chr4-3493129-C-T is described in ClinVar as [Benign]. Clinvar id is 128906.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-2.84 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0133 (2022/152312) while in subpopulation AFR AF= 0.0433 (1798/41556). AF 95% confidence interval is 0.0416. There are 35 homozygotes in gnomad4. There are 930 alleles in male gnomad4 subpopulation. Median coverage is 34. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 35 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DOK7NM_173660.5 linkc.1143C>T p.Pro381Pro synonymous_variant Exon 7 of 7 ENST00000340083.6 NP_775931.3 Q18PE1-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DOK7ENST00000340083.6 linkc.1143C>T p.Pro381Pro synonymous_variant Exon 7 of 7 1 NM_173660.5 ENSP00000344432.5 Q18PE1-1
DOK7ENST00000643608.1 linkc.711C>T p.Pro237Pro synonymous_variant Exon 5 of 8 ENSP00000495701.1 A0A2R8Y701
DOK7ENST00000515886.5 linkc.213C>T p.Pro71Pro synonymous_variant Exon 4 of 4 2 ENSP00000492194.1 A0A1W2PRA3
DOK7ENST00000507039.5 linkc.*364C>T 3_prime_UTR_variant Exon 7 of 7 2 ENSP00000423614.1 Q18PE1-4

Frequencies

GnomAD3 genomes
AF:
0.0132
AC:
2016
AN:
152194
Hom.:
35
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0433
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00693
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00166
Gnomad FIN
AF:
0.00113
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00109
Gnomad OTH
AF:
0.00669
GnomAD3 exomes
AF:
0.00388
AC:
806
AN:
207784
Hom.:
18
AF XY:
0.00321
AC XY:
368
AN XY:
114522
show subpopulations
Gnomad AFR exome
AF:
0.0441
Gnomad AMR exome
AF:
0.00244
Gnomad ASJ exome
AF:
0.00250
Gnomad EAS exome
AF:
0.0000645
Gnomad SAS exome
AF:
0.00205
Gnomad FIN exome
AF:
0.00101
Gnomad NFE exome
AF:
0.00111
Gnomad OTH exome
AF:
0.00307
GnomAD4 exome
AF:
0.00215
AC:
3100
AN:
1442156
Hom.:
45
Cov.:
113
AF XY:
0.00212
AC XY:
1518
AN XY:
716400
show subpopulations
Gnomad4 AFR exome
AF:
0.0407
Gnomad4 AMR exome
AF:
0.00282
Gnomad4 ASJ exome
AF:
0.00178
Gnomad4 EAS exome
AF:
0.0000780
Gnomad4 SAS exome
AF:
0.00183
Gnomad4 FIN exome
AF:
0.000947
Gnomad4 NFE exome
AF:
0.00104
Gnomad4 OTH exome
AF:
0.00379
GnomAD4 genome
AF:
0.0133
AC:
2022
AN:
152312
Hom.:
35
Cov.:
34
AF XY:
0.0125
AC XY:
930
AN XY:
74492
show subpopulations
Gnomad4 AFR
AF:
0.0433
Gnomad4 AMR
AF:
0.00699
Gnomad4 ASJ
AF:
0.00202
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00166
Gnomad4 FIN
AF:
0.00113
Gnomad4 NFE
AF:
0.00109
Gnomad4 OTH
AF:
0.00662
Alfa
AF:
0.00180
Hom.:
0
Bravo
AF:
0.0148
Asia WGS
AF:
0.00404
AC:
14
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 16, 2014
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

Aug 03, 2017
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Fetal akinesia deformation sequence 1;C1850792:Congenital myasthenic syndrome 10 Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.80
CADD
Benign
0.088
DANN
Benign
0.69

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs56769879; hg19: chr4-3494856; COSMIC: COSV60773527; COSMIC: COSV60773527; API