4-3493166-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_173660.5(DOK7):ā€‹c.1180G>Cā€‹(p.Glu394Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000275 in 1,455,304 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 34)
Exomes š‘“: 0.0000027 ( 0 hom. )

Consequence

DOK7
NM_173660.5 missense

Scores

9
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.54
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]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DOK7NM_173660.5 linkuse as main transcriptc.1180G>C p.Glu394Gln missense_variant 7/7 ENST00000340083.6 NP_775931.3 Q18PE1-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DOK7ENST00000340083.6 linkuse as main transcriptc.1180G>C p.Glu394Gln missense_variant 7/71 NM_173660.5 ENSP00000344432.5 Q18PE1-1
DOK7ENST00000643608.1 linkuse as main transcriptc.748G>C p.Glu250Gln missense_variant 5/8 ENSP00000495701.1 A0A2R8Y701
DOK7ENST00000515886.5 linkuse as main transcriptc.250G>C p.Glu84Gln missense_variant 4/42 ENSP00000492194.1 A0A1W2PRA3
DOK7ENST00000507039.5 linkuse as main transcriptc.*401G>C 3_prime_UTR_variant 7/72 ENSP00000423614.1 Q18PE1-4

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD3 exomes
AF:
0.00000432
AC:
1
AN:
231704
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
126922
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000574
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000275
AC:
4
AN:
1455304
Hom.:
0
Cov.:
114
AF XY:
0.00000276
AC XY:
2
AN XY:
723724
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000508
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.01e-7
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
34

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 15, 2024The c.1180G>C (p.E394Q) alteration is located in exon 7 (coding exon 7) of the DOK7 gene. This alteration results from a G to C substitution at nucleotide position 1180, causing the glutamic acid (E) at amino acid position 394 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T;.;.
Eigen
Uncertain
0.28
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Benign
0.74
D
LIST_S2
Benign
0.59
T;T;T
M_CAP
Uncertain
0.16
D
MetaRNN
Uncertain
0.50
T;T;T
MetaSVM
Uncertain
-0.061
T
MutationAssessor
Uncertain
2.5
M;.;.
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-1.9
N;.;.
REVEL
Benign
0.27
Sift
Uncertain
0.0080
D;.;.
Sift4G
Benign
0.17
T;.;.
Polyphen
1.0
D;.;.
Vest4
0.53
MutPred
0.56
Gain of glycosylation at Y395 (P = 0.0118);.;.;
MVP
0.82
MPC
0.020
ClinPred
0.78
D
GERP RS
3.8
Varity_R
0.13
gMVP
0.39

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: rs751691265; hg19: chr4-3494893; API