4-52038237-GCCGCCGCCGCCGCTGCCGCCATCTTCCCGCGC-GCCGCCGCCGCCGCTGCCGCCATCTTCCCGCGCCCGCCGCCGCCGCTGCCGCCATCTTCCCGCGC
Variant summary
Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PVS1PP5
The NM_000232.5(SGCB):c.-10_22dupGCGCGGGAAGATGGCGGCAGCGGCGGCGGCGG(p.Ala8GlyfsTer22) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000767 in 1,265,076 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. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. A8A) has been classified as Likely benign.
Frequency
Consequence
NM_000232.5 frameshift
Scores
Clinical Significance
Conservation
Publications
- autosomal recessive limb-girdle muscular dystrophyInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- autosomal recessive limb-girdle muscular dystrophy type 2EInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Myriad Women’s Health, Labcorp Genetics (formerly Invitae), 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 | 
|---|---|---|---|---|---|---|---|---|
| SGCB | NM_000232.5 | c.-10_22dupGCGCGGGAAGATGGCGGCAGCGGCGGCGGCGG | p.Ala8GlyfsTer22 | frameshift_variant | Exon 1 of 6 | ENST00000381431.10 | NP_000223.1 | |
| SGCB | NM_001440519.1 | c.-10_22dupGCGCGGGAAGATGGCGGCAGCGGCGGCGGCGG | p.Ala8GlyfsTer16 | frameshift_variant | Exon 1 of 5 | NP_001427448.1 | ||
| SGCB | NM_001440520.1 | c.-417_-386dupGCGCGGGAAGATGGCGGCAGCGGCGGCGGCGG | 5_prime_UTR_variant | Exon 1 of 7 | NP_001427449.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| SGCB | ENST00000381431.10 | c.-10_22dupGCGCGGGAAGATGGCGGCAGCGGCGGCGGCGG | p.Ala8GlyfsTer22 | frameshift_variant | Exon 1 of 6 | 1 | NM_000232.5 | ENSP00000370839.6 | ||
| SGCB | ENST00000506357.5 | n.-25_7dupGCGCGGGAAGATGGCGGCAGCGGCGGCGGCGG | non_coding_transcript_exon_variant | Exon 1 of 5 | 5 | ENSP00000421235.1 | 
Frequencies
GnomAD3 genomes  0.0000597  AC: 9AN: 150846Hom.:  0  Cov.: 32 show subpopulations 
GnomAD4 exome  AF:  0.0000790  AC: 88AN: 1114230Hom.:  0  Cov.: 31 AF XY:  0.0000764  AC XY: 41AN XY: 536482 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000597  AC: 9AN: 150846Hom.:  0  Cov.: 32 AF XY:  0.0000543  AC XY: 4AN XY: 73642 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Autosomal recessive limb-girdle muscular dystrophy type 2E    Pathogenic:4 
This variant occurs in a non-coding region of the SGCB gene. It may leave the encoded amino acid sequence of the SGCB protein unchanged or may create a premature translational stop signal (p.Ala8Glyfs*22). This variant is not present in population databases (gnomAD no frequency). This variant has been observed in individual(s) with clinical features of limb-girdle muscular dystrophy (PMID: 12746421, 25862795; internal data). This variant is also known as c.-10_22dup (Non-coding), –22+10dup, and PTC+25aa. ClinVar contains an entry for this variant (Variation ID: 466601). Studies have shown that this variant alters SGCB gene expression (PMID: 25862795). For these reasons, this variant has been classified as Pathogenic. -
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Autosomal recessive limb-girdle muscular dystrophy    Pathogenic:1 
Variant summary: SGCB c.-10_22dup32 is located in the untranslated mRNA region upstream and the coding region including the initiation codon.The variant was absent in 37246 control chromosomes (gnomAD v2), however, it is found in 9/150846 controls in gnomAD v3. c.-10_22dup32 has been reported in the literature in multiple individuals affected with mild Limb-Girdle Muscular Dystrophy in homozygous state (Boito_2003, Semplicini_2015). These data indicate that the variant is likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. This variant is predicted to result in p.Ala8Glyfs*22 if the first initiation codon is utilized for translation. However, biochemical data of residual sarcoglycan expression in skeletal muscle and mild phenotype in variant carriers suggest that the second initiation codon in the mutant gene may also be utilized, which results in a normal protein (Semplicini_2015). Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. One laboratory classified the variant as likely pathogenic, and one laboratory classified the variant as uncertain significance. Although this variant has been found in mutliple patients, due to lack of functional evidence, the variant was classified as likely pathogenic. -
not provided    Uncertain:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at