4-70599561-C-G
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Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PVS1PM2
The NM_016519.6(AMBN):c.209C>G(p.Ser70*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000394 in 1,612,454 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.00013 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00042 ( 1 hom. )
Consequence
AMBN
NM_016519.6 stop_gained
NM_016519.6 stop_gained
Scores
4
2
1
Clinical Significance
Conservation
PhyloP100: 1.67
Genes affected
AMBN (HGNC:452): (ameloblastin) This gene encodes the nonamelogenin enamel matrix protein ameloblastin. The encoded protein may be important in enamel matrix formation and mineralization. This gene is located in the calcium-binding phosphoprotein gene cluster on chromosome 4. Mutations in this gene may be associated with dentinogenesis imperfect and autosomal dominant amylogenesis imperfect. [provided by RefSeq, Aug 2011]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 10 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000125 AC: 19AN: 151930Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.0000919 AC: 23AN: 250368Hom.: 0 AF XY: 0.000118 AC XY: 16AN XY: 135294
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GnomAD4 exome AF: 0.000422 AC: 617AN: 1460524Hom.: 1 Cov.: 30 AF XY: 0.000374 AC XY: 272AN XY: 726550
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GnomAD4 genome AF: 0.000125 AC: 19AN: 151930Hom.: 0 Cov.: 31 AF XY: 0.000135 AC XY: 10AN XY: 74198
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ClinVar
Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Amelogenesis imperfecta type 1F Pathogenic:1Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Reference Center For Rare Oral And Dental Diseases, Crmr O-rares, Hôpitaux Universitaires De Strasbourg | Mar 01, 2023 | - - |
Pathogenic, no assertion criteria provided | research | Leeds Amelogenesis Imperfecta Research Group, University of Leeds | May 04, 2023 | - - |
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Feb 10, 2022 | Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is not a known mechanism of disease; Has not been previously published as pathogenic or benign to our knowledge - |
Computational scores
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Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Uncertain
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Uncertain
D
Vest4
GERP RS
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at