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GeneBe

4-87657029-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BS1_Supporting

The NM_004407.4(DMP1):​c.55-3T>G variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000194 in 1,534,784 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00019 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00019 ( 0 hom. )

Consequence

DMP1
NM_004407.4 splice_region, splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.9912
1
1

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.130
Variant links:
Genes affected
DMP1 (HGNC:2932): (dentin matrix acidic phosphoprotein 1) Dentin matrix acidic phosphoprotein is an extracellular matrix protein and a member of the small integrin binding ligand N-linked glycoprotein family. This protein, which is critical for proper mineralization of bone and dentin, is present in diverse cells of bone and tooth tissues. The protein contains a large number of acidic domains, multiple phosphorylation sites, a functional arg-gly-asp cell attachment sequence, and a DNA binding domain. In undifferentiated osteoblasts it is primarily a nuclear protein that regulates the expression of osteoblast-specific genes. During osteoblast maturation the protein becomes phosphorylated and is exported to the extracellular matrix, where it orchestrates mineralized matrix formation. Mutations in the gene are known to cause autosomal recessive hypophosphatemia, a disease that manifests as rickets and osteomalacia. The gene structure is conserved in mammals. Two transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BS1
Variant frequency is greater than expected in population mid. gnomad4_exome allele frequency = 0.000195 (269/1382456) while in subpopulation MID AF= 0.00985 (55/5586). AF 95% confidence interval is 0.00777. There are 0 homozygotes in gnomad4_exome. There are 135 alleles in male gnomad4_exome subpopulation. Median coverage is 24. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DMP1NM_004407.4 linkuse as main transcriptc.55-3T>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000339673.11
DMP1NM_001079911.3 linkuse as main transcriptc.55-3T>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant
DMP1XM_011531705.3 linkuse as main transcriptc.142-3T>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant
DMP1XM_011531706.3 linkuse as main transcriptc.142-3T>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DMP1ENST00000339673.11 linkuse as main transcriptc.55-3T>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 1 NM_004407.4 P1Q13316-1
ENST00000506480.5 linkuse as main transcriptn.322+15961A>C intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.000191
AC:
29
AN:
152210
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000309
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000244
AC:
61
AN:
250474
Hom.:
0
AF XY:
0.000229
AC XY:
31
AN XY:
135576
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000145
Gnomad ASJ exome
AF:
0.000596
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000983
Gnomad FIN exome
AF:
0.000139
Gnomad NFE exome
AF:
0.000362
Gnomad OTH exome
AF:
0.000492
GnomAD4 exome
AF:
0.000195
AC:
269
AN:
1382456
Hom.:
0
Cov.:
24
AF XY:
0.000195
AC XY:
135
AN XY:
691984
show subpopulations
Gnomad4 AFR exome
AF:
0.0000938
Gnomad4 AMR exome
AF:
0.000134
Gnomad4 ASJ exome
AF:
0.000664
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000593
Gnomad4 FIN exome
AF:
0.000206
Gnomad4 NFE exome
AF:
0.000144
Gnomad4 OTH exome
AF:
0.000381
GnomAD4 genome
AF:
0.000190
AC:
29
AN:
152328
Hom.:
0
Cov.:
33
AF XY:
0.000175
AC XY:
13
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.000864
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.000309
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000475
Hom.:
0
Bravo
AF:
0.000189

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingInvitaeAug 19, 2022This sequence change falls in intron 2 of the DMP1 gene. It does not directly change the encoded amino acid sequence of the DMP1 protein. It affects a nucleotide within the consensus splice site. This variant is present in population databases (rs181490843, gnomAD 0.06%). This variant has not been reported in the literature in individuals affected with DMP1-related conditions. ClinVar contains an entry for this variant (Variation ID: 288212). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 24, 2018- -
Hypophosphatemic rickets, autosomal recessive, 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.40
CADD
Benign
18
DANN
Benign
0.84

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Benign
0.72
SpliceAI score (max)
0.38
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.27
Position offset: 11
DS_AL_spliceai
0.38
Position offset: 3

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: rs181490843; hg19: chr4-88578181; COSMIC: COSV56818392; COSMIC: COSV56818392; API