4-87845066-GGAAA-G
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Variant summary
Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2
The NM_020203.6(MEPE):c.209_212delAAGA(p.Lys70fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000658 in 1,613,390 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (no stars).
Frequency
Genomes: 𝑓 0.00058 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00067 ( 0 hom. )
Consequence
MEPE
NM_020203.6 frameshift
NM_020203.6 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 1.85
Genes affected
MEPE (HGNC:13361): (matrix extracellular phosphoglycoprotein) This gene encodes a secreted calcium-binding phosphoprotein that belongs to the small integrin-binding ligand, N-linked glycoprotein (SIBLING) family of proteins. Members of this family are components of the extracellular matrix of bone and dentin and regulate bone mineralization. Deficiency of a similar protein in mouse results in increased bone mass. Mice lacking this gene are resistant to aging-related trabecular bone loss. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2014]
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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 |
---|---|---|---|---|---|---|---|---|
MEPE | NM_020203.6 | c.209_212delAAGA | p.Lys70fs | frameshift_variant | 4/4 | ENST00000361056.4 | NP_064588.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
MEPE | ENST00000361056.4 | c.209_212delAAGA | p.Lys70fs | frameshift_variant | 4/4 | 1 | NM_020203.6 | ENSP00000354341.3 |
Frequencies
GnomAD3 genomes AF: 0.000585 AC: 89AN: 152076Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.000969 AC: 242AN: 249848Hom.: 0 AF XY: 0.00104 AC XY: 141AN XY: 135360
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GnomAD4 exome AF: 0.000665 AC: 972AN: 1461196Hom.: 0 AF XY: 0.000669 AC XY: 486AN XY: 726878
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GnomAD4 genome AF: 0.000585 AC: 89AN: 152194Hom.: 0 Cov.: 32 AF XY: 0.000551 AC XY: 41AN XY: 74406
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link
Submissions by phenotype
MEPE-related disorder Uncertain:1
Uncertain significance, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Sep 27, 2024 | The MEPE c.302_305delAAGA variant is predicted to result in a frameshift and premature protein termination (p.Lys101Ilefs*26). This variant has been reported in the heterozygous state in multiple affected and unaffected individuals from two families with otosclerosis and also been reported in unrelated nine patients and one unaffected individual in an otosclerosis case-control study (referred to as c.199_202delGAAA, Schrauwen et al. 2019. PubMed ID: 30287925). It has been associated with an increased risk of decreased bone mineral density (reported as p.Lys70IlefsTer26 or rs753138805 in Table S1, Surakka et al. 2020. PubMed ID: 33097703). This variant is reported in 0.29% of alleles in individuals of European (Finnish) descent in gnomAD. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. - |
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at