4-87845066-GGAAA-G

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

Scores

Not classified

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: 1.85
Variant links:
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
MEPENM_020203.6 linkuse as main transcriptc.209_212delAAGA p.Lys70fs frameshift_variant 4/4 ENST00000361056.4 NP_064588.1 Q9NQ76-1A0A024RDD1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MEPEENST00000361056.4 linkuse as main transcriptc.209_212delAAGA p.Lys70fs frameshift_variant 4/41 NM_020203.6 ENSP00000354341.3 Q9NQ76-1

Frequencies

GnomAD3 genomes
AF:
0.000585
AC:
89
AN:
152076
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00236
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000882
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000969
AC:
242
AN:
249848
Hom.:
0
AF XY:
0.00104
AC XY:
141
AN XY:
135360
show subpopulations
Gnomad AFR exome
AF:
0.0000633
Gnomad AMR exome
AF:
0.0000291
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00287
Gnomad NFE exome
AF:
0.00157
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000665
AC:
972
AN:
1461196
Hom.:
0
AF XY:
0.000669
AC XY:
486
AN XY:
726878
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.0000448
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00249
Gnomad4 NFE exome
AF:
0.000718
Gnomad4 OTH exome
AF:
0.000596
GnomAD4 genome
AF:
0.000585
AC:
89
AN:
152194
Hom.:
0
Cov.:
32
AF XY:
0.000551
AC XY:
41
AN XY:
74406
show subpopulations
Gnomad4 AFR
AF:
0.0000722
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00236
Gnomad4 NFE
AF:
0.000882
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000327
Hom.:
0
Bravo
AF:
0.000487
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000601
EpiControl
AF:
0.000415

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 providedclinical testingPreventionGenetics, part of Exact SciencesSep 27, 2024The 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs753138805; hg19: chr4-88766218; API