6-16327684-ATGCTGCTGCTGCTGCTGCTGCTGCTGCTGC-ATGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGC

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BS1BS2

The NM_001128164.2(ATXN1):​c.626_627insGCAGCAGCAGCAGCA​(p.Gln204_Gln208dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.019 ( 36 hom., cov: 20)
Exomes 𝑓: 0.014 ( 146 hom. )
Failed GnomAD Quality Control

Consequence

ATXN1
NM_001128164.2 inframe_insertion

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.106
Variant links:
Genes affected
ATXN1 (HGNC:10548): (ataxin 1) The autosomal dominant cerebellar ataxias (ADCA) are a heterogeneous group of neurodegenerative disorders characterized by progressive degeneration of the cerebellum, brain stem and spinal cord. Clinically, ADCA has been divided into three groups: ADCA types I-III. ADCAI is genetically heterogeneous, with five genetic loci, designated spinocerebellar ataxia (SCA) 1, 2, 3, 4 and 6, being assigned to five different chromosomes. ADCAII, which always presents with retinal degeneration (SCA7), and ADCAIII often referred to as the `pure' cerebellar syndrome (SCA5), are most likely homogeneous disorders. Several SCA genes have been cloned and shown to contain CAG repeats in their coding regions. ADCA is caused by the expansion of the CAG repeats, producing an elongated polyglutamine tract in the corresponding protein. The expanded repeats are variable in size and unstable, usually increasing in size when transmitted to successive generations. The function of the ataxins is not known. This locus has been mapped to chromosome 6, and it has been determined that the diseased allele contains 40-83 CAG repeats, compared to 6-39 in the normal allele, and is associated with spinocerebellar ataxia type 1 (SCA1). Alternative splicing results in multiple transcript variants, with one variant encoding multiple distinct proteins, ATXN1 and Alt-ATXN1, due to the use of overlapping alternate reading frames. [provided by RefSeq, Nov 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0189 (2541/134688) while in subpopulation NFE AF= 0.0233 (1504/64538). AF 95% confidence interval is 0.0223. There are 36 homozygotes in gnomad4. There are 1279 alleles in male gnomad4 subpopulation. Median coverage is 20. This position pass quality control queck.
BS2
High AC in GnomAd4 at 2541 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATXN1NM_001128164.2 linkuse as main transcriptc.626_627insGCAGCAGCAGCAGCA p.Gln204_Gln208dup inframe_insertion 7/8 ENST00000436367.6 NP_001121636.1
ATXN1NM_000332.4 linkuse as main transcriptc.626_627insGCAGCAGCAGCAGCA p.Gln204_Gln208dup inframe_insertion 8/9 NP_000323.2
ATXN1NM_001357857.2 linkuse as main transcriptc.*39_*40insGCAGCAGCAGCAGCA 3_prime_UTR_variant 8/9 NP_001344786.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATXN1ENST00000436367.6 linkuse as main transcriptc.626_627insGCAGCAGCAGCAGCA p.Gln204_Gln208dup inframe_insertion 7/81 NM_001128164.2 ENSP00000416360 P1P54253-1
ATXN1ENST00000244769.8 linkuse as main transcriptc.626_627insGCAGCAGCAGCAGCA p.Gln204_Gln208dup inframe_insertion 8/91 ENSP00000244769 P1P54253-1
ATXN1ENST00000642969.1 linkuse as main transcript downstream_gene_variant ENSP00000493530

Frequencies

GnomAD3 genomes
AF:
0.0189
AC:
2542
AN:
134590
Hom.:
36
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.0137
Gnomad AMI
AF:
0.00579
Gnomad AMR
AF:
0.0101
Gnomad ASJ
AF:
0.0119
Gnomad EAS
AF:
0.000247
Gnomad SAS
AF:
0.00960
Gnomad FIN
AF:
0.0352
Gnomad MID
AF:
0.0109
Gnomad NFE
AF:
0.0233
Gnomad OTH
AF:
0.0132
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0138
AC:
18289
AN:
1323104
Hom.:
146
Cov.:
32
AF XY:
0.0135
AC XY:
8902
AN XY:
657492
show subpopulations
Gnomad4 AFR exome
AF:
0.00842
Gnomad4 AMR exome
AF:
0.00448
Gnomad4 ASJ exome
AF:
0.00765
Gnomad4 EAS exome
AF:
0.000784
Gnomad4 SAS exome
AF:
0.00938
Gnomad4 FIN exome
AF:
0.0333
Gnomad4 NFE exome
AF:
0.0144
Gnomad4 OTH exome
AF:
0.0138
GnomAD4 genome
AF:
0.0189
AC:
2541
AN:
134688
Hom.:
36
Cov.:
20
AF XY:
0.0195
AC XY:
1279
AN XY:
65476
show subpopulations
Gnomad4 AFR
AF:
0.0137
Gnomad4 AMR
AF:
0.0101
Gnomad4 ASJ
AF:
0.0119
Gnomad4 EAS
AF:
0.000248
Gnomad4 SAS
AF:
0.00961
Gnomad4 FIN
AF:
0.0352
Gnomad4 NFE
AF:
0.0233
Gnomad4 OTH
AF:
0.0131

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs193922926; hg19: chr6-16327915; API