6-16327684-ATGCTGCTGCTGCTGCTGCTGCTGCTGCTGC-ATGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGCTGC

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP3

The NM_001128164.2(ATXN1):​c.597_626dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCA​(p.Gln199_Gln208dup) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. It is difficult to determine the true allele frequency of this variant because it is of type INS_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000030 ( 0 hom., cov: 20)
Exomes 𝑓: 0.000014 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

ATXN1
NM_001128164.2 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.106

Publications

0 publications found
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]
ATXN1 Gene-Disease associations (from GenCC):
  • spinocerebellar ataxia type 1
    Inheritance: AD Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001128164.2

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001128164.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATXN1
NM_001128164.2
MANE Select
c.597_626dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAp.Gln199_Gln208dup
disruptive_inframe_insertion
Exon 7 of 8NP_001121636.1P54253-1
ATXN1
NM_000332.4
c.597_626dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAp.Gln199_Gln208dup
disruptive_inframe_insertion
Exon 8 of 9NP_000323.2P54253-1
ATXN1
NM_001357857.2
c.*10_*39dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCA
3_prime_UTR
Exon 8 of 9NP_001344786.1A0A2R8YCF3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ATXN1
ENST00000436367.6
TSL:1 MANE Select
c.597_626dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAp.Gln199_Gln208dup
disruptive_inframe_insertion
Exon 7 of 8ENSP00000416360.1P54253-1
ATXN1
ENST00000244769.8
TSL:1
c.597_626dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCAp.Gln199_Gln208dup
disruptive_inframe_insertion
Exon 8 of 9ENSP00000244769.3P54253-1
ATXN1
ENST00000642969.1
c.*10_*39dupGCAGCAGCAGCAGCAGCAGCAGCAGCAGCA
downstream_gene
N/AENSP00000493530.1A0A2R8YCF3

Frequencies

GnomAD3 genomes
AF:
0.0000297
AC:
4
AN:
134644
Hom.:
0
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000465
Gnomad OTH
AF:
0.000551
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000142
AC:
19
AN:
1339434
Hom.:
0
Cov.:
32
AF XY:
0.0000165
AC XY:
11
AN XY:
665464
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
26546
American (AMR)
AF:
0.00
AC:
0
AN:
35506
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24870
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30604
South Asian (SAS)
AF:
0.0000672
AC:
5
AN:
74456
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40210
Middle Eastern (MID)
AF:
0.000217
AC:
1
AN:
4600
European-Non Finnish (NFE)
AF:
0.0000105
AC:
11
AN:
1047580
Other (OTH)
AF:
0.0000363
AC:
2
AN:
55062
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000000000143108), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.343
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000297
AC:
4
AN:
134644
Hom.:
0
Cov.:
20
AF XY:
0.0000153
AC XY:
1
AN XY:
65412
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
32724
American (AMR)
AF:
0.00
AC:
0
AN:
13302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3278
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4042
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3958
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9816
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
276
European-Non Finnish (NFE)
AF:
0.0000465
AC:
3
AN:
64568
Other (OTH)
AF:
0.000551
AC:
1
AN:
1816
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.388
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
0.11
Mutation Taster
=91/9
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs193922926; hg19: chr6-16327915; API