6-7585755-GGGATCTCGCTCC-G

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 3P and 12B. PM4PP3BP6_Very_StrongBS1

The NM_004415.4(DSP):​c.8508_8519delATCTCGCTCCGG​(p.Ser2837_Gly2840del) variant causes a disruptive inframe deletion change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000201 in 1,609,570 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00051 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00017 ( 1 hom. )

Consequence

DSP
NM_004415.4 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 8.12
Variant links:
Genes affected
DSP (HGNC:3052): (desmoplakin) This gene encodes a protein that anchors intermediate filaments to desmosomal plaques and forms an obligate component of functional desmosomes. Mutations in this gene are the cause of several cardiomyopathies and keratodermas, including skin fragility-woolly hair syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_004415.4.
PP3
No computational evidence supports a deleterious effect, but strongly conserved according to phyloP
BP6
Variant 6-7585755-GGGATCTCGCTCC-G is Benign according to our data. Variant chr6-7585755-GGGATCTCGCTCC-G is described in ClinVar as [Likely_benign]. Clinvar id is 44975.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000506 (77/152206) while in subpopulation AFR AF= 0.00132 (55/41524). AF 95% confidence interval is 0.00104. There are 0 homozygotes in gnomad4. There are 37 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DSPNM_004415.4 linkc.8508_8519delATCTCGCTCCGG p.Ser2837_Gly2840del disruptive_inframe_deletion Exon 24 of 24 ENST00000379802.8 NP_004406.2 P15924-1B4DKX6
DSPNM_001319034.2 linkc.7179_7190delATCTCGCTCCGG p.Ser2394_Gly2397del disruptive_inframe_deletion Exon 24 of 24 NP_001305963.1 P15924-3B4DKX6
DSPNM_001008844.3 linkc.6711_6722delATCTCGCTCCGG p.Ser2238_Gly2241del disruptive_inframe_deletion Exon 24 of 24 NP_001008844.1 P15924-2B4DKX6Q4LE79

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DSPENST00000379802.8 linkc.8508_8519delATCTCGCTCCGG p.Ser2837_Gly2840del disruptive_inframe_deletion Exon 24 of 24 1 NM_004415.4 ENSP00000369129.3 P15924-1
DSPENST00000418664.2 linkc.6711_6722delATCTCGCTCCGG p.Ser2238_Gly2241del disruptive_inframe_deletion Exon 24 of 24 1 ENSP00000396591.2 P15924-2
DSPENST00000710359.1 linkc.7179_7190delATCTCGCTCCGG p.Ser2394_Gly2397del disruptive_inframe_deletion Exon 24 of 24 ENSP00000518230.1

Frequencies

GnomAD3 genomes
AF:
0.000500
AC:
76
AN:
152088
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00130
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000243
AC:
60
AN:
246768
Hom.:
0
AF XY:
0.000262
AC XY:
35
AN XY:
133792
show subpopulations
Gnomad AFR exome
AF:
0.00119
Gnomad AMR exome
AF:
0.0000889
Gnomad ASJ exome
AF:
0.000102
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000233
Gnomad FIN exome
AF:
0.0000466
Gnomad NFE exome
AF:
0.000251
Gnomad OTH exome
AF:
0.000167
GnomAD4 exome
AF:
0.000169
AC:
247
AN:
1457364
Hom.:
1
AF XY:
0.000155
AC XY:
112
AN XY:
724800
show subpopulations
Gnomad4 AFR exome
AF:
0.00111
Gnomad4 AMR exome
AF:
0.0000909
Gnomad4 ASJ exome
AF:
0.0000772
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.000175
Gnomad4 FIN exome
AF:
0.000150
Gnomad4 NFE exome
AF:
0.000145
Gnomad4 OTH exome
AF:
0.000233
GnomAD4 genome
AF:
0.000506
AC:
77
AN:
152206
Hom.:
0
Cov.:
32
AF XY:
0.000497
AC XY:
37
AN XY:
74432
show subpopulations
Gnomad4 AFR
AF:
0.00132
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000416
Gnomad4 FIN
AF:
0.0000943
Gnomad4 NFE
AF:
0.000191
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000434
Hom.:
0
Bravo
AF:
0.000552
EpiCase
AF:
0.000109
EpiControl
AF:
0.000178

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Feb 17, 2025
Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 15, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: DSP c.8508_8519delATCTCGCTCCGG (p.Ser2843_Arg2846del) results in an in-frame deletion in a repeat region that is predicted to remove 4 amino acids from the encoded protein. The variant allele was found at a frequency of 0.00024 in 246768 control chromosomes, predominantly at a frequency of 0.0012 within the African or African-American subpopulation in the gnomAD database. The observed variant frequency within African or African-American control individuals in the gnomAD database is approximately 6 fold of the estimated maximal expected allele frequency for a pathogenic variant in DSP causing Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy phenotype (0.0002). c.8508_8519delATCTCGCTCCGG has been reported in the literature in at least 1 individual affected with decreased left ventricular ejection fraction (example, Carrick_2024). It was also observed in at least 1 healthy control individual (example, Kapplinger_2011). To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 39011630, 36437915, 36212137, 25445213, 21636032). ClinVar contains an entry for this variant (Variation ID: 44975). Based on the evidence outlined above, the variant was classified as benign. -

Feb 18, 2015
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

p.Ser2843_Arg2846del in exon 24 of DSP: This variant is not expected to have cli nical significance because it has been identified in 0.4% (50/11494) of Latino c hromosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute .org). This in-frame deletion of four amino acids occurs within a region of repe ating amino acids. It can result from several different DNA deletions, and is pr esent in mammals (dolphin, opossum, and platypus) and other evolutionarily dista nt species. -

Cardiomyopathy Benign:2
Mar 04, 2021
CHEO Genetics Diagnostic Laboratory, Children's Hospital of Eastern Ontario
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 09, 2018
Color Diagnostics, LLC DBA Color Health
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Arrhythmogenic right ventricular dysplasia 8;C1854063:Arrhythmogenic cardiomyopathy with wooly hair and keratoderma Benign:1
Jan 17, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:1
Jul 17, 2018
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 27532257, 24503780, 21636032, 25445213, 31402444) -

Cardiovascular phenotype Benign:1
Sep 07, 2018
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

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: rs397516971; hg19: chr6-7585988; API