7-157367416-C-G
Variant summary
Our verdict is Pathogenic. The variant received 21 ACMG points: 21P and 0B. PS1_Very_StrongPM1PM2PP3PP5_Very_Strong
The NM_058246.4(DNAJB6):c.279C>G(p.Phe93Leu) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Pathogenic in ClinVar. Synonymous variant affecting the same amino acid position (i.e. F93F) has been classified as Likely benign.
Frequency
Consequence
NM_058246.4 missense
Scores
Clinical Significance
Conservation
Publications
- muscular dystrophy, limb-girdle, autosomal dominantInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- autosomal dominant limb-girdle muscular dystrophy type 1D (DNAJB6)Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 21 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| DNAJB6 | NM_058246.4 | c.279C>G | p.Phe93Leu | missense_variant | Exon 5 of 10 | ENST00000262177.9 | NP_490647.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| DNAJB6 | ENST00000262177.9 | c.279C>G | p.Phe93Leu | missense_variant | Exon 5 of 10 | 1 | NM_058246.4 | ENSP00000262177.4 |
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD4 exome Cov.: 29
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
not provided Pathogenic:5
This variant has not been reported in large, multi-ethnic general populations (http://gnomad.broadinstitute.org). This variant has been identified in multiple unrelated individuals with clinical features associated with this gene. Assessment of experimental evidence suggests this variant results in abnormal protein function. In vitro and in vivo experiments showed that this variant has a dominant toxic effect on the wild-type protein (PMID: 22366786). -
PP1_strong, PM1, PM2, PS3, PS4 -
The pathogenic F93L variant in the DNAJB6 gene has been reported multiple times in association with LGMD1D (Sarparanta et al., 2012; Sato et al., 2013; Sandell et al., 2016). Functional studies indicate that F93L increases the half-life of DNAJB6, which results in the toxic aggregation of DNAJB6 protein and its binding partners (Sarparanta et al., 2012). The F93L variant is not observed in large population cohorts (Lek et al., 2016; 1000 Genomes Consortium et al., 2015; Exome Variant Server). Although F93L is a conservative amino acid substitution, which is not likely to impact secondary protein structure as these residues share similar properties, this substitution occurs at a position that is conserved across species. Additionally, missense variants in the same residue (F93I) and in nearby residues (F89I; F91I; P96R) have been reported in the Human Gene Mutation Database in association with myopathy (Stenson et al., 2014), supporting the functional importance of this region of the protein. Therefore, we interpret F93L as a pathogenic variant, and its presence is consistent with a diagnosis of LGMD1D. -
DNAJB6: PS1, PM2, PM5, PP3, PS3:Supporting -
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Autosomal dominant limb-girdle muscular dystrophy type 1D (DNAJB6) Pathogenic:4
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This sequence change replaces phenylalanine, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 93 of the DNAJB6 protein (p.Phe93Leu). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individuals with autosomal dominant limb-girdle muscular dystrophy (PMID: 22334415, 26205529, 26847086, 28794355). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 31529). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt DNAJB6 protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects DNAJB6 function (PMID: 26847086). For these reasons, this variant has been classified as Pathogenic. -
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at