8-100213262-TGCG-TGCGGCG
Variant summary
Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PM4_Supporting
The NM_003114.5(SPAG1):c.1283_1285dupCGG(p.Ala428dup) variant causes a disruptive inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000593 in 1,213,158 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_003114.5 disruptive_inframe_insertion
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 3 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
SPAG1 | ENST00000388798.7 | c.1283_1285dupCGG | p.Ala428dup | disruptive_inframe_insertion | Exon 11 of 19 | 1 | NM_003114.5 | ENSP00000373450.3 | ||
SPAG1 | ENST00000251809.4 | c.1283_1285dupCGG | p.Ala428dup | disruptive_inframe_insertion | Exon 11 of 19 | 5 | ENSP00000251809.3 | |||
SPAG1 | ENST00000523302.1 | n.190_192dupCGG | non_coding_transcript_exon_variant | Exon 1 of 3 | 3 |
Frequencies
GnomAD3 genomes AF: 0.0000469 AC: 7AN: 149410Hom.: 0 Cov.: 33
GnomAD4 exome AF: 0.0000611 AC: 65AN: 1063646Hom.: 0 Cov.: 32 AF XY: 0.0000474 AC XY: 24AN XY: 505802
GnomAD4 genome AF: 0.0000468 AC: 7AN: 149512Hom.: 0 Cov.: 33 AF XY: 0.0000411 AC XY: 3AN XY: 73018
ClinVar
Submissions by phenotype
Primary ciliary dyskinesia 28 Uncertain:2
This variant was determined to be of uncertain significance according to ACMG Guidelines, 2015 [PMID:25741868]. -
This variant, c.1283_1285dup, results in the insertion of 1 amino acid(s) of the SPAG1 protein (p.Ala428dup), but otherwise preserves the integrity of the reading frame. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with SPAG1-related conditions. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Primary ciliary dyskinesia Uncertain:1
The c.1283_1285dupCGG variant (also known as p.A428dup), located in coding exon 10 of the SPAG1 gene, results from an in-frame duplication of CGG at nucleotide positions 1283 to 1285. This results in the duplication of an extra alanine residue between codons 428 and 429, located in a four alanine string. This amino acid position is not well conserved in available vertebrate species. Since supporting evidence is conflicting at this time, the clinical significance of this alteration remains unclear. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at