Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_001382391.1(CSPP1):c.1105C>T(p.Arg369*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000551 in 1,452,916 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.
CSPP1 (HGNC:26193): (centrosome and spindle pole associated protein 1) This gene encodes a centrosome and spindle pole associated protein. The encoded protein plays a role in cell-cycle progression and spindle organization, regulates cytokinesis, interacts with Nephrocystin 8 and is required for cilia formation. Mutations in this gene result in primary cilia abnormalities and classical Joubert syndrome. Alternatively spliced transcript variants encoding distinct isoforms have been found for this gene. [provided by RefSeq, Apr 2014]
Our verdict: Pathogenic. The variant received 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 8-67111983-C-T is Pathogenic according to our data. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-67111983-C-T is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 217646.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
For these reasons, this variant has been classified as Pathogenic. This sequence change creates a premature translational stop signal (p.Arg378*) in the CSPP1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in CSPP1 are known to be pathogenic (PMID: 24360807, 24360808). This variant is present in population databases (rs374703898, gnomAD 0.02%). This premature translational stop signal has been observed in individual(s) with Joubert syndrome (PMID: 24360808). ClinVar contains an entry for this variant (Variation ID: 217646). -
Feb 23, 2015
UW Hindbrain Malformation Research Program, University of Washington
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:research
- -
not providedPathogenic:1
Jun 11, 2019
GeneDx
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
Previously reported in two siblings Joubert syndrome who had a second variant in CSPP1; however, information regarding the phase of the variants was not available, and it is unclear if these siblings were evaluated for other genes associated with Joubert syndrome (Tuz et al., 2014; Bachmann-Gagescu et al., 2015); Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Not observed at a significant frequency in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 26092869, 24360808) -