9-137200476-AGCCGCGCCCCC-AGCCGCGCCCCCGCCGCGCCCCC
Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_001128228.3(TPRN):c.235_236insGGGGGCGCGGC(p.Leu79ArgfsTer375) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00005 in 1,118,928 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.000055 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000049 ( 0 hom. )
Consequence
TPRN
NM_001128228.3 frameshift
NM_001128228.3 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: -0.380
Genes affected
TPRN (HGNC:26894): (taperin) This locus encodes a sensory epithelial protein. It was defined by linkage analysis in three Pakistani families to lie between D9S1818 (centromeric) and D9SH6 (telomeric). Mutations at this locus have been associated with autosomal recessive deafness. [provided by RefSeq, Oct 2010]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 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 9-137200476-A-AGCCGCGCCCCC is Pathogenic according to our data. Variant chr9-137200476-A-AGCCGCGCCCCC is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1180831.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
TPRN | NM_001128228.3 | c.235_236insGGGGGCGCGGC | p.Leu79ArgfsTer375 | frameshift_variant | 1/4 | ENST00000409012.6 | NP_001121700.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
TPRN | ENST00000409012.6 | c.235_236insGGGGGCGCGGC | p.Leu79ArgfsTer375 | frameshift_variant | 1/4 | 1 | NM_001128228.3 | ENSP00000387100 | P1 | |
TPRN | ENST00000541945.1 | n.90+3627_90+3628insGGGGGCGCGGC | intron_variant, non_coding_transcript_variant | 4 |
Frequencies
GnomAD3 genomes AF: 0.0000549 AC: 8AN: 145768Hom.: 0 Cov.: 31
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GnomAD4 exome AF: 0.0000493 AC: 48AN: 973068Hom.: 0 Cov.: 32 AF XY: 0.0000513 AC XY: 24AN XY: 468164
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GnomAD4 genome AF: 0.0000548 AC: 8AN: 145860Hom.: 0 Cov.: 31 AF XY: 0.0000282 AC XY: 2AN XY: 71040
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ClinVar
Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | May 02, 2023 | 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. For these reasons, this variant has been classified as Pathogenic. This variant has not been reported in the literature in individuals affected with TPRN-related conditions. This sequence change creates a premature translational stop signal (p.Leu79Argfs*375) in the TPRN gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in TPRN are known to be pathogenic (PMID: 20170898, 20170899). - |
Likely pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Jan 18, 2023 | Frameshift 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 significant frequency in large population cohorts (gnomAD); Has not been previously published as pathogenic or benign to our knowledge - |
Ear malformation Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | Kariminejad - Najmabadi Pathology & Genetics Center | Jul 10, 2021 | - - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at