Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM1PM2PM5PP3_StrongPP5
The ENST00000379817.7(APTX):āc.602A>Gā(p.His201Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,156 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 Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. H201Q) has been classified as Pathogenic.
APTX (HGNC:15984): (aprataxin) This gene encodes a member of the histidine triad (HIT) superfamily. The encoded protein may play a role in single-stranded DNA repair through its nucleotide-binding activity and its diadenosine polyphosphate hydrolase activity. Mutations in this gene have been associated with ataxia-ocular apraxia. Alternatively spliced transcript variants have been identified for this gene.[provided by RefSeq, Aug 2010]
Verdict is Pathogenic. Variant got 11 ACMG points.
PM1
In a strand (size 6) in uniprot entity APTX_HUMAN there are 5 pathogenic changes around while only 0 benign (100%) in ENST00000379817.7
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr9-32984798-A-T is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.976
PP5
Variant 9-32984799-T-C is Pathogenic according to our data. Variant chr9-32984799-T-C is described in ClinVar as [Pathogenic]. Clinvar id is 4429.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr9-32984799-T-C is described in Lovd as [Pathogenic].