9-78297247-GGTCCCGCCAAGCTGCCGCACTCAGTAA-G

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PVS1PP5_Moderate

The NM_058179.4(PSAT1):​c.43_60+9delGCCAAGCTGCCGCACTCAGTAAGTCCC​(p.Ala15_Ser20del) variant causes a splice donor, conservative inframe deletion, splice region, intron change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000499 in 1,601,808 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 34)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

PSAT1
NM_058179.4 splice_donor, conservative_inframe_deletion, splice_region, intron

Scores

Not classified

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 8.03

Publications

0 publications found
Variant links:
Genes affected
PSAT1 (HGNC:19129): (phosphoserine aminotransferase 1) This gene encodes a member of the class-V pyridoxal-phosphate-dependent aminotransferase family. The encoded protein is a phosphoserine aminotransferase and decreased expression may be associated with schizophrenia. Mutations in this gene are also associated with phosphoserine aminotransferase deficiency. Alternative splicing results in multiple transcript variants. Pseudogenes of this gene have been defined on chromosomes 1, 3, and 8. [provided by RefSeq, Jul 2013]
PSAT1 Gene-Disease associations (from GenCC):
  • neurometabolic disorder due to serine deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Neu-Laxova syndrome 2
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, Ambry Genetics
  • PSAT deficiency
    Inheritance: AR, AD Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • Neu-Laxova syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 10 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, LoF is a know mechanism of disease, Cryptic splice site detected, with MaxEntScore 6.1, offset of 29, new splice context is: cggGTgggt. Cryptic site results in frameshift change. If cryptic site found is not functional and variant results in exon loss, it results in frameshift change.
PP5
Variant 9-78297247-GGTCCCGCCAAGCTGCCGCACTCAGTAA-G is Pathogenic according to our data. Variant chr9-78297247-GGTCCCGCCAAGCTGCCGCACTCAGTAA-G is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 2140707.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_058179.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PSAT1
NM_058179.4
MANE Select
c.43_60+9delGCCAAGCTGCCGCACTCAGTAAGTCCCp.Ala15_Ser20del
splice_donor conservative_inframe_deletion splice_region intron
Exon 1 of 9NP_478059.1Q9Y617-1
PSAT1
NM_021154.5
c.43_60+9delGCCAAGCTGCCGCACTCAGTAAGTCCCp.Ala15_Ser20del
splice_donor conservative_inframe_deletion splice_region intron
Exon 1 of 8NP_066977.1Q9Y617-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PSAT1
ENST00000376588.4
TSL:1 MANE Select
c.43_60+9delGCCAAGCTGCCGCACTCAGTAAGTCCCp.Ala15_Ser20del
splice_donor conservative_inframe_deletion splice_region intron
Exon 1 of 9ENSP00000365773.3Q9Y617-1
PSAT1
ENST00000347159.6
TSL:1
c.43_60+9delGCCAAGCTGCCGCACTCAGTAAGTCCCp.Ala15_Ser20del
splice_donor conservative_inframe_deletion splice_region intron
Exon 1 of 8ENSP00000317606.2Q9Y617-2
PSAT1
ENST00000906296.1
c.43_60+9delGCCAAGCTGCCGCACTCAGTAAGTCCCp.Ala15_Ser20del
splice_donor conservative_inframe_deletion splice_region intron
Exon 1 of 9ENSP00000576355.1

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152208
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000723
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000437
AC:
1
AN:
228960
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.0000696
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000345
AC:
5
AN:
1449600
Hom.:
0
AF XY:
0.00000277
AC XY:
2
AN XY:
721234
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.000150
AC:
5
AN:
33378
American (AMR)
AF:
0.00
AC:
0
AN:
44322
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25996
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39522
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85352
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
45306
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5268
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1110458
Other (OTH)
AF:
0.00
AC:
0
AN:
59998
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0000805303), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.365
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152208
Hom.:
0
Cov.:
34
AF XY:
0.0000134
AC XY:
1
AN XY:
74368
show subpopulations
African (AFR)
AF:
0.0000723
AC:
3
AN:
41466
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68026
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000378

ClinVar

ClinVar submissions
Significance:Likely pathogenic
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Neu-Laxova syndrome 2 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
8.0
Mutation Taster
=7/193
disease causing (fs/PTC)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs919827103; hg19: chr9-80912163; API