NM_000288.4:c.86C>T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_000288.4(PEX7):​c.86C>T​(p.Pro29Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000296 in 1,488,770 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P29A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 35)
Exomes 𝑓: 0.000029 ( 0 hom. )

Consequence

PEX7
NM_000288.4 missense

Scores

4
11
3

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:6

Conservation

PhyloP100: 1.40

Publications

0 publications found
Variant links:
Genes affected
PEX7 (HGNC:8860): (peroxisomal biogenesis factor 7) This gene encodes the cytosolic receptor for the set of peroxisomal matrix enzymes targeted to the organelle by the peroxisome targeting signal 2 (PTS2). Defects in this gene cause peroxisome biogenesis disorders (PBDs), which are characterized by multiple defects in peroxisome function. There are at least 14 complementation groups for PBDs, with more than one phenotype being observed in cases falling into particular complementation groups. Although the clinical features of PBD patients vary, cells from all PBD patients exhibit a defect in the import of one or more classes of peroxisomal matrix proteins into the organelle. Defects in this gene have been associated with PBD complementation group 11 (PBD-CG11) disorders, rhizomelic chondrodysplasia punctata type 1 (RCDP1), and Refsum disease (RD). [provided by RefSeq, Oct 2008]
PEX7 Gene-Disease associations (from GenCC):
  • peroxisome biogenesis disorder
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • peroxisome biogenesis disorder 9B
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • rhizomelic chondrodysplasia punctata type 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, Myriad Women’s Health
  • adult Refsum disease
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000288.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PEX7
NM_000288.4
MANE Select
c.86C>Tp.Pro29Leu
missense
Exon 1 of 10NP_000279.1Q6FGN1
PEX7
NM_001410945.1
c.-613C>T
upstream_gene
N/ANP_001397874.1A0A7I2V2J8

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PEX7
ENST00000318471.5
TSL:1 MANE Select
c.86C>Tp.Pro29Leu
missense
Exon 1 of 10ENSP00000315680.3O00628-1
PEX7
ENST00000865443.1
c.86C>Tp.Pro29Leu
missense
Exon 1 of 9ENSP00000535502.1
PEX7
ENST00000865442.1
c.86C>Tp.Pro29Leu
missense
Exon 1 of 7ENSP00000535501.1

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
AN:
151960
Hom.:
0
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.0000725
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:
0.00318
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000337
AC:
3
AN:
89132
AF XY:
0.0000593
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000605
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000292
AC:
39
AN:
1336702
Hom.:
0
Cov.:
33
AF XY:
0.0000303
AC XY:
20
AN XY:
659500
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26964
American (AMR)
AF:
0.00
AC:
0
AN:
29852
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23332
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30394
South Asian (SAS)
AF:
0.0000401
AC:
3
AN:
74796
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
33462
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3964
European-Non Finnish (NFE)
AF:
0.0000321
AC:
34
AN:
1058572
Other (OTH)
AF:
0.0000361
AC:
2
AN:
55366
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.529
Heterozygous variant carriers
0
3
6
10
13
16
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:
0.0000329
AC:
5
AN:
152068
Hom.:
0
Cov.:
35
AF XY:
0.0000403
AC XY:
3
AN XY:
74370
show subpopulations
African (AFR)
AF:
0.0000722
AC:
3
AN:
41524
American (AMR)
AF:
0.00
AC:
0
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5158
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10556
Middle Eastern (MID)
AF:
0.00342
AC:
1
AN:
292
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67936
Other (OTH)
AF:
0.00
AC:
0
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000281
AC:
1
Asia WGS
AF:
0.000290
AC:
1
AN:
3462

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not provided (2)
-
1
-
Inborn genetic diseases (1)
-
1
-
Peroxisome biogenesis disorder 9B (1)
-
1
-
Phytanic acid storage disease;C1859133:Rhizomelic chondrodysplasia punctata type 1;C2749346:Peroxisome biogenesis disorder 9B (1)
-
1
-
Rhizomelic chondrodysplasia punctata (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.15
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.22
T
Eigen
Uncertain
0.55
Eigen_PC
Uncertain
0.53
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Benign
0.82
T
M_CAP
Pathogenic
0.90
D
MetaRNN
Uncertain
0.52
D
MetaSVM
Uncertain
0.62
D
MutationAssessor
Uncertain
2.6
M
PhyloP100
1.4
PrimateAI
Pathogenic
0.85
D
PROVEAN
Pathogenic
-5.8
D
REVEL
Uncertain
0.52
Sift
Uncertain
0.012
D
Sift4G
Uncertain
0.022
D
Polyphen
1.0
D
Vest4
0.22
MutPred
0.45
Loss of glycosylation at P29 (P = 0.07)
MVP
1.0
MPC
0.37
ClinPred
0.93
D
GERP RS
4.5
PromoterAI
0.075
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.51
gMVP
0.67
Mutation Taster
=81/19
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs757852291; hg19: chr6-137143889; API