NM_003611.3:c.710delA

Variant summary

Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong

The NM_003611.3(OFD1):​c.710delA​(p.Lys237SerfsTer6) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000667 in 1,065,099 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.000067 ( 0 hom. 0 hem. )
Failed GnomAD Quality Control

Consequence

OFD1
NM_003611.3 frameshift

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 1.15

Publications

11 publications found
Variant links:
Genes affected
OFD1 (HGNC:2567): (OFD1 centriole and centriolar satellite protein) This gene is located on the X chromosome and encodes a centrosomal protein. A knockout mouse model has been used to study the effect of mutations in this gene. The mouse gene is also located on the X chromosome, however, unlike the human gene it is not subject to X inactivation. Mutations in this gene are associated with oral-facial-digital syndrome type I and Simpson-Golabi-Behmel syndrome type 2. Many pseudogenes have been identified; a single pseudogene is found on chromosome 5 while as many as fifteen have been found on the Y chromosome. [provided by RefSeq, Aug 2016]
OFD1 Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • Joubert syndrome 10
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • orofaciodigital syndrome I
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • retinitis pigmentosa 23
    Inheritance: XL Classification: STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • primary ciliary dyskinesia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • retinitis pigmentosa
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • orofaciodigital syndrome type 6
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Simpson-Golabi-Behmel syndrome type 2
    Inheritance: XL Classification: LIMITED Submitted by: G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 16 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant X-13746826-CA-C is Pathogenic according to our data. Variant chrX-13746826-CA-C is described in ClinVar as Pathogenic. ClinVar VariationId is 41142.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
OFD1NM_003611.3 linkc.710delA p.Lys237SerfsTer6 frameshift_variant Exon 8 of 23 ENST00000340096.11 NP_003602.1 O75665-1E9KL37

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
OFD1ENST00000340096.11 linkc.710delA p.Lys237SerfsTer6 frameshift_variant Exon 8 of 23 1 NM_003611.3 ENSP00000344314.6 O75665-1

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
0
AN:
106939
Hom.:
0
Cov.:
23
Gnomad AFR
AF:
0.00
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:
0.000198
AC:
30
AN:
151766
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.0000877
Gnomad AMR exome
AF:
0.000697
Gnomad ASJ exome
AF:
0.000164
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000174
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000667
AC:
71
AN:
1065099
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
342117
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.000356
AC:
9
AN:
25282
American (AMR)
AF:
0.000422
AC:
14
AN:
33188
Ashkenazi Jewish (ASJ)
AF:
0.0000534
AC:
1
AN:
18723
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29503
South Asian (SAS)
AF:
0.0000594
AC:
3
AN:
50479
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39931
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4002
European-Non Finnish (NFE)
AF:
0.0000525
AC:
43
AN:
819294
Other (OTH)
AF:
0.0000224
AC:
1
AN:
44697
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.231
Heterozygous variant carriers
0
14
28
43
57
71
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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
Data not reliable, filtered out with message: AC0;AS_VQSR
AF:
0.00
AC:
0
AN:
106939
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
30647
African (AFR)
AF:
0.00
AC:
0
AN:
29318
American (AMR)
AF:
0.00
AC:
0
AN:
10051
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2582
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3478
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2471
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5171
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
233
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
51538
Other (OTH)
AF:
0.00
AC:
0
AN:
1428
Alfa
AF:
0.00130
Hom.:
0

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

OFD1-related disorder Pathogenic:1
Jul 11, 2024
PreventionGenetics, part of Exact Sciences
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

The OFD1 c.710delA variant is predicted to result in a frameshift and premature protein termination (p.Lys237Serfs*6). This variant has been reported as having arisen de novo in at least two individuals with oral-facial-digital syndrome type 1 (Prattichizzo et al. 2008. PubMed ID: 18546297; Alby et al. 2018. PubMed ID: 29193896). This variant is reported in 0.068% of alleles in individuals of Latino descent in gnomAD; however, the quality of data at this position is questionable and should be interpreted with caution. Frameshift variants in OFD1 are expected to be pathogenic. This variant is classified as pathogenic. -

COACH syndrome Pathogenic:1
-
Credence Genomics
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Joubert syndrome;C1510460:Orofaciodigital syndrome I Pathogenic:1
Jul 01, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 41142). This sequence change creates a premature translational stop signal (p.Lys237Serfs*6) in the OFD1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in OFD1 are known to be pathogenic (PMID: 16783569, 18546297, 27081566). 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. This premature translational stop signal has been observed in individual(s) with oral-facial-digital syndrome type I (PMID: 18546297). In at least one individual the variant was observed to be de novo. -

Orofaciodigital syndrome I Pathogenic:1
Dec 21, 2023
Victorian Clinical Genetics Services, Murdoch Childrens Research Institute
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as Pathogenic. Following criteria are met: 0102 - Loss of function is a known mechanism of disease in this gene and is associated with orofaciodigital syndrome I (MIM#311200). (I) 0108 - This gene is associated with both recessive and dominant disease. Most conditions associated with this gene are X-linked recessive; however, orofaciodigital syndrome I (MIM#311200) is X-linked dominant. (I) 0115 - Variants in this gene are known to have variable expressivity. The same variants have been associated with several OFD1-related conditions and are known to have intrafamilial and interfamilial variability (PMID: 31373179; PMID: 23033313). (I) 0201 - Variant is predicted to cause nonsense-mediated decay (NMD) and loss of protein (premature termination codon is located at least 54 nucleotides upstream of the final exon-exon junction). (SP) 0251 - This variant is heterozygous. (I) 0302 - Variant is present in gnomAD (v2) <0.001; however, the data quality of this variant is poor in gnomAD and is likely to be an artefact. (I) 0701 - Other NMD predicted variants comparable to the one identified in this case have very strong previous evidence for pathogenicity (DECIPHER). (SP) 0801 - This variant has strong previous evidence of pathogenicity in unrelated individuals. This variant has been reported in ClinVar as pathogenic, and reported as de novo in at least two individuals with OFDI syndrome (PMID: 29193896, PMID: 18546297). (SP) 1208 - Inheritance information for this variant is not currently available in this individual. (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
1.2
Mutation Taster
=0/200
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.23
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.23
Position offset: -46

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

Publications

Other links and lift over

dbSNP: rs312262845; hg19: chrX-13764945; COSMIC: COSV60794081; API