NM_004415.4:c.4077C>T
Variant names: 
Variant summary
Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6_Very_StrongBP7
The NM_004415.4(DSP):c.4077C>T(p.Ile1359Ile) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000806 in 1,613,626 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
 Genomes: 𝑓 0.0000066   (  0   hom.,  cov: 32) 
 Exomes 𝑓:  0.0000082   (  0   hom.  ) 
Consequence
 DSP
NM_004415.4 synonymous
NM_004415.4 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  1.03  
Publications
0 publications found 
Genes affected
 DSP  (HGNC:3052):  (desmoplakin) This gene encodes a protein that anchors intermediate filaments to desmosomal plaques and forms an obligate component of functional desmosomes. Mutations in this gene are the cause of several cardiomyopathies and keratodermas, including skin fragility-woolly hair syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016] 
DSP Gene-Disease associations (from GenCC):
- arrhythmogenic right ventricular dysplasia 8Inheritance: AD, AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
- keratosis palmoplantaris striata 2Inheritance: AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: G2P, Ambry Genetics, Genomics England PanelApp
- skin fragility-woolly hair-palmoplantar keratoderma syndromeInheritance: AD, AR Classification: DEFINITIVE, STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, G2P, Genomics England PanelApp, Ambry Genetics
- arrhythmogenic cardiomyopathy with wooly hair and keratodermaInheritance: AR, AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Genomics England PanelApp, ClinGen, Orphanet, Ambry Genetics
- cardiomyopathy, dilated, with wooly hair, keratoderma, and tooth agenesisInheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
- lethal acantholytic epidermolysis bullosaInheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: PanelApp Australia, Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet
- familial isolated dilated cardiomyopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- striate palmoplantar keratodermaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- severe dermatitis-multiple allergies-metabolic wasting syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- hypertrophic cardiomyopathyInheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -13 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.47). 
BP6
Variant 6-7580267-C-T is Benign according to our data. Variant chr6-7580267-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 534336.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BP7
Synonymous conserved (PhyloP=1.03 with no splicing effect.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| DSP | NM_004415.4 | c.4077C>T | p.Ile1359Ile | synonymous_variant | Exon 23 of 24 | ENST00000379802.8 | NP_004406.2 | |
| DSP | NM_001319034.2 | c.4050+27C>T | intron_variant | Intron 23 of 23 | NP_001305963.1 | |||
| DSP | NM_001008844.3 | c.3582+495C>T | intron_variant | Intron 23 of 23 | NP_001008844.1 | 
Ensembl
Frequencies
GnomAD3 genomes  0.00000658  AC: 1AN: 152040Hom.:  0  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
1
AN: 
152040
Hom.: 
Cov.: 
32
Gnomad AFR 
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Gnomad OTH 
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GnomAD2 exomes  AF:  0.00000399  AC: 1AN: 250432 AF XY:  0.00000738   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1
AN: 
250432
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Gnomad AFR exome 
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GnomAD4 exome  AF:  0.00000821  AC: 12AN: 1461586Hom.:  0  Cov.: 32 AF XY:  0.00000688  AC XY: 5AN XY: 727084 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
12
AN: 
1461586
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
5
AN XY: 
727084
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33448
American (AMR) 
 AF: 
AC: 
0
AN: 
44698
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26126
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39698
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86192
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53348
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
10
AN: 
1111928
Other (OTH) 
 AF: 
AC: 
2
AN: 
60380
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.467 
Heterozygous variant carriers
 0 
 1 
 2 
 4 
 5 
 6 
 0.00 
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 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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Age
GnomAD4 genome  0.00000658  AC: 1AN: 152040Hom.:  0  Cov.: 32 AF XY:  0.0000135  AC XY: 1AN XY: 74274 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
1
AN: 
152040
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
1
AN XY: 
74274
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
41380
American (AMR) 
 AF: 
AC: 
0
AN: 
15262
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3466
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5178
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4818
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10606
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
1
AN: 
68016
Other (OTH) 
 AF: 
AC: 
0
AN: 
2088
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.425 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Variant carriers
 0 
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 10 
 <30 
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Age
Alfa 
 AF: 
Hom.: 
Bravo 
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EpiCase 
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EpiControl 
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ClinVar
Significance: Likely benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Arrhythmogenic right ventricular dysplasia 8;C1854063:Arrhythmogenic cardiomyopathy with wooly hair and keratoderma    Benign:1 
Jul 07, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Cardiomyopathy    Benign:1 
Jan 28, 2020
Color Diagnostics, LLC DBA Color Health
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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