Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_014679.5(CEP57):c.241C>T(p.Arg81*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,728 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 (★). Variant results in nonsense mediated mRNA decay.
CEP57 (HGNC:30794): (centrosomal protein 57) This gene encodes a cytoplasmic protein called Translokin. This protein localizes to the centrosome and has a function in microtubular stabilization. The N-terminal half of this protein is required for its centrosome localization and for its multimerization, and the C-terminal half is required for nucleating, bundling and anchoring microtubules to the centrosomes. This protein specifically interacts with fibroblast growth factor 2 (FGF2), sorting nexin 6, Ran-binding protein M and the kinesins KIF3A and KIF3B, and thus mediates the nuclear translocation and mitogenic activity of the FGF2. It also interacts with cyclin D1 and controls nucleocytoplasmic distribution of the cyclin D1 in quiescent cells. This protein is crucial for maintaining correct chromosomal number during cell division. Mutations in this gene cause mosaic variegated aneuploidy syndrome, a rare autosomal recessive disorder. Multiple alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Aug 2011]
Our verdict: Pathogenic. The variant received 12 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-95812970-C-T is Pathogenic according to our data. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-95812970-C-T is described in CliVar as Pathogenic. Clinvar id is 30692.Status of the report is criteria_provided_single_submitter, 1 stars.
For these reasons, this variant has been classified as Pathogenic. Loss-of-function variants in CEP57 are known to be pathogenic (PMID: 21552266, 24259107). This variant has been observed in an individual affected with mosaic variegated aneuploidy syndrome (PMID: 21552266). ClinVar contains an entry for this variant (Variation ID: 30692). This variant is present in population databases (rs387906977, ExAC 0.001%). This sequence change creates a premature translational stop signal (p.Arg81*) in the CEP57 gene. It is expected to result in an absent or disrupted protein product. -