NM_024598.4:c.266-1G>A

Variant names:

• chr16-58009928-G-A
• rs1555498092
• NM_024598.4:c.266-1G>A

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1_Strong PS3 PM2 PP5_Very_Strong

The NM_024598.4(USB1):​c.266-1G>A variant causes a splice acceptor, intron change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★★). ClinVar reports functional evidence for this variant: "SCV005040434: The variant was absent in 251484 control chromosomes (gnomAD). c.266-1G>A has been reported in the literature in individuals affected with Poikiloderma With Neutropenia (example: Clericuzio_2011, Rattanavalai_2012). These data indicate that the variant is likely to be associated with disease. PMID:21271650, 21967010 no" and additional evidence is available in ClinVar.

• Frequency: Genomes: not found (cov: 31)
• Consequence: USB1 NM_024598.4 splice_acceptor, intron
• Scores: Splicing: ADA: 1.000
• Clinical Significance: Pathogenic criteria provided, multiple submitters, no conflicts P:3 O:1
• Conservation: PhyloP100: 8.99
• Publications: 3 publications found

Genes affected

USB1 (HGNC:25792): (U6 snRNA biogenesis phosphodiesterase 1) This gene encodes a protein with several conserved domains, however, its exact function is not known. Mutations in this gene are associated with poikiloderma with neutropenia (PN), which shows phenotypic overlap with Rothmund-Thomson syndrome (RTS) caused by mutations in the RECQL4 gene. It is believed that this gene product interacts with RECQL4 protein via SMAD4 proteins, explaining the partial clinical overlap between PN and RTS. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Mar 2011]

USB1 Gene-Disease associations (from GenCC):

• poikiloderma with neutropenia

  Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Orphanet
• dyskeratosis congenita

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Pathogenic. The variant received 18 ACMG points.

• PVS1: Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.23057644 fraction of the gene. Cryptic splice site detected, with MaxEntScore 4, offset of 6, new splice context is: ctcctcccctccaaatgaAGcca. Cryptic site results in inframe change. If cryptic site found is not functional and variant results in exon loss, it results in frameshift change.
• PS3: PS3 evidence extracted from ClinVar submissions: SCV005040434: The variant was absent in 251484 control chromosomes (gnomAD). c.266-1G>A has been reported in the literature in individuals affected with Poikiloderma With Neutropenia (example: Clericuzio_2011, Rattanavalai_2012). These data indicate that the variant is likely to be associated with disease. PMID: 21271650, 21967010 no; SCV001583983: Experimental studies have shown that this variant disrupts mRNA splicing (PMID: 21271650).
• PM2: Very rare variant in population databases, with high coverage
• PP5: Variant 16-58009928-G-A is Pathogenic according to our data. Variant chr16-58009928-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 496754.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_024598.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	USB1	NM_024598.4	MANE Select	c.266-1G>A		splice_acceptor intron	N/A	NP_078874.2
	USB1	NM_001195302.2		c.266-1G>A		splice_acceptor intron	N/A	NP_001182231.1	Q9BQ65-2
	USB1	NM_001330568.2		c.113-1G>A		splice_acceptor intron	N/A	NP_001317497.1	H3BNM8

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	USB1	ENST00000219281.8	TSL:1 MANE Select	c.266-1G>A		splice_acceptor intron	N/A	ENSP00000219281.3	Q9BQ65-1
	USB1	ENST00000561568.6	TSL:4	c.227-1G>A		splice_acceptor intron	N/A	ENSP00000457322.2	H3BTT8
	USB1	ENST00000539737.6	TSL:2	c.266-1G>A		splice_acceptor intron	N/A	ENSP00000446143.2	Q9BQ65-2

Frequencies

GnomAD3 genomes Cov.: 31

GnomAD4 exome Cov.: 31

GnomAD4 genome Cov.: 31

ClinVar

ClinVar submissions

Significance: Pathogenic

Revision: criteria provided, multiple submitters, no conflicts

Pathogenic	VUS	Benign	Condition
2	-	-	Poikiloderma with neutropenia (3)
1	-	-	not provided (1)

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_addAF	Pathogenic	0.62	D
BayesDel_noAF	Pathogenic	0.37
CADD	Pathogenic	31
DANN	Uncertain	0.99
Eigen	Pathogenic	1.2
Eigen_PC	Pathogenic	1.0
FATHMM_MKL	Pathogenic	1.0	D
PhyloP100		9.0
GERP RS		5.3
Mutation Taster		=0/100	disease causing (ClinVar)

Splicing

Name	Calibrated prediction	Score	Prediction
dbscSNV1_ADA	Pathogenic	1.0
dbscSNV1_RF	Pathogenic	0.94
SpliceAI score (max)		0.94		Details are displayed if max score is > 0.2
DS_AL_spliceai		0.94		Position offset: 1

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

Other links and lift over

dbSNP: rs1555498092; hg19: chr16-58043832;