NM_024649.5:c.416G>A

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_024649.5(BBS1):​c.416G>A​(p.Trp139*) variant causes a stop gained change. The variant allele was found at a frequency of 0.00000186 in 1,612,152 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

BBS1
NM_024649.5 stop_gained

Scores

5
1
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3O:1

Conservation

PhyloP100: 5.78

Publications

1 publications found
Variant links:
Genes affected
BBS1 (HGNC:966): (Bardet-Biedl syndrome 1) Mutations in this gene have been observed in patients with the major form (type 1) of Bardet-Biedl syndrome. The encoded protein may play a role in eye, limb, cardiac and reproductive system development. [provided by RefSeq, Jul 2008]
BBS1 Gene-Disease associations (from GenCC):
  • Bardet-Biedl syndrome 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Myriad Women’s Health, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Bardet-Biedl syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 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 11-66514662-G-A is Pathogenic according to our data. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr11-66514662-G-A is described in CliVar as Pathogenic/Likely_pathogenic. Clinvar id is 241521.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
BBS1NM_024649.5 linkc.416G>A p.Trp139* stop_gained Exon 4 of 17 ENST00000318312.12 NP_078925.3 Q8NFJ9-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BBS1ENST00000318312.12 linkc.416G>A p.Trp139* stop_gained Exon 4 of 17 1 NM_024649.5 ENSP00000317469.7 Q8NFJ9-1
ENSG00000256349ENST00000419755.3 linkc.527G>A p.Trp176* stop_gained Exon 4 of 17 2 ENSP00000398526.3

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152126
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.00000401
AC:
1
AN:
249352
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.0000617
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1460026
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
726462
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33478
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86248
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51600
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
8.99e-7
AC:
1
AN:
1111996
Other (OTH)
AF:
0.00
AC:
0
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
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

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:
0.00000657
AC:
1
AN:
152126
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74300
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41424
American (AMR)
AF:
0.00
AC:
0
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5194
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68030
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Bardet-Biedl syndrome Pathogenic:1Other:1
Oct 05, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change creates a premature translational stop signal (p.Trp139*) in the BBS1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in BBS1 are known to be pathogenic (PMID: 12118255, 21520335, 27032803). This variant is present in population databases (no rsID available, gnomAD 0.008%). This variant has not been reported in the literature in individuals affected with BBS1-related conditions. ClinVar contains an entry for this variant (Variation ID: 241521). For these reasons, this variant has been classified as Pathogenic. -

-
GenomeConnect, ClinGen
Significance:not provided
Review Status:no classification provided
Collection Method:phenotyping only

GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. -

Bardet-Biedl syndrome 1 Pathogenic:1
May 31, 2022
Greenwood Genetic Center Diagnostic Laboratories, Greenwood Genetic Center
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PVS1, PM2 -

BBS1-related disorder Pathogenic:1
Jun 19, 2024
PreventionGenetics, part of Exact Sciences
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing

The BBS1 c.416G>A variant is predicted to result in premature protein termination (p.Trp139*). To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.0080% of alleles in individuals of African descent in gnomAD. Nonsense variants in BBS1 are expected to be pathogenic (see, Muller et al. 2010. PubMed ID: 20177705). This variant is interpreted as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.50
D
BayesDel_noAF
Pathogenic
0.65
CADD
Pathogenic
40
DANN
Uncertain
0.99
Eigen
Pathogenic
0.88
Eigen_PC
Pathogenic
0.74
FATHMM_MKL
Pathogenic
0.99
D
PhyloP100
5.8
Vest4
0.39
ClinPred
0.93
D
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=3/197
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs878855095; hg19: chr11-66282133; API