NM_032492.4:c.3G>A
Variant summary
Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PVS1_ModeratePS1_ModeratePM2PP5
The NM_032492.4(JAGN1):c.3G>A(p.Met1?) variant causes a start lost change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000187 in 1,607,564 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 Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_032492.4 start_lost
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_pathogenic. Variant got 7 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
JAGN1 | ENST00000647897.1 | c.3G>A | p.Met1? | start_lost | Exon 1 of 2 | NM_032492.4 | ENSP00000496942.1 | |||
JAGN1 | ENST00000489724.2 | c.3G>A | p.Met1? | start_lost | Exon 1 of 2 | 3 | ENSP00000497724.1 |
Frequencies
GnomAD3 genomes AF: 0.0000328 AC: 5AN: 152220Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000383 AC: 9AN: 234802Hom.: 0 AF XY: 0.0000157 AC XY: 2AN XY: 127606
GnomAD4 exome AF: 0.0000172 AC: 25AN: 1455344Hom.: 0 Cov.: 31 AF XY: 0.0000111 AC XY: 8AN XY: 723436
GnomAD4 genome AF: 0.0000328 AC: 5AN: 152220Hom.: 0 Cov.: 32 AF XY: 0.0000403 AC XY: 3AN XY: 74366
ClinVar
Submissions by phenotype
Autosomal recessive severe congenital neutropenia due to JAGN1 deficiency Pathogenic:2Uncertain:1
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This sequence change affects the initiator methionine of the JAGN1 mRNA. The next in-frame methionine is located at codon 25. This variant is present in population databases (rs587777727, gnomAD 0.02%). Disruption of the initiator codon has been observed in individual(s) with primary immunodeficiency and/or severe congenital neutropenia (PMID: 25129144, 32888943, 33718801). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 156113). This variant disrupts the p.Met1 amino acid residue in JAGN1. Other variant(s) that disrupt this residue have been determined to be benign based on frequency in the population databases (c.1A>G, ExAC). Therefore the functional significance of this variant is uncertain. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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Severe congenital neutropenia Pathogenic:1
Neutropenia patients with mutations in JAGN1 respond poorly to treatment with recombinant human G-CSF -
not provided Uncertain:1
Initiation codon variant in a gene for which loss-of-function is not a known mechanism of disease; Another variant affecting the initiation codon, c.1A>G, is observed in 0.35% (940/266206 alleles) in large population cohorts, including 14 homozygous observations (Lek et al., 2016); This variant is associated with the following publications: (PMID: 32419428, 25129144, 32888943, 33718801) -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at