NM_173660.5:c.752C>T

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_173660.5(DOK7):​c.752C>T​(p.Ala251Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000369 in 1,572,398 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A251E) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000086 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000032 ( 0 hom. )

Consequence

DOK7
NM_173660.5 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:5

Conservation

PhyloP100: 0.361

Publications

0 publications found
Variant links:
Genes affected
DOK7 (HGNC:26594): (docking protein 7) The protein encoded by this gene is essential for neuromuscular synaptogenesis. The protein functions in aneural activation of muscle-specific receptor kinase, which is required for postsynaptic differentiation, and in the subsequent clustering of the acetylcholine receptor in myotubes. This protein can also induce autophosphorylation of muscle-specific receptor kinase. Mutations in this gene are a cause of familial limb-girdle myasthenia autosomal recessive, which is also known as congenital myasthenic syndrome type 1B. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
DOK7 Gene-Disease associations (from GenCC):
  • congenital myasthenic syndrome 10
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
  • fetal akinesia deformation sequence 3
    Inheritance: AR Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • fetal akinesia deformation sequence 1
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • postsynaptic congenital myasthenic syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.019193053).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_173660.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DOK7
NM_173660.5
MANE Select
c.752C>Tp.Ala251Val
missense
Exon 6 of 7NP_775931.3
DOK7
NM_001301071.2
c.752C>Tp.Ala251Val
missense
Exon 6 of 10NP_001288000.1Q18PE1-3
DOK7
NM_001363811.2
c.320C>Tp.Ala107Val
missense
Exon 4 of 8NP_001350740.1A0A2R8Y701

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
DOK7
ENST00000340083.6
TSL:1 MANE Select
c.752C>Tp.Ala251Val
missense
Exon 6 of 7ENSP00000344432.5Q18PE1-1
DOK7
ENST00000513995.1
TSL:1
n.410C>T
non_coding_transcript_exon
Exon 2 of 3
DOK7
ENST00000643608.1
c.320C>Tp.Ala107Val
missense
Exon 4 of 8ENSP00000495701.1A0A2R8Y701

Frequencies

GnomAD3 genomes
AF:
0.0000855
AC:
13
AN:
152020
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000386
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000109
AC:
20
AN:
183004
AF XY:
0.000123
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000284
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000499
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000397
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000317
AC:
45
AN:
1420378
Hom.:
0
Cov.:
31
AF XY:
0.0000313
AC XY:
22
AN XY:
702502
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32702
American (AMR)
AF:
0.000229
AC:
9
AN:
39218
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25344
East Asian (EAS)
AF:
0.000373
AC:
14
AN:
37534
South Asian (SAS)
AF:
0.0000742
AC:
6
AN:
80852
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49502
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5718
European-Non Finnish (NFE)
AF:
0.0000119
AC:
13
AN:
1090740
Other (OTH)
AF:
0.0000510
AC:
3
AN:
58768
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
3
7
10
14
17
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:
0.0000855
AC:
13
AN:
152020
Hom.:
0
Cov.:
32
AF XY:
0.0000943
AC XY:
7
AN XY:
74256
show subpopulations
African (AFR)
AF:
0.000169
AC:
7
AN:
41374
American (AMR)
AF:
0.000131
AC:
2
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.000386
AC:
2
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
67972
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.540
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.0000330
Hom.:
0
Bravo
AF:
0.000166
ESP6500AA
AF:
0.000230
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000760
AC:
9

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
not provided (3)
-
1
-
Fetal akinesia deformation sequence 1;C1850792:Congenital myasthenic syndrome 10 (1)
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.074
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
9.4
DANN
Benign
0.85
DEOGEN2
Benign
0.11
T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.027
N
LIST_S2
Benign
0.11
T
M_CAP
Benign
0.037
D
MetaRNN
Benign
0.019
T
MetaSVM
Benign
-1.0
T
PhyloP100
0.36
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.039
Sift
Benign
0.28
T
Sift4G
Benign
0.27
T
Polyphen
0.0010
B
Vest4
0.14
MVP
0.38
MPC
0.0045
ClinPred
0.051
T
GERP RS
1.2
Varity_R
0.030
gMVP
0.18
Mutation Taster
=96/4
polymorphism

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: rs376251309; hg19: chr4-3491503; API