X-154776813-CAAGAAGAAGAAG-CAAG

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP3

The NM_001363.5(DKC1):​c.1506_1514delGAAGAAGAA​(p.Lys503_Lys505del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.0000125 in 1,196,609 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. There is a variant allele frequency bias in the population database for this variant (GnomAdExome4), which may indicate mosaicism or somatic mutations in the reference population data. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000091 ( 0 hom., 1 hem., cov: 22)
Exomes 𝑓: 0.000013 ( 0 hom. 3 hem. )

Consequence

DKC1
NM_001363.5 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.53

Publications

12 publications found
Variant links:
Genes affected
DKC1 (HGNC:2890): (dyskerin pseudouridine synthase 1) This gene functions in two distinct complexes. It plays an active role in telomerase stabilization and maintenance, as well as recognition of snoRNAs containing H/ACA sequences which provides stability during biogenesis and assembly into H/ACA small nucleolar RNA ribonucleoproteins (snoRNPs). This gene is highly conserved and widely expressed, and may play additional roles in nucleo-cytoplasmic shuttling, DNA damage response, and cell adhesion. Mutations have been associated with X-linked dyskeratosis congenita. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2014]
DKC1 Gene-Disease associations (from GenCC):
  • DKC1-related disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • dyskeratosis congenita, X-linked
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), G2P
  • dyskeratosis congenita
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Hoyeraal-Hreidarsson syndrome
    Inheritance: AD 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 -1 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001363.5

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DKC1NM_001363.5 linkc.1506_1514delGAAGAAGAA p.Lys503_Lys505del disruptive_inframe_deletion Exon 15 of 15 ENST00000369550.10 NP_001354.1 O60832-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DKC1ENST00000369550.10 linkc.1506_1514delGAAGAAGAA p.Lys503_Lys505del disruptive_inframe_deletion Exon 15 of 15 1 NM_001363.5 ENSP00000358563.5 O60832-1

Frequencies

GnomAD3 genomes
AF:
0.00000911
AC:
1
AN:
109784
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000191
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000779
AC:
1
AN:
128377
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000169
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000129
AC:
14
AN:
1086825
Hom.:
0
AF XY:
0.00000841
AC XY:
3
AN XY:
356899
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
26137
American (AMR)
AF:
0.00
AC:
0
AN:
34776
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19105
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29815
South Asian (SAS)
AF:
0.00
AC:
0
AN:
52810
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39933
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4089
European-Non Finnish (NFE)
AF:
0.0000156
AC:
13
AN:
834554
Other (OTH)
AF:
0.0000219
AC:
1
AN:
45606
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000004), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.380
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.00000911
AC:
1
AN:
109784
Hom.:
0
Cov.:
22
AF XY:
0.0000309
AC XY:
1
AN XY:
32386
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30214
American (AMR)
AF:
0.00
AC:
0
AN:
10347
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2625
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3548
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2478
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5716
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
235
European-Non Finnish (NFE)
AF:
0.0000191
AC:
1
AN:
52481
Other (OTH)
AF:
0.00
AC:
0
AN:
1462
Alfa
AF:
0.00
Hom.:
6

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Dyskeratosis congenita Uncertain:1
Nov 01, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant, c.1506_1514del, results in the deletion of 3 amino acid(s) of the DKC1 protein (p.Lys503_Lys505del), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (no rsID available, gnomAD 0.002%). This variant has not been reported in the literature in individuals affected with DKC1-related conditions. ClinVar contains an entry for this variant (Variation ID: 459582). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
4.5

Splicing

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

Publications

Other links and lift over

dbSNP: rs782576893; hg19: chrX-154005088; API