X-154776813-CAAGAAGAAGAAG-CAAGAAGAAGAAGAAG

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP3BP6_Very_StrongBS1BS2

The NM_001363.5(DKC1):​c.1512_1514dupGAA​(p.Lys505dup) variant causes a disruptive inframe insertion change. The variant allele was found at a frequency of 0.0043 in 1,194,697 control chromosomes in the GnomAD database, including 18 homozygotes. There are 891 hemizygotes in GnomAD. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0045 ( 6 hom., 130 hem., cov: 22)
Exomes 𝑓: 0.0043 ( 12 hom. 761 hem. )

Consequence

DKC1
NM_001363.5 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: 4.30

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: Benign. The variant received -17 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_001363.5
BP6
Variant X-154776813-C-CAAG is Benign according to our data. Variant chrX-154776813-C-CAAG is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 210847.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00449 (493/109827) while in subpopulation SAS AF = 0.03 (74/2468). AF 95% confidence interval is 0.0245. There are 6 homozygotes in GnomAd4. There are 130 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High AC in GnomAd4 at 493 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DKC1NM_001363.5 linkc.1512_1514dupGAA p.Lys505dup disruptive_inframe_insertion 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.1512_1514dupGAA p.Lys505dup disruptive_inframe_insertion Exon 15 of 15 1 NM_001363.5 ENSP00000358563.5 O60832-1

Frequencies

GnomAD3 genomes
AF:
0.00446
AC:
490
AN:
109780
Hom.:
7
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.000761
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00764
Gnomad ASJ
AF:
0.0191
Gnomad EAS
AF:
0.000282
Gnomad SAS
AF:
0.0291
Gnomad FIN
AF:
0.000875
Gnomad MID
AF:
0.0426
Gnomad NFE
AF:
0.00454
Gnomad OTH
AF:
0.00821
GnomAD2 exomes
AF:
0.00777
AC:
997
AN:
128377
AF XY:
0.00386
show subpopulations
Gnomad AFR exome
AF:
0.000626
Gnomad AMR exome
AF:
0.00618
Gnomad ASJ exome
AF:
0.0253
Gnomad EAS exome
AF:
0.000112
Gnomad FIN exome
AF:
0.00102
Gnomad NFE exome
AF:
0.00549
Gnomad OTH exome
AF:
0.0152
GnomAD4 exome
AF:
0.00428
AC:
4646
AN:
1084870
Hom.:
12
Cov.:
28
AF XY:
0.00214
AC XY:
761
AN XY:
355106
show subpopulations
African (AFR)
AF:
0.000765
AC:
20
AN:
26127
American (AMR)
AF:
0.00411
AC:
143
AN:
34756
Ashkenazi Jewish (ASJ)
AF:
0.0183
AC:
348
AN:
19002
East Asian (EAS)
AF:
0.000235
AC:
7
AN:
29811
South Asian (SAS)
AF:
0.0224
AC:
1162
AN:
51923
European-Finnish (FIN)
AF:
0.000802
AC:
32
AN:
39917
Middle Eastern (MID)
AF:
0.0376
AC:
153
AN:
4066
European-Non Finnish (NFE)
AF:
0.00298
AC:
2488
AN:
833735
Other (OTH)
AF:
0.00643
AC:
293
AN:
45533
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.439
Heterozygous variant carriers
0
214
428
641
855
1069
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
110
220
330
440
550
<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:
0.00449
AC:
493
AN:
109827
Hom.:
6
Cov.:
22
AF XY:
0.00401
AC XY:
130
AN XY:
32439
show subpopulations
African (AFR)
AF:
0.000760
AC:
23
AN:
30278
American (AMR)
AF:
0.00763
AC:
79
AN:
10360
Ashkenazi Jewish (ASJ)
AF:
0.0191
AC:
50
AN:
2624
East Asian (EAS)
AF:
0.000283
AC:
1
AN:
3537
South Asian (SAS)
AF:
0.0300
AC:
74
AN:
2468
European-Finnish (FIN)
AF:
0.000875
AC:
5
AN:
5716
Middle Eastern (MID)
AF:
0.0372
AC:
8
AN:
215
European-Non Finnish (NFE)
AF:
0.00454
AC:
238
AN:
52471
Other (OTH)
AF:
0.0101
AC:
15
AN:
1480
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
17
34
52
69
86
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00477
Hom.:
6
Bravo
AF:
0.00509

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 17, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dyskeratosis congenita, X-linked Benign:3
Oct 21, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dyskeratosis congenita Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 07, 2017
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Sep 10, 2020
Sema4, Sema4
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

not specified Benign:2
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Oct 14, 2015
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
4.3
Mutation Taster
=86/14
polymorphism (auto)

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; COSMIC: COSV65729135; COSMIC: COSV65729135; API