chr1-243344276-AG-A
Variant summary
Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_006642.5(SDCCAG8):c.1420delG(p.Glu474SerfsTer20) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000167 in 1,613,934 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. E474E) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_006642.5 frameshift
Scores
Clinical Significance
Conservation
Publications
- Senior-Loken syndrome 7Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
 - Bardet-Biedl syndrome 16Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
 - Bardet-Biedl syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 - Senior-Loken syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 
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ACMG classification
Our verdict: Pathogenic. The variant received 16 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| SDCCAG8 | NM_006642.5  | c.1420delG | p.Glu474SerfsTer20 | frameshift_variant | Exon 12 of 18 | ENST00000366541.8 | NP_006633.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| SDCCAG8 | ENST00000366541.8  | c.1420delG | p.Glu474SerfsTer20 | frameshift_variant | Exon 12 of 18 | 1 | NM_006642.5 | ENSP00000355499.3 | ||
| SDCCAG8 | ENST00000435549.1  | c.760delG | p.Glu254SerfsTer20 | frameshift_variant | Exon 7 of 11 | 1 | ENSP00000410200.1 | |||
| SDCCAG8 | ENST00000493334.1  | n.387delG | non_coding_transcript_exon_variant | Exon 3 of 5 | 5 | 
Frequencies
GnomAD3 genomes   AF:  0.0000854  AC: 13AN: 152226Hom.:  0  Cov.: 33 show subpopulations 
GnomAD2 exomes  AF:  0.0000159  AC: 4AN: 251312 AF XY:  0.0000147   show subpopulations 
GnomAD4 exome  AF:  0.00000958  AC: 14AN: 1461708Hom.:  0  Cov.: 31 AF XY:  0.00000963  AC XY: 7AN XY: 727164 show subpopulations 
Age Distribution
GnomAD4 genome   AF:  0.0000854  AC: 13AN: 152226Hom.:  0  Cov.: 33 AF XY:  0.0000672  AC XY: 5AN XY: 74372 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Senior-Loken syndrome 7;C3889474:Bardet-Biedl syndrome 16    Pathogenic:2 
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This sequence change creates a premature translational stop signal (p.Glu474Serfs*20) in the SDCCAG8 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SDCCAG8 are known to be pathogenic (PMID: 20835237, 22190896). This variant is present in population databases (rs770467138, gnomAD 0.02%). This premature translational stop signal has been observed in individual(s) with Senior-Loken syndrome (PMID: 20835237). ClinVar contains an entry for this variant (Variation ID: 57). For these reasons, this variant has been classified as Pathogenic. -
Bardet-Biedl syndrome    Pathogenic:2 
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Variant summary: SDCCAG8 c.1420delG (p.Glu474SerfsX20) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant allele was found at a frequency of 1.6e-05 in 251312 control chromosomes (gnomAD). c.1420delG has been reported in the literature in multiple individuals affected with nephronophthisis and retinal degeneration (Senior-Loken syndrome), including at least three homozygous individuals from two unrelated families (e.g. Otto_2010, Halbritter_2013, Al Alawi_2019). These data indicate that the variant is very likely to be associated with disease. Four submitters have provided clinical-significance assessments for this variant to ClinVar after 2014 and all classified the variant as pathogenic (n=3)/likely pathogenic (n=1). Based on the evidence outlined above, the variant was classified as pathogenic. -
Senior-Loken syndrome 7    Pathogenic:1 
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not provided    Pathogenic:1 
Frameshift variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; This variant is associated with the following publications: (PMID: 22190896, 21866095, 20835237, 31844813) -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at