Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_181507.2(HPS5):c.879dupC(p.Lys294GlnfsTer6) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000206 in 1,455,752 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★). Variant results in nonsense mediated mRNA decay.
HPS5 (HGNC:17022): (HPS5 biogenesis of lysosomal organelles complex 2 subunit 2) This gene encodes a protein that may play a role in organelle biogenesis associated with melanosomes, platelet dense granules, and lysosomes. This protein interacts with Hermansky-Pudlak syndrome 6 protein and may interact with the cytoplasmic domain of integrin, alpha-3. Mutations in this gene are associated with Hermansky-Pudlak syndrome type 5. Multiple transcript variants encoding two distinct isoforms have been identified for this gene. [provided by RefSeq, Jul 2008]
Our verdict: Pathogenic. The variant received 12 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-18305438-T-TG is Pathogenic according to our data. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr11-18305438-T-TG is described in CliVar as Pathogenic. Clinvar id is 21822.Status of the report is criteria_provided_single_submitter, 1 stars.
This sequence change creates a premature translational stop signal (p.Lys294Glnfs*6) in the HPS5 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in HPS5 are known to be pathogenic (PMID: 12548288, 15296495, 21833017, 26785811). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with Hermansky–Pudlak syndrome (PMID: 15296495). This variant is also known as P293insC. ClinVar contains an entry for this variant (Variation ID: 21822). For these reasons, this variant has been classified as Pathogenic. -