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chr12-48978652-TG-T

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PVS1PS1_ModeratePM2PP5_Moderate

The NM_005430.4(WNT1):​c.6del​(p.Leu3_?2) variant causes a frameshift, start lost change. The variant allele was found at a frequency of 0.00000347 in 1,440,996 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000035 ( 0 hom. )

Consequence

WNT1
NM_005430.4 frameshift, start_lost

Scores

Not classified

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 5.88
Variant links:
Genes affected
WNT1 (HGNC:12774): (Wnt family member 1) The WNT gene family consists of structurally related genes which encode secreted signaling proteins. These proteins have been implicated in oncogenesis and in several developmental processes, including regulation of cell fate and patterning during embryogenesis. This gene is a member of the WNT gene family. It is very conserved in evolution, and the protein encoded by this gene is known to be 98% identical to the mouse Wnt1 protein at the amino acid level. The studies in mouse indicate that the Wnt1 protein functions in the induction of the mesencephalon and cerebellum. This gene was originally considered as a candidate gene for Joubert syndrome, an autosomal recessive disorder with cerebellar hypoplasia as a leading feature. However, further studies suggested that the gene mutations might not have a significant role in Joubert syndrome. This gene is clustered with another family member, WNT10B, in the chromosome 12q13 region. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant located near the start codon (<100nt), not predicted to undergo nonsense mediated mRNA decay. There are 36 pathogenic variants in the truncated region.
PS1
Another start lost variant in NM_005430.4 (WNT1) was described as [Pathogenic] in ClinVar as 2117080
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 12-48978652-TG-T is Pathogenic according to our data. Variant chr12-48978652-TG-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 2636643.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr12-48978652-TG-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
WNT1NM_005430.4 linkuse as main transcriptc.6del p.Leu3_?2 frameshift_variant, start_lost 1/4 ENST00000293549.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
WNT1ENST00000293549.4 linkuse as main transcriptc.6del p.Leu3_?2 frameshift_variant, start_lost 1/41 NM_005430.4 P1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000138
AC:
3
AN:
216826
Hom.:
0
AF XY:
0.00000842
AC XY:
1
AN XY:
118778
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000739
Gnomad NFE exome
AF:
0.0000103
Gnomad OTH exome
AF:
0.000183
GnomAD4 exome
AF:
0.00000347
AC:
5
AN:
1440996
Hom.:
0
Cov.:
30
AF XY:
0.00000279
AC XY:
2
AN XY:
716164
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000223
Gnomad4 NFE exome
AF:
0.00000271
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.000111
Hom.:
0

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

WNT1-related disorder Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesAug 05, 2023The WNT1 c.6delG variant is predicted to result in a frameshift and premature protein termination (p.Leu3Serfs*36). This variant has been reported in the homozygous state in two siblings with autosomal recessive osteogenesis imperfecta (Kuptanon et al 2018. PubMed ID: 30012084). This variant is reported in 0.0074% of alleles in individuals of European (Finnish) descent in gnomAD (http://gnomad.broadinstitute.org/variant/12-49372435-TG-T). Frameshift variants in WNT1 are expected to be pathogenic. This variant is interpreted as likely pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs750005846; hg19: chr12-49372435; API