chr16-58002553-AGG-A
Variant summary
Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PVS1PP5_Moderate
The NM_024598.4(USB1):c.176_177delGG(p.Gly59AlafsTer2) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000123 in 1,461,818 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. G59G) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_024598.4 frameshift
Scores
Clinical Significance
Conservation
Publications
- poikiloderma with neutropeniaInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P
- dyskeratosis congenitaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 10 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| USB1 | NM_024598.4 | c.176_177delGG | p.Gly59AlafsTer2 | frameshift_variant | Exon 2 of 7 | ENST00000219281.8 | NP_078874.2 | 
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 251290 AF XY:  0.00   show subpopulations 
GnomAD4 exome  AF:  0.0000123  AC: 18AN: 1461818Hom.:  0   AF XY:  0.00000963  AC XY: 7AN XY: 727200 show subpopulations 
Age Distribution
GnomAD4 genome  
ClinVar
Submissions by phenotype
not provided    Pathogenic:1 
For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 496750). This premature translational stop signal has been observed in individual(s) with Rothmund–Thomson syndrome (PMID: 20817924). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Gly59Alafs*2) in the USB1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in USB1 are known to be pathogenic (PMID: 20817924, 25044170). -
Poikiloderma with neutropenia    Other:1 
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Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at