chr16-87891785-CGGGCACGGCTCACCTGGCTTG-C
Variant summary
Our verdict is Likely pathogenic. Variant got 9 ACMG points: 9P and 0B. PVS1PP5
The NM_001739.2(CA5A):c.767_774+13delCAAGCCAGGTGAGCCGTGCCC(p.Ser257fs) variant causes a frameshift, splice donor, splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000131 in 152,232 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_001739.2 frameshift, splice_donor, splice_region, intron
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_pathogenic. Variant got 9 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000131 AC: 20AN: 152232Hom.: 0 Cov.: 31
GnomAD3 exomes AF: 0.0000339 AC: 5AN: 147516Hom.: 0 AF XY: 0.0000244 AC XY: 2AN XY: 81944
GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.0000158 AC: 21AN: 1332498Hom.: 0 AF XY: 0.0000168 AC XY: 11AN XY: 653852
GnomAD4 genome AF: 0.000131 AC: 20AN: 152232Hom.: 0 Cov.: 31 AF XY: 0.000148 AC XY: 11AN XY: 74358
ClinVar
Submissions by phenotype
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Nov 10, 2023 | Has not been previously published as pathogenic or benign to our knowledge; Canonical splice site variant expected to result in aberrant splicing, although in the absence of functional evidence the actual effect of this sequence change is unknown - |
not specified Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Apr 14, 2023 | Variant summary: CA5A c.767_774+13del21 is located in a canonical splice-site and is predicted to affect mRNA splicing resulting in a frameshift downstream of the expected nonsense mediated decay region. Several computational tools predict a significant impact on normal splicing: Four predict the variant abolishes the canonical 5' splicing donor site. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 3.4e-05 in 147516 control chromosomes (gnomAD). To our knowledge, no occurrence of c.767_774+13del21 in individuals affected with Hyperammonemic Encephalopathy Due To Carbonic Anhydrase VA Deficiency and no experimental evidence demonstrating its impact on protein function have been reported. Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 and classified the variant as likely pathogenic, and as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. - |
Hyperammonemic encephalopathy due to carbonic anhydrase VA deficiency Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Sep 07, 2023 | This variant is present in population databases (rs762768981, gnomAD 0.05%). This variant results in the deletion of part of exon 6 (c.767_774+13del) of the CA5A gene. While this variant is not anticipated to result in nonsense mediated decay, it likely alters RNA splicing and results in a disrupted protein product. This variant has been observed in individual(s) with clinical features of CA5A related conditions (Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 962096). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. - |
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at