chr17-15230965-CA-C
Variant summary
Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PVS1_StrongPM2PP5_Very_Strong
The NM_000304.4(PMP22):c.434delT(p.Leu145ArgfsTer10) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,846 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_000304.4 frameshift
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 14 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
PMP22 | NM_000304.4 | c.434delT | p.Leu145ArgfsTer10 | frameshift_variant | Exon 5 of 5 | ENST00000312280.9 | NP_000295.1 |
Ensembl
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD3 exomes AF: 0.00000398 AC: 1AN: 251328Hom.: 0 AF XY: 0.00000736 AC XY: 1AN XY: 135842
GnomAD4 exome AF: 6.84e-7 AC: 1AN: 1461846Hom.: 0 Cov.: 33 AF XY: 0.00000138 AC XY: 1AN XY: 727224
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
not provided Pathogenic:2
This variant is expected to result in the loss of a functional protein. The frequency of this variant in the general population is consistent with pathogenicity. (http://gnomad.broadinstitute.org) This variant has been identified in multiple unrelated individuals with HNPP. -
Frameshift variant predicted to result in protein truncation, as the last 16 amino acids are replaced with 9 different amino acids, and other loss-of-function variants have been reported downstream in the Human Gene Mutation Database (HGMD); Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 23965407, 21149811, 32719652, 31393079, 29653220, 21252112) -
Roussy-Lévy syndrome Pathogenic:1
This variant was classified as: Pathogenic. -
Charcot-Marie-Tooth disease, type IA Pathogenic:1
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Inborn genetic diseases Pathogenic:1
The c.434delT variant, located in coding exon 4 of the PMP22 gene, results from a deletion of one nucleotide at nucleotide position 434, causing a translational frameshift with a predicted alternate stop codon (p.L145Rfs*10). Frameshifts are typically deleterious in nature; however, this frameshift occurs at the 3' terminus of PMP22, is not expected to trigger nonsense-mediated mRNA decay, and impacts only the last 16 amino acids of the protein. The exact functional impact of these altered amino acids is unknown at this time. This variant has been reported in several families with hereditary neuropathy with liability to pressure palsies (HNPP) (Taioli F et al. Brain, 2011 Feb;134:608-17; Benedetti S et al. Arch. Neurol., 2010 Dec;67:1498-505; Beydoun SR et al. J Clin Neuromuscul Dis, 2013 Sep;15:28-33; Manganelli F et al. J. Peripher. Nerv. Syst., 2014 Dec;19:292-8) and in families with other inherited neuropathy syndromes, including Charcot-Marie-Tooth disease (Vaeth S et al. Eur J Med Genet, 2019 Jan;62:1-8; Lerat J et al. Mol Genet Genomic Med, 2019 09;7:e839; Simpson BS et al. J Clin Neuromuscul Dis, 2010 Jun;11:187-90). Based on the majority of available evidence to date, this variant is likely to be pathogenic. -
Dejerine-Sottas disease;C0205713:Roussy-Lévy syndrome;C0270911:Charcot-Marie-Tooth disease, type IA;C0393814:Hereditary liability to pressure palsies;C3495591:Charcot-Marie-Tooth disease type 1E;C4083008:Guillain-Barre syndrome, familial Pathogenic:1
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Charcot-Marie-Tooth disease, type I Pathogenic:1
This sequence change creates a premature translational stop signal (p.Leu145Argfs*10) in the PMP22 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 16 amino acid(s) of the PMP22 protein. This variant is present in population databases (no rsID available, gnomAD 0.003%). This premature translational stop signal has been observed in individuals with hereditary neuropathy with liability to pressure palsy (HNPP) (PMID: 21149811, 21252112, 23965407). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 217238). For these reasons, this variant has been classified as Pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at