chr17-15239562-G-C

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PS1PM1PM2PM5PP3_ModeratePP5_Moderate

The NM_000304.4(PMP22):​c.228C>G​(p.Ser76Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely pathogenicin Lovd. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S76I) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)

Consequence

PMP22
NM_000304.4 missense

Scores

6
7
6

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 0.629
Variant links:
Genes affected
PMP22 (HGNC:9118): (peripheral myelin protein 22) This gene encodes an integral membrane protein that is a major component of myelin in the peripheral nervous system. Studies suggest two alternately used promoters drive tissue-specific expression. Various mutations of this gene are causes of Charcot-Marie-Tooth disease Type IA, Dejerine-Sottas syndrome, and hereditary neuropathy with liability to pressure palsies. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PS1
Transcript NM_000304.4 (PMP22) is affected with MISSENSE_VARIANT having same AA change as one Pathogenic present in Lovd
PM1
In a hotspot region, there are 5 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 8 uncertain in NM_000304.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr17-15239563-C-A is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.904
PP5
Variant 17-15239562-G-C is Pathogenic according to our data. Variant chr17-15239562-G-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 448088.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PMP22NM_000304.4 linkuse as main transcriptc.228C>G p.Ser76Arg missense_variant 4/5 ENST00000312280.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PMP22ENST00000312280.9 linkuse as main transcriptc.228C>G p.Ser76Arg missense_variant 4/51 NM_000304.4 P1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
33
GnomAD4 genome
Cov.:
33

ClinVar

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

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingAthena DiagnosticsJan 27, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Uncertain
0.11
CADD
Benign
16
DANN
Benign
0.92
DEOGEN2
Pathogenic
0.95
D;D;D;D;D;.;.;D;.
Eigen
Benign
0.17
Eigen_PC
Benign
0.0029
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.91
D;.;.;.;.;D;D;D;D
M_CAP
Pathogenic
0.54
D
MetaRNN
Pathogenic
0.90
D;D;D;D;D;D;D;D;D
MetaSVM
Uncertain
0.56
D
MutationAssessor
Pathogenic
3.0
M;M;M;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;N
PrimateAI
Uncertain
0.66
T
PROVEAN
Uncertain
-3.5
.;D;D;.;D;.;.;.;D
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0060
.;D;D;.;D;.;.;.;D
Sift4G
Benign
0.068
T;T;T;.;T;.;.;.;T
Polyphen
1.0
D;D;D;.;.;.;.;.;.
Vest4
0.77
MutPred
0.81
Gain of MoRF binding (P = 0.1032);Gain of MoRF binding (P = 0.1032);Gain of MoRF binding (P = 0.1032);Gain of MoRF binding (P = 0.1032);Gain of MoRF binding (P = 0.1032);.;.;Gain of MoRF binding (P = 0.1032);Gain of MoRF binding (P = 0.1032);
MVP
0.76
MPC
1.2
ClinPred
0.98
D
GERP RS
-3.8
Varity_R
0.70
gMVP
0.98

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: rs1555565283; hg19: chr17-15142879; API