Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_000430.4(PAFAH1B1):c.152delT(p.Leu51TrpfsTer18) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
PAFAH1B1 (HGNC:8574): (platelet activating factor acetylhydrolase 1b regulatory subunit 1) This locus was identified as encoding a gene that when mutated or lost caused the lissencephaly associated with Miller-Dieker lissencephaly syndrome. This gene encodes the non-catalytic alpha subunit of the intracellular Ib isoform of platelet-activating factor acteylhydrolase, a heterotrimeric enzyme that specifically catalyzes the removal of the acetyl group at the SN-2 position of platelet-activating factor (identified as 1-O-alkyl-2-acetyl-sn-glyceryl-3-phosphorylcholine). Two other isoforms of intracellular platelet-activating factor acetylhydrolase exist: one composed of multiple subunits, the other, a single subunit. In addition, a single-subunit isoform of this enzyme is found in serum. [provided by RefSeq, Apr 2009]
Our verdict: Pathogenic. The variant received 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 17-2666046-CT-C is Pathogenic according to our data. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-2666046-CT-C is described in CliVar as Pathogenic. Clinvar id is 159506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Genetic Services Laboratory, University of Chicago
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
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not providedPathogenic:1
Apr 16, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
ClinVar contains an entry for this variant (Variation ID: 159506). For these reasons, this variant has been classified as Pathogenic. This variant has not been reported in the literature in individuals affected with PAFAH1B1-related conditions. This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Leu51Trpfs*18) in the PAFAH1B1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in PAFAH1B1 are known to be pathogenic (PMID: 1671808, 11115846, 14581661). -