chr19-29702923-G-A

Variant summary

Our verdict is Pathogenic. The variant received 15 ACMG points: 15P and 0B. PM1PP2PP3_StrongPP5_Very_Strong

The NM_031448.6(C19orf12):​c.215C>T​(p.Pro72Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000929 in 1,614,048 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P72S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

C19orf12
NM_031448.6 missense

Scores

11
6
1

Clinical Significance

Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 9.21

Publications

1 publications found
Variant links:
Genes affected
C19orf12 (HGNC:25443): (chromosome 19 open reading frame 12) This gene encodes a small transmembrane protein. Mutations in this gene are a cause of neurodegeneration with brain iron accumulation-4 (NBIA4), but the specific function of the encoded protein is unknown. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Dec 2011]
C19orf12 Gene-Disease associations (from GenCC):
  • neurodegeneration with brain iron accumulation 4
    Inheritance: AR, SD, AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp, Illumina, Ambry Genetics, G2P
  • hereditary spastic paraplegia 43
    Inheritance: AR Classification: LIMITED Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 15 ACMG points.

PM1
In a chain Protein C19orf12 (size 151) in uniprot entity CS012_HUMAN there are 13 pathogenic changes around while only 4 benign (76%) in NM_031448.6
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 7 curated pathogenic missense variants (we use a threshold of 10). The gene has 2 curated benign missense variants. Trascript score misZ: 1.0658 (below the threshold of 3.09). GenCC associations: The gene is linked to neurodegeneration with brain iron accumulation 4, hereditary spastic paraplegia 43.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.946
PP5
Variant 19-29702923-G-A is Pathogenic according to our data. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702923-G-A is described in CliVar as Likely_pathogenic. Clinvar id is 225875.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
C19orf12NM_031448.6 linkc.215C>T p.Pro72Leu missense_variant Exon 3 of 3 ENST00000323670.14 NP_113636.2 Q9NSK7-4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
C19orf12ENST00000323670.14 linkc.215C>T p.Pro72Leu missense_variant Exon 3 of 3 2 NM_031448.6 ENSP00000313332.9 Q9NSK7-4

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152160
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000200
AC:
5
AN:
249460
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.0000993
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000358
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000958
AC:
14
AN:
1461888
Hom.:
0
Cov.:
38
AF XY:
0.00000688
AC XY:
5
AN XY:
727246
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86258
European-Finnish (FIN)
AF:
0.0000187
AC:
1
AN:
53418
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000899
AC:
10
AN:
1112008
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152160
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74346
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41444
American (AMR)
AF:
0.00
AC:
0
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.0000943
AC:
1
AN:
10608
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2086
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000547
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000330
AC:
4

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Neurodegeneration with brain iron accumulation 4 Pathogenic:3
Sep 01, 2022
3billion
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The variant is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.002%). In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.84; 3Cnet: 0.74). Same nucleotide change resulting in same amino acid change has been previously reported as pathogenic/likely pathogenic with strong evidence (PMID: 26187298). The variant has been reported to co-segregate with the disease in at least one similarly affected relative/individual in the same family or similarly affected unrelated family (PMID: 26187298). Therefore, this variant is classified as Likely pathogenic according to the recommendation of ACMG/AMP guideline. -

Jan 15, 2013
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

-
Kasturba Medical College, Manipal, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.49
BayesDel_addAF
Pathogenic
0.39
D
BayesDel_noAF
Pathogenic
0.38
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.47
.;.;.;.;.;T;T
Eigen
Pathogenic
0.81
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.99
D;D;.;.;D;D;D
M_CAP
Pathogenic
0.51
D
MetaRNN
Pathogenic
0.95
D;D;D;D;D;D;D
MetaSVM
Uncertain
0.66
D
MutationAssessor
Pathogenic
3.2
.;.;.;.;.;M;.
PhyloP100
9.2
PROVEAN
Pathogenic
-9.3
.;.;D;D;.;D;.
REVEL
Pathogenic
0.84
Sift
Uncertain
0.0010
.;.;D;D;.;D;.
Sift4G
Uncertain
0.0030
D;D;D;D;D;D;.
Vest4
0.70
MVP
0.60
MPC
1.1
ClinPred
1.0
D
GERP RS
5.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.72
gMVP
0.82
Mutation Taster
=0/100
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs201987973; hg19: chr19-30193830; COSMIC: COSV100080683; API