chr19-35746417-AG-A

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PVS1_StrongPM2PP5

The NM_172341.4(PSENEN):​c.66delG​(p.Phe23fs) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000274 in 1,458,854 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

PSENEN
NM_172341.4 frameshift

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 8.70
Variant links:
Genes affected
PSENEN (HGNC:30100): (presenilin enhancer, gamma-secretase subunit) Presenilins, which are components of the gamma-secretase protein complex, are required for intramembranous processing of some type I transmembrane proteins, such as the Notch proteins and the beta-amyloid precursor protein. Signaling by Notch receptors mediates a wide range of developmental cell fates. Processing of the beta-amyloid precursor protein generates neurotoxic amyloid beta peptides, the major component of senile plaques associated with Alzheimer's disease. This gene encodes a protein that is required for Notch pathway signaling, and for the activity and accumulation of gamma-secretase. Mutations resulting in haploinsufficiency for this gene cause familial acne inversa-2 (ACNINV2). Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most 50 bp of the penultimate exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.784 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 19-35746417-AG-A is Pathogenic according to our data. Variant chr19-35746417-AG-A is described in ClinVar as [Pathogenic]. Clinvar id is 30681.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr19-35746417-AG-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PSENENNM_172341.4 linkuse as main transcriptc.66delG p.Phe23fs frameshift_variant 3/4 ENST00000587708.7 NP_758844.1 Q9NZ42
PSENENNM_001281532.3 linkuse as main transcriptc.66delG p.Phe23fs frameshift_variant 3/4 NP_001268461.1 Q9NZ42

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PSENENENST00000587708.7 linkuse as main transcriptc.66delG p.Phe23fs frameshift_variant 3/41 NM_172341.4 ENSP00000468411.1 Q9NZ42
PSENENENST00000222266.2 linkuse as main transcriptc.66delG p.Phe23fs frameshift_variant 3/41 ENSP00000222266.1 Q9NZ42
ENSG00000188223ENST00000591613.2 linkuse as main transcriptn.66delG non_coding_transcript_exon_variant 3/112 ENSP00000468389.2 K7ERS5
PSENENENST00000591949.1 linkuse as main transcriptc.66delG p.Phe23fs frameshift_variant 3/32 ENSP00000468593.1 K7ES79

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1458854
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
725964
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000379
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Acne inversa, familial, 2 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMNov 19, 2010- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.97
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.97
Position offset: 3
DS_AL_spliceai
0.97
Position offset: 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: rs1555738837; hg19: chr19-36237318; API