chr2-72887437-A-AGGGCGGGCTG
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Variant summary
Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PVS1_StrongPM2PP5_Moderate
The NM_003124.5(SPR):c.11_20dupGGCTGGGGCG(p.Val9fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000201 in 1,494,488 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★).
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000015 ( 0 hom. )
Consequence
SPR
NM_003124.5 frameshift
NM_003124.5 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: -1.07
Genes affected
SPR (HGNC:11257): (sepiapterin reductase) This gene encodes an aldo-keto reductase that catalyzes the NADPH-dependent reduction of pteridine derivatives and is important in the biosynthesis of tetrahydrobiopterin (BH4). Mutations in this gene result in DOPA-responsive dystonia due to sepiaterin reductase deficiency. A pseudogene has been identified on chromosome 1. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 8 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant located near the start codon (<100nt), not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.973 CDS is truncated, and there are 2 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-72887437-A-AGGGCGGGCTG is Pathogenic according to our data. Variant chr2-72887437-A-AGGGCGGGCTG is described in ClinVar as [Pathogenic]. Clinvar id is 2852342.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
SPR | NM_003124.5 | c.11_20dupGGCTGGGGCG | p.Val9fs | frameshift_variant | 1/3 | ENST00000234454.6 | NP_003115.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
SPR | ENST00000234454.6 | c.11_20dupGGCTGGGGCG | p.Val9fs | frameshift_variant | 1/3 | 1 | NM_003124.5 | ENSP00000234454.5 | ||
SPR | ENST00000498749.1 | n.62_71dupGGCTGGGGCG | non_coding_transcript_exon_variant | 1/3 | 3 | ENSP00000519026.1 |
Frequencies
GnomAD3 genomes AF: 0.00000658 AC: 1AN: 152050Hom.: 0 Cov.: 33
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GnomAD4 exome AF: 0.00000149 AC: 2AN: 1342330Hom.: 0 Cov.: 31 AF XY: 0.00 AC XY: 0AN XY: 663266
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152158Hom.: 0 Cov.: 33 AF XY: 0.00 AC XY: 0AN XY: 74402
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Dystonic disorder Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Oct 22, 2023 | This sequence change creates a premature translational stop signal (p.Val9Glyfs*35) in the SPR gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SPR are known to be pathogenic (PMID: 22522443). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with SPR-related conditions (PMID: 22522443). For these reasons, this variant has been classified as Pathogenic. - |
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at