chr2-72887437-A-AGGGCGGGCTG
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_003124.5(SPR):c.11_20dup(p.Val9GlyfsTer35) 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 (★). Synonymous variant affecting the same amino acid position (i.e. E2E) has been classified as Likely benign.
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 Pathogenic. Variant got 12 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. There are 26 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 | UniProt |
---|---|---|---|---|---|---|---|
SPR | NM_003124.5 | c.11_20dup | p.Val9GlyfsTer35 | frameshift_variant | 1/3 | ENST00000234454.6 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
SPR | ENST00000234454.6 | c.11_20dup | p.Val9GlyfsTer35 | frameshift_variant | 1/3 | 1 | NM_003124.5 | P1 | |
SPR | ENST00000498749.1 | n.62_71dup | non_coding_transcript_exon_variant | 1/3 | 3 |
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