chr21-40042542-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 3P and 1B. PM2PP2BP4

The NM_001389.5(DSCAM):ā€‹c.5515A>Gā€‹(p.Ile1839Val) variant causes a missense change. The variant allele was found at a frequency of 0.00000137 in 1,461,892 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

DSCAM
NM_001389.5 missense

Scores

4
4
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.18
Variant links:
Genes affected
DSCAM (HGNC:3039): (DS cell adhesion molecule) This gene is a member of the immunoglobulin superfamily of cell adhesion molecules (Ig-CAMs), and is involved in human central and peripheral nervous system development. This gene is a candidate for Down syndrome and congenital heart disease (DSCHD). A gene encoding a similar Ig-CAM protein is located on chromosome 11. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Oct 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), DSCAM. . Gene score misZ 3.2228 (greater than the threshold 3.09). Trascript score misZ 4.4297 (greater than threshold 3.09). GenCC has associacion of gene with autism spectrum disorder.
BP4
Computational evidence support a benign effect (MetaRNN=0.3039104).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DSCAMNM_001389.5 linkuse as main transcriptc.5515A>G p.Ile1839Val missense_variant 32/33 ENST00000400454.6 NP_001380.2
DSCAMNM_001271534.3 linkuse as main transcriptc.5515A>G p.Ile1839Val missense_variant 32/33 NP_001258463.1
DSCAMXM_017028281.2 linkuse as main transcriptc.4807A>G p.Ile1603Val missense_variant 29/30 XP_016883770.1
DSCAMNR_073202.3 linkuse as main transcriptn.5821A>G non_coding_transcript_exon_variant 32/33

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DSCAMENST00000400454.6 linkuse as main transcriptc.5515A>G p.Ile1839Val missense_variant 32/331 NM_001389.5 ENSP00000383303 P1O60469-1
DSCAMENST00000404019.2 linkuse as main transcriptc.4771A>G p.Ile1591Val missense_variant 28/291 ENSP00000385342
DSCAMENST00000617870.4 linkuse as main transcriptc.5020A>G p.Ile1674Val missense_variant 29/305 ENSP00000478698

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461892
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727248
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:
0.00
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 27, 2022The c.5515A>G (p.I1839V) alteration is located in exon 32 (coding exon 32) of the DSCAM gene. This alteration results from a A to G substitution at nucleotide position 5515, causing the isoleucine (I) at amino acid position 1839 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Benign
-0.083
T
BayesDel_noAF
Benign
-0.36
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.063
T;.;.
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.58
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.92
D;D;D
M_CAP
Benign
0.028
D
MetaRNN
Benign
0.30
T;T;T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
0.90
L;.;.
MutationTaster
Benign
0.97
D
PrimateAI
Pathogenic
0.79
T
PROVEAN
Benign
-0.51
N;.;N
REVEL
Benign
0.15
Sift
Pathogenic
0.0
D;.;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
0.91
P;.;.
Vest4
0.42
MutPred
0.15
Gain of sheet (P = 0.0221);.;.;
MVP
0.36
MPC
0.70
ClinPred
0.81
D
GERP RS
5.3
Varity_R
0.33
gMVP
0.37

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr21-41414469; API