chr4-118352293-C-T
Variant names: 
Variant summary
Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong
The NM_003619.4(PRSS12):c.428G>A(p.Gly143Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000206 in 1,453,386 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 Uncertain significance (★).
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  0.0000021   (  0   hom.  ) 
Consequence
 PRSS12
NM_003619.4 missense
NM_003619.4 missense
Scores
 1
 9
 9
Clinical Significance
Conservation
 PhyloP100:  3.37  
Publications
0 publications found 
Genes affected
 PRSS12  (HGNC:9477):  (serine protease 12) This gene encodes a member of the trypsin family of serine proteases and contains a signal peptide, a proline-rich region, a Kringle domain, four scavenger receptor cysteine-rich domains, and a trypsin-like serine protease domain. The protein, sometimes referred to as neurotrypsin or motopsin, is secreted from neuronal cells and localizes to the synaptic cleft. Studies in mice show that this protein cleaves a protein, agrin, that is important for the formation and maintenance of exitatory synapses. Defects in this gene cause a form of autosomal recessive cognitive impairment (MRT1). [provided by RefSeq, Jul 2017] 
PRSS12 Gene-Disease associations (from GenCC):
- intellectual disability, autosomal recessive 1Inheritance: Unknown, AR Classification: DEFINITIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P
- autosomal recessive non-syndromic intellectual disabilityInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- non-syndromic intellectual disabilityInheritance: AR Classification: LIMITED Submitted by: Illumina, ClinGen
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_pathogenic. The variant received 6 ACMG points.
PM2
Very rare variant in population databases, with high coverage; 
PP3
MetaRNN computational evidence supports a deleterious effect, 0.965
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| PRSS12 | NM_003619.4 | c.428G>A | p.Gly143Asp | missense_variant | Exon 1 of 13 | ENST00000296498.3 | NP_003610.2 | |
| PRSS12 | NM_001440549.1 | c.428G>A | p.Gly143Asp | missense_variant | Exon 1 of 13 | NP_001427478.1 | ||
| PRSS12 | NM_001440550.1 | c.428G>A | p.Gly143Asp | missense_variant | Exon 1 of 9 | NP_001427479.1 | ||
| PRSS12 | NM_001440551.1 | c.428G>A | p.Gly143Asp | missense_variant | Exon 1 of 10 | NP_001427480.1 | 
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
32
GnomAD4 exome  AF:  0.00000206  AC: 3AN: 1453386Hom.:  0  Cov.: 30 AF XY:  0.00000277  AC XY: 2AN XY: 722476 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
3
AN: 
1453386
Hom.: 
Cov.: 
30
 AF XY: 
AC XY: 
2
AN XY: 
722476
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33418
American (AMR) 
 AF: 
AC: 
0
AN: 
43852
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
25910
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39504
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
84848
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
50204
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5758
European-Non Finnish (NFE) 
 AF: 
AC: 
3
AN: 
1109762
Other (OTH) 
 AF: 
AC: 
0
AN: 
60130
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.442 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 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  
GnomAD4 genome 
Cov.: 
32
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ClinVar
Significance: Uncertain significance 
Submissions summary: Uncertain:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
not specified    Uncertain:1 
Oct 23, 2015
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Benign 
 BayesDel_addAF 
 Uncertain 
D 
 BayesDel_noAF 
 Benign 
 DANN 
 Uncertain 
 DEOGEN2 
 Benign 
T 
 Eigen 
 Uncertain 
 Eigen_PC 
 Benign 
 FATHMM_MKL 
 Benign 
D 
 LIST_S2 
 Benign 
T 
 M_CAP 
 Uncertain 
D 
 MetaRNN 
 Pathogenic 
D 
 MetaSVM 
 Uncertain 
D 
 MutationAssessor 
 Uncertain 
M 
 PhyloP100 
 PrimateAI 
 Uncertain 
T 
 PROVEAN 
 Benign 
N 
 REVEL 
 Uncertain 
 Sift 
 Benign 
D 
 Sift4G 
 Uncertain 
D 
 Polyphen 
D 
 Vest4 
 MutPred 
Loss of catalytic residue at G143 (P = 0.0663);
 MVP 
 MPC 
 ClinPred 
D 
 GERP RS 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
 You must be logged in to view publications. This limit was set because tens of millions (!) of queries from AI bots are generated daily.