chr4-169507095-TG-T
Variant summary
Our verdict is Likely pathogenic. The variant received 8 ACMG points: 8P and 0B. PVS1
The NM_001199397.3(NEK1):c.1948delC(p.Gln650AsnfsTer2) variant causes a frameshift change. The variant allele was found at a frequency of 0.00000435 in 1,610,384 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as other (★). Synonymous variant affecting the same amino acid position (i.e. Q650Q) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_001199397.3 frameshift
Scores
Clinical Significance
Conservation
Publications
- amyotrophic lateral sclerosis, susceptibility to, 24Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, ClinGen
- short-rib thoracic dysplasia 6 with or without polydactylyInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
- orofaciodigital syndrome type IIInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- short rib-polydactyly syndrome, Majewski typeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_pathogenic. The variant received 8 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.00000658  AC: 1AN: 152090Hom.:  0  Cov.: 31 show subpopulations 
GnomAD4 exome  AF:  0.00000411  AC: 6AN: 1458294Hom.:  0  Cov.: 30 AF XY:  0.00000551  AC XY: 4AN XY: 725326 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
Age Distribution
GnomAD4 genome  0.00000658  AC: 1AN: 152090Hom.:  0  Cov.: 31 AF XY:  0.00  AC XY: 0AN XY: 74320 show subpopulations 
ClinVar
Submissions by phenotype
NEK1-related disorder    Pathogenic:1 
The NEK1 c.1864delC variant is predicted to result in a frameshift and premature protein termination (p.Gln622Asnfs*2). This variant was reported in an individual with amyotrophic lateral sclerosis (described as c.1948delC, p.Q650fs in Tables S4 and S5, Black et al. 2016. PubMed ID: 28089114). This variant has not been reported in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. Protein-truncating variants in NEK1 are expected to be pathogenic although they can display incomplete penetrance. Protein-truncating variants have been documented upstream and downstream of this variant (ClinVar, HGMD, gnomAD). This variant is interpreted as likely pathogenic. -
Motor neuron disease    Other:1 
Loss-of-function but lacking segregation data Loss-of-function
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at