chr4-3493384-GCCTGGC-G
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Variant summary
Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PM4
The NM_173660.5(DOK7):c.1403_1408delGCCCTG(p.Gly468_Pro469del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.0000859 in 1,594,258 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Genomes: 𝑓 0.000066 ( 0 hom., cov: 35)
Exomes 𝑓: 0.000088 ( 0 hom. )
Consequence
DOK7
NM_173660.5 disruptive_inframe_deletion
NM_173660.5 disruptive_inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 4.28
Genes affected
DOK7 (HGNC:26594): (docking protein 7) The protein encoded by this gene is essential for neuromuscular synaptogenesis. The protein functions in aneural activation of muscle-specific receptor kinase, which is required for postsynaptic differentiation, and in the subsequent clustering of the acetylcholine receptor in myotubes. This protein can also induce autophosphorylation of muscle-specific receptor kinase. Mutations in this gene are a cause of familial limb-girdle myasthenia autosomal recessive, which is also known as congenital myasthenic syndrome type 1B. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
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ACMG classification
Classification made for transcript
Verdict is Uncertain_significance. Variant got 4 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PM4
Nonframeshift variant in NON repetitive region in NM_173660.5.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
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DOK7 | ENST00000340083.6 | c.1403_1408delGCCCTG | p.Gly468_Pro469del | disruptive_inframe_deletion | 7/7 | 1 | NM_173660.5 | ENSP00000344432.5 | ||
DOK7 | ENST00000643608.1 | c.971_976delGCCCTG | p.Gly324_Pro325del | disruptive_inframe_deletion | 5/8 | ENSP00000495701.1 | ||||
DOK7 | ENST00000515886.5 | c.473_478delGCCCTG | p.Gly158_Pro159del | disruptive_inframe_deletion | 4/4 | 2 | ENSP00000492194.1 | |||
DOK7 | ENST00000507039.5 | c.*624_*629delGCCCTG | 3_prime_UTR_variant | 7/7 | 2 | ENSP00000423614.1 |
Frequencies
GnomAD3 genomes AF: 0.0000657 AC: 10AN: 152240Hom.: 0 Cov.: 35
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GnomAD3 exomes AF: 0.0000998 AC: 20AN: 200306Hom.: 0 AF XY: 0.0000723 AC XY: 8AN XY: 110612
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GnomAD4 exome AF: 0.0000881 AC: 127AN: 1442018Hom.: 0 AF XY: 0.0000838 AC XY: 60AN XY: 715756
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GnomAD4 genome AF: 0.0000657 AC: 10AN: 152240Hom.: 0 Cov.: 35 AF XY: 0.0000538 AC XY: 4AN XY: 74380
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Uncertain:3
Uncertain significance, criteria provided, single submitter | clinical testing | Eurofins Ntd Llc (ga) | Apr 03, 2015 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Revvity Omics, Revvity | Oct 18, 2019 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | GeneDx | Dec 07, 2023 | In-frame deletion of 2 amino acids in a non-repeat region; In silico analysis supports a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge - |
Fetal akinesia deformation sequence 1;C1850792:Congenital myasthenic syndrome 10 Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Nov 01, 2022 | This variant, c.1403_1408del, results in the deletion of 2 amino acid(s) of the DOK7 protein (p.Gly468_Pro469del), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (rs753055811, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with DOK7-related conditions. ClinVar contains an entry for this variant (Variation ID: 198623). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at