chr5-140114194-GAC-G

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_005859.5(PURA):​c.15_16del​(p.Asp5GlufsTer195) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Likely pathogenic (★).

Frequency

Genomes: not found (cov: 31)

Consequence

PURA
NM_005859.5 frameshift

Scores

Not classified

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 2.76
Variant links:
Genes affected
PURA (HGNC:9701): (purine rich element binding protein A) This gene product is a sequence-specific, single-stranded DNA-binding protein. It binds preferentially to the single strand of the purine-rich element termed PUR, which is present at origins of replication and in gene flanking regions in a variety of eukaryotes from yeasts through humans. Thus, it is implicated in the control of both DNA replication and transcription. Deletion of this gene has been associated with myelodysplastic syndrome and acute myelogenous leukemia. [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 is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 22 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 5-140114194-GAC-G is Pathogenic according to our data. Variant chr5-140114194-GAC-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1696911.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PURANM_005859.5 linkuse as main transcriptc.15_16del p.Asp5GlufsTer195 frameshift_variant 1/1 ENST00000331327.5 NP_005850.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PURAENST00000331327.5 linkuse as main transcriptc.15_16del p.Asp5GlufsTer195 frameshift_variant 1/1 NM_005859.5 ENSP00000332706 P1
PURAENST00000502351.1 linkuse as main transcriptc.15_16del p.Asp5GlufsTer? frameshift_variant 2/22 ENSP00000498760
PURAENST00000505703.2 linkuse as main transcriptc.15_16del p.Asp5GlufsTer? frameshift_variant 2/23 ENSP00000498560
PURAENST00000651386.1 linkuse as main transcriptc.15_16del p.Asp5GlufsTer195 frameshift_variant 2/2 ENSP00000499133 P1

Frequencies

GnomAD3 genomes
Cov.:
31
We have no GnomAD4 exomes data on this position. Probably position not covered by the project.
GnomAD4 genome
Cov.:
31

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGeneDxJul 13, 2022Frameshift variant in the C-terminus predicted to result in protein truncation, as the last 318 amino acids are lost and replaced with 194 incorrect amino acids, and other loss-of-function variants have been reported downstream in Human Gene Mutation Database (HGMD); Not observed in large population cohorts (gnomAD); Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: chr5-139493779; API