chr5-148120311-GAA-G
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Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PVS1PM2
The NM_006846.4(SPINK5):c.2467_2468delAA(p.Lys823fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000288 in 1,387,036 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.0 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000029 ( 0 hom. )
Failed GnomAD Quality Control
Consequence
SPINK5
NM_006846.4 frameshift
NM_006846.4 frameshift
Scores
Not classified
Clinical Significance
Not reported in ClinVar
Conservation
PhyloP100: 1.94
Genes affected
SPINK5 (HGNC:15464): (serine peptidase inhibitor Kazal type 5) This gene encodes a multidomain serine protease inhibitor that contains 15 potential inhibitory domains. The encoded preproprotein is proteolytically processed to generate multiple protein products, which may exhibit unique activities and specificities. These proteins may play a role in skin and hair morphogenesis, as well as anti-inflammatory and antimicrobial protection of mucous epithelia. Mutations in this gene may result in Netherton syndrome, a disorder characterized by ichthyosis, defective cornification, and atopy. This gene is present in a gene cluster on chromosome 5. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2015]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 10 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
SPINK5 | NM_006846.4 | c.2467_2468delAA | p.Lys823fs | frameshift_variant | 26/33 | ENST00000256084.8 | NP_006837.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
SPINK5 | ENST00000256084.8 | c.2467_2468delAA | p.Lys823fs | frameshift_variant | 26/33 | 1 | NM_006846.4 | ENSP00000256084.7 |
Frequencies
GnomAD3 genomes AF: 0.00 AC: 0AN: 146026Hom.: 0 Cov.: 32 FAILED QC
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GnomAD3 exomes AF: 0.0000304 AC: 4AN: 131578Hom.: 0 AF XY: 0.0000285 AC XY: 2AN XY: 70102
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GnomAD4 exome AF: 0.00000288 AC: 4AN: 1387036Hom.: 0 AF XY: 0.00000145 AC XY: 1AN XY: 689508
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GnomAD4 genome Data not reliable, filtered out with message: AC0 AF: 0.00 AC: 0AN: 146026Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 70798
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ClinVar
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at