chr6-36291532-T-C

Variant summary

Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM2PP3PP5_Very_Strong

The NM_001374623.1(PNPLA1):​c.418T>C​(p.Ser140Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000173 in 1,325,798 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 Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.000025 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

PNPLA1
NM_001374623.1 missense

Scores

5
11
3

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 3.18
Variant links:
Genes affected
PNPLA1 (HGNC:21246): (patatin like phospholipase domain containing 1) The protein encoded by this gene belongs to the patatin-like phospholipase (PNPLA) family, which is characterized by the presence of a highly conserved patatin domain. PNPLA family members have diverse lipolytic and acyltransferase activities, and are key elements in lipid metabolism. While other members of this family have been well characterized, the function of this gene remained an enigma. However, recent studies show that this gene is expressed in the skin epidermal keratinocytes, and has a role in glycerophospholipid metabolism in the cutaneous barrier. Consistent with these observations, mutations in this gene are associated with ichthyosis in human (autosomal recessive congenital ichthyoses, ARCI) and dog. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jun 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 11 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.788
PP5
Variant 6-36291532-T-C is Pathogenic according to our data. Variant chr6-36291532-T-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 375256.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PNPLA1NM_001374623.1 linkuse as main transcriptc.418T>C p.Ser140Pro missense_variant 2/9 ENST00000636260.2 NP_001361552.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PNPLA1ENST00000636260.2 linkuse as main transcriptc.418T>C p.Ser140Pro missense_variant 2/95 NM_001374623.1 ENSP00000490785 A2

Frequencies

GnomAD3 genomes
AF:
0.0000254
AC:
3
AN:
117946
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000121
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000323
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000824
AC:
2
AN:
242832
Hom.:
0
AF XY:
0.00000763
AC XY:
1
AN XY:
131138
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000183
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000166
AC:
20
AN:
1207852
Hom.:
0
Cov.:
33
AF XY:
0.0000117
AC XY:
7
AN XY:
597248
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000211
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000254
AC:
3
AN:
117946
Hom.:
0
Cov.:
29
AF XY:
0.0000185
AC XY:
1
AN XY:
54026
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000121
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000323
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal recessive congenital ichthyosis 10 Pathogenic:2
Pathogenic, no assertion criteria providedliterature onlyOMIMJun 10, 2019- -
Likely pathogenic, no assertion criteria providedprovider interpretation;researchUnité de Différenciation Epithéliale et Auto-Immunité Rhumatoïde, INSERM - Université Paul Sabatier-This variant has been seen as a compound heterozygote in 2 differents families in association with the variant c.[820_820delC],[p.Arg274Glyfs*7]; or with the variant c.[266C>T], [p.Pro89Leu]. -
Lamellar ichthyosis Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMay 13, 2024Variant summary: PNPLA1 c.418T>C (p.Ser140Pro) results in a non-conservative amino acid change located in the patatin-like phospholipase domain (IPR002641) of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 8.2e-06 in 242832 control chromosomes. c.418T>C has been reported in the literature as a biallelic genotype in multiple individuals affected with Lamellar Ichthyosis and has been found to segregate with disease in at least one family (e.g. Pichery_2017, Zimmer_2017, Boyden_2017). These data indicate that the variant is very likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 28403545, 28369476, 28093717). ClinVar contains an entry for this variant (Variation ID: 375256). Based on the evidence outlined above, the variant was classified as pathogenic. -
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingGeneDxAug 23, 2023Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 31120544, 35893253, 28369476) -
Congenital ichthyosiform erythroderma Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyYale Center for Mendelian Genomics, Yale UniversityJun 07, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.29
D
BayesDel_noAF
Pathogenic
0.20
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
.;.;.;T
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.94
D;D;T;T
M_CAP
Uncertain
0.094
D
MetaRNN
Pathogenic
0.79
D;D;D;D
MetaSVM
Benign
-0.56
T
MutationAssessor
Uncertain
2.9
.;.;.;M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.59
T
PROVEAN
Pathogenic
-4.7
D;D;D;D
REVEL
Uncertain
0.52
Sift
Uncertain
0.0010
D;D;D;D
Sift4G
Uncertain
0.023
D;D;D;D
Polyphen
0.90
P;.;.;D
Vest4
0.57
MutPred
0.73
.;.;Gain of helix (P = 0.0349);Gain of helix (P = 0.0349);
MVP
0.86
MPC
0.35
ClinPred
0.97
D
GERP RS
4.0
Varity_R
0.56

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs781053760; hg19: chr6-36259309; API