chr6-42978876-A-C

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PP5_Moderate

The NM_000287.4(PEX6):ā€‹c.275T>Gā€‹(p.Val92Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000747 in 1,338,102 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (ā˜…). Synonymous variant affecting the same amino acid position (i.e. V92V) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 7.5e-7 ( 0 hom. )

Consequence

PEX6
NM_000287.4 missense

Scores

5
7
7

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 3.34
Variant links:
Genes affected
PEX6 (HGNC:8859): (peroxisomal biogenesis factor 6) This gene encodes a member of the AAA (ATPases associated with diverse cellular activities) family of ATPases. This member is a predominantly cytoplasmic protein, which plays a direct role in peroxisomal protein import and is required for PTS1 (peroxisomal targeting signal 1, a C-terminal tripeptide of the sequence ser-lys-leu) receptor activity. Mutations in this gene cause peroxisome biogenesis disorders of complementation group 4 and complementation group 6. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2015]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 6 uncertain in NM_000287.4
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 6-42978876-A-C is Pathogenic according to our data. Variant chr6-42978876-A-C is described in ClinVar as [Pathogenic]. Clinvar id is 224319.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PEX6NM_000287.4 linkuse as main transcriptc.275T>G p.Val92Gly missense_variant 1/17 ENST00000304611.13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PEX6ENST00000304611.13 linkuse as main transcriptc.275T>G p.Val92Gly missense_variant 1/171 NM_000287.4 P1Q13608-1
PEX6ENST00000244546.4 linkuse as main transcriptc.275T>G p.Val92Gly missense_variant 1/151 Q13608-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
7.47e-7
AC:
1
AN:
1338102
Hom.:
0
Cov.:
35
AF XY:
0.00
AC XY:
0
AN XY:
660254
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:
9.42e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Heimler syndrome 2 Pathogenic:1
Pathogenic, criteria provided, single submitterresearchLeeds Amelogenesis Imperfecta Research Group, University of LeedsOct 01, 2015Newly identified -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Pathogenic
0.35
D
BayesDel_noAF
Pathogenic
0.27
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.052
T;.
Eigen
Uncertain
0.32
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.58
T;T
M_CAP
Pathogenic
0.94
D
MetaRNN
Uncertain
0.47
T;T
MetaSVM
Uncertain
0.72
D
MutationAssessor
Benign
2.0
M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.94
D
PROVEAN
Benign
-1.5
N;N
REVEL
Uncertain
0.59
Sift
Pathogenic
0.0
D;T
Sift4G
Benign
0.67
T;D
Polyphen
1.0
D;.
Vest4
0.37
MutPred
0.38
Loss of sheet (P = 0.0126);Loss of sheet (P = 0.0126);
MVP
0.99
MPC
4.0
ClinPred
0.98
D
GERP RS
4.9
Varity_R
0.73
gMVP
0.73

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs886037780; hg19: chr6-42946614; API