chr6-65334981-T-C

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong

The NM_001142800.2(EYS):​c.1765A>G​(p.Arg589Gly) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000423 in 1,606,096 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R589K) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000042 ( 0 hom. )

Consequence

EYS
NM_001142800.2 missense, splice_region

Scores

7
11

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3U:1

Conservation

PhyloP100: 2.65
Variant links:
Genes affected
EYS (HGNC:21555): (eyes shut homolog) The product of this gene contains multiple epidermal growth factor (EGF)-like and LamG domains. The protein is expressed in the photoreceptor layer of the retina, and the gene is mutated in autosomal recessive retinitis pigmentosa. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 6-65334981-T-C is Pathogenic according to our data. Variant chr6-65334981-T-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 551672.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-65334981-T-C is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EYSNM_001142800.2 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant, splice_region_variant 11/43 ENST00000503581.6
EYSNM_198283.2 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant 10/10
EYSNM_001292009.2 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant, splice_region_variant 11/44
EYSNM_001142801.2 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant, splice_region_variant 11/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EYSENST00000342421.9 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant 9/91 Q5T1H1-2
EYSENST00000503581.6 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant, splice_region_variant 11/435 NM_001142800.2 A2Q5T1H1-1
EYSENST00000370621.7 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant, splice_region_variant 11/441 P2Q5T1H1-3
EYSENST00000393380.6 linkuse as main transcriptc.1765A>G p.Arg589Gly missense_variant, splice_region_variant 11/121 Q5T1H1-4

Frequencies

GnomAD3 genomes
AF:
0.0000461
AC:
7
AN:
151772
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000132
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000295
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000962
AC:
24
AN:
249410
Hom.:
0
AF XY:
0.000111
AC XY:
15
AN XY:
134884
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000262
Gnomad ASJ exome
AF:
0.000398
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000797
Gnomad OTH exome
AF:
0.000330
GnomAD4 exome
AF:
0.0000419
AC:
61
AN:
1454324
Hom.:
0
Cov.:
28
AF XY:
0.0000497
AC XY:
36
AN XY:
723918
show subpopulations
Gnomad4 AFR exome
AF:
0.0000301
Gnomad4 AMR exome
AF:
0.000247
Gnomad4 ASJ exome
AF:
0.000423
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000289
Gnomad4 OTH exome
AF:
0.0000832
GnomAD4 genome
AF:
0.0000461
AC:
7
AN:
151772
Hom.:
0
Cov.:
32
AF XY:
0.0000270
AC XY:
2
AN XY:
74116
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000132
Gnomad4 ASJ
AF:
0.000865
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000295
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000756
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.0000906
AC:
11
EpiCase
AF:
0.00
EpiControl
AF:
0.000237

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3Uncertain:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Retinitis pigmentosa 25 Pathogenic:1Uncertain:1
Uncertain significance, flagged submissionclinical testingCounsylJun 27, 2017- -
Pathogenic, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
Macular dystrophy Pathogenic:1
Likely pathogenic, no assertion criteria providedresearchDepartment of Clinical Genetics, Copenhagen University Hospital, RigshospitaletApr 01, 2018- -
not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 28, 2024This sequence change replaces arginine, which is basic and polar, with glycine, which is neutral and non-polar, at codon 589 of the EYS protein (p.Arg589Gly). This variant is present in population databases (rs778030177, gnomAD 0.03%). This missense change has been observed in individuals with clinical features of retinitis pigmentosa (PMID: 20237254, 30153090; Invitae). ClinVar contains an entry for this variant (Variation ID: 551672). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.039
T
BayesDel_noAF
Uncertain
0.0
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.033
.;T;.;.
Eigen
Benign
0.032
Eigen_PC
Benign
0.039
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.51
T;T;T;T
M_CAP
Uncertain
0.13
D
MetaRNN
Uncertain
0.43
T;T;T;T
MetaSVM
Benign
-0.29
T
MutationTaster
Benign
0.99
N;N;N;N;N;N
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-2.3
N;N;N;N
REVEL
Uncertain
0.45
Sift
Benign
0.11
T;T;D;T
Sift4G
Uncertain
0.0020
D;D;T;T
Polyphen
0.96
D;.;.;D
Vest4
0.51
MVP
0.49
MPC
0.010
ClinPred
0.46
T
GERP RS
3.4
Varity_R
0.17
gMVP
0.85

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.30
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.30
Position offset: -1

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: rs778030177; hg19: chr6-66044874; API