Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PM2PP3_ModeratePP5_Very_Strong
The NM_194454.3(KRIT1):c.1147-13C>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★).
KRIT1 (HGNC:1573): (KRIT1 ankyrin repeat containing) This gene encodes a protein containing four ankyrin repeats, a band 4.1/ezrin/radixin/moesin (FERM) domain, and multiple NPXY sequences. The encoded protein is localized in the nucleus and cytoplasm. It binds to integrin cytoplasmic domain-associated protein-1 alpha (ICAP1alpha), and plays a critical role in beta1-integrin-mediated cell proliferation. It associates with junction proteins and RAS-related protein 1A (Rap1A), which requires the encoded protein for maintaining the integrity of endothelial junctions. It is also a microtubule-associated protein and may play a role in microtubule targeting. Mutations in this gene result in cerebral cavernous malformations. Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Sep 2009]
KRIT1 Gene-Disease associations (from GenCC):
cerebral cavernous malformation 1
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp, Ambry Genetics, Labcorp Genetics (formerly Invitae)
famililal cerebral cavernous malformations
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Our verdict: Pathogenic. The variant received 12 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 7-92225840-G-C is Pathogenic according to our data. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-92225840-G-C is described in CliVar as Pathogenic. Clinvar id is 590691.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
The KRIT1 c.1147-13C>G variant is predicted to interfere with splicing. This variant is predicted to interfere with splicing based on splicing prediction programs (Alamut Visual Plus v.1.6.1). This variant was reported in an individual with cerebral cavernous malformations, and functional analysis showed that it causes disrupted splicing and early protein termination (reported as IVS11-13 C>G in Marini et al 2003. PubMed ID: 12810002). This variant has not been reported in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. This variant is interpreted as pathogenic. -
Cerebral cavernous malformationPathogenic:1
Nov 07, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
This sequence change falls in intron 12 of the KRIT1 gene. It does not directly change the encoded amino acid sequence of the KRIT1 protein. RNA analysis indicates that this variant induces altered splicing and may result in an absent or altered protein product. This variant is not present in population databases (gnomAD no frequency). This variant has been observed in individual(s) with cerebral cavernous malformations (PMID: 12810002; internal data). ClinVar contains an entry for this variant (Variation ID: 590691). Studies have shown that this variant results in a new splice acceptor site, and produces a non-functional protein and/or introduces a premature termination codon (PMID: 12810002). For these reasons, this variant has been classified as Pathogenic. -