chr7-92499847-CAA-C

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_000466.3(PEX1):​c.2584-11_2584-10delTT variant causes a intron change. The variant allele was found at a frequency of 0.0673 in 1,106,330 control chromosomes in the GnomAD database, including 11 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0033 ( 1 hom., cov: 0)
Exomes 𝑓: 0.077 ( 10 hom. )

Consequence

PEX1
NM_000466.3 intron

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:6

Conservation

PhyloP100: 5.05

Publications

6 publications found
Variant links:
Genes affected
PEX1 (HGNC:8850): (peroxisomal biogenesis factor 1) This gene encodes a member of the AAA ATPase family, a large group of ATPases associated with diverse cellular activities. This protein is cytoplasmic but is often anchored to a peroxisomal membrane where it forms a heteromeric complex and plays a role in the import of proteins into peroxisomes and peroxisome biogenesis. Mutations in this gene have been associated with complementation group 1 peroxisomal disorders such as neonatal adrenoleukodystrophy, infantile Refsum disease, and Zellweger syndrome. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Sep 2013]
PEX1 Gene-Disease associations (from GenCC):
  • peroxisome biogenesis disorder
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • peroxisome biogenesis disorder 1A (Zellweger)
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health, Ambry Genetics
  • Heimler syndrome 1
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: PanelApp Australia, G2P, Ambry Genetics
  • peroxisome biogenesis disorder 1B
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • Zellweger spectrum disorders
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP6
Variant 7-92499847-CAA-C is Benign according to our data. Variant chr7-92499847-CAA-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 194603.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00334 (487/145992) while in subpopulation NFE AF = 0.00478 (317/66316). AF 95% confidence interval is 0.00435. There are 1 homozygotes in GnomAd4. There are 222 alleles in the male GnomAd4 subpopulation. Median coverage is 0. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 10 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PEX1NM_000466.3 linkc.2584-11_2584-10delTT intron_variant Intron 15 of 23 ENST00000248633.9 NP_000457.1 O43933-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PEX1ENST00000248633.9 linkc.2584-11_2584-10delTT intron_variant Intron 15 of 23 1 NM_000466.3 ENSP00000248633.4 O43933-1

Frequencies

GnomAD3 genomes
AF:
0.00334
AC:
487
AN:
145898
Hom.:
1
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.00120
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00353
Gnomad ASJ
AF:
0.000592
Gnomad EAS
AF:
0.000201
Gnomad SAS
AF:
0.000429
Gnomad FIN
AF:
0.00647
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00478
Gnomad OTH
AF:
0.00250
GnomAD2 exomes
AF:
0.0769
AC:
11839
AN:
153898
AF XY:
0.0807
show subpopulations
Gnomad AFR exome
AF:
0.0294
Gnomad AMR exome
AF:
0.0838
Gnomad ASJ exome
AF:
0.0826
Gnomad EAS exome
AF:
0.0565
Gnomad FIN exome
AF:
0.0755
Gnomad NFE exome
AF:
0.0777
Gnomad OTH exome
AF:
0.0917
GnomAD4 exome
AF:
0.0771
AC:
74006
AN:
960338
Hom.:
10
AF XY:
0.0779
AC XY:
36997
AN XY:
474826
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0376
AC:
965
AN:
25678
American (AMR)
AF:
0.0805
AC:
2494
AN:
30992
Ashkenazi Jewish (ASJ)
AF:
0.0777
AC:
1314
AN:
16910
East Asian (EAS)
AF:
0.0503
AC:
1477
AN:
29376
South Asian (SAS)
AF:
0.103
AC:
5183
AN:
50416
European-Finnish (FIN)
AF:
0.0821
AC:
2898
AN:
35290
Middle Eastern (MID)
AF:
0.0547
AC:
233
AN:
4256
European-Non Finnish (NFE)
AF:
0.0775
AC:
56391
AN:
727292
Other (OTH)
AF:
0.0760
AC:
3051
AN:
40128
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.270
Heterozygous variant carriers
0
9362
18723
28085
37446
46808
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1988
3976
5964
7952
9940
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00334
AC:
487
AN:
145992
Hom.:
1
Cov.:
0
AF XY:
0.00312
AC XY:
222
AN XY:
71158
show subpopulations
African (AFR)
AF:
0.00120
AC:
47
AN:
39296
American (AMR)
AF:
0.00353
AC:
52
AN:
14742
Ashkenazi Jewish (ASJ)
AF:
0.000592
AC:
2
AN:
3376
East Asian (EAS)
AF:
0.000201
AC:
1
AN:
4970
South Asian (SAS)
AF:
0.000429
AC:
2
AN:
4660
European-Finnish (FIN)
AF:
0.00647
AC:
61
AN:
9434
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
288
European-Non Finnish (NFE)
AF:
0.00478
AC:
317
AN:
66316
Other (OTH)
AF:
0.00247
AC:
5
AN:
2024
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
21
42
64
85
106
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.134
Hom.:
1774

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:6
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:3
-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Oct 16, 2014
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Zellweger spectrum disorders Benign:2
Jan 23, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 11, 2018
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Peroxisome biogenesis disorder 1A (Zellweger) Uncertain:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Aug 10, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
5.0
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs5885806; hg19: chr7-92129161; API