chrX-48902788-G-GCCCC

Variant names:

• chrX-48902788-G-GCCCC
• rs606231196
• NM_001032382.2:c.637_640dupCCCC

Variant summary

Our verdict is Likely pathogenic. The variant received 8 ACMG points: 8P and 0B. PVS1_Strong PM2 PP5_Moderate

The NM_001032382.2(PQBP1):​c.637_640dupCCCC​(p.Arg214ProfsTer14) variant causes a frameshift, splice region change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Likely pathogenic (★). Synonymous variant affecting the same amino acid position (i.e. R214R) has been classified as Uncertain significance.

• Frequency: Genomes: not found (cov: 21)
• Consequence: PQBP1 NM_001032382.2 frameshift, splice_region
• Clinical Significance: Likely pathogenic criteria provided, single submitter P:1
• Conservation: PhyloP100: 6.81
• Publications: 3 publications found

Genes affected

PQBP1 (HGNC:9330): (polyglutamine binding protein 1) This gene encodes a nuclear polyglutamine-binding protein that is involved with transcription activation. The encoded protein contains a WW domain. Mutations in this gene have been found in patients with Renpenning syndrome 1 and other syndromes with X-linked cognitive disability. Multiple alternatively spliced transcript variants that encode different protein isoforms have been described for this gene.[provided by RefSeq, Nov 2009]

PQBP1 Gene-Disease associations (from GenCC):

• Renpenning syndrome

  Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, ClinGen
• hamel cerebro-palato-cardiac syndrome

  Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
• X-linked intellectual disability, Golabi-Ito-hall type

  Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
• X-linked intellectual disability, Porteous type

  Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
• X-linked intellectual disability, Sutherland-Haan type

  Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Likely_pathogenic. The variant received 8 ACMG points.

• PVS1: Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most 50 bp of the penultimate exon, not predicted to undergo nonsense mediated mRNA decay. There are 8 pathogenic variants in the truncated region.
• PM2: Very rare variant in population databases, with high coverage
• PP5: Variant X-48902788-G-GCCCC is Pathogenic according to our data. Variant chrX-48902788-G-GCCCC is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 422848.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001032382.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	PQBP1	NM_001032382.2	MANE Select	c.637_640dupCCCC	p.Arg214ProfsTer14	frameshift splice_region	Exon 6 of 7	NP_001027554.1
	PQBP1	NM_001032381.2		c.637_640dupCCCC	p.Arg214ProfsTer14	frameshift splice_region	Exon 6 of 7	NP_001027553.1
	PQBP1	NM_001032383.2		c.637_640dupCCCC	p.Arg214ProfsTer14	frameshift splice_region	Exon 6 of 7	NP_001027555.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	PQBP1	ENST00000447146.7	TSL:1 MANE Select	c.637_640dupCCCC	p.Arg214ProfsTer14	frameshift splice_region	Exon 6 of 7	ENSP00000391759.2
	PQBP1	ENST00000218224.9	TSL:1	c.637_640dupCCCC	p.Arg214ProfsTer14	frameshift splice_region	Exon 5 of 6	ENSP00000218224.4
	PQBP1	ENST00000463529.4	TSL:1	n.851_854dupCCCC		non_coding_transcript_exon	Exon 4 of 4

Frequencies

GnomAD3 genomes Cov.: 21

GnomAD4 exome Cov.: 33

GnomAD4 genome Cov.: 21

ClinVar

Significance: Likely pathogenic

Submissions summary: Pathogenic:1

Revision: criteria provided, single submitter

Submissions by phenotype

not provided Pathogenic:1

Dec 01, 2017

GeneDx

Significance: Likely pathogenic

Review Status: criteria provided, single submitter

Collection Method: clinical testing

The c.637_640dupCCCC variant in the PQBP1 gene has not been reported previously as a pathogenic variant nor as a benign variant, to our knowledge. The c.637_640dupCCCC variant causes a frameshift starting with codon Arginine 214, changes this amino acid to a Proline residue, and creates a premature Stop codon at position 14 of the new reading frame, denoted p.Arg214ProfsX14. This variant is predicted to cause loss of normal protein function through protein truncation. The c.637_640dupCCCC variant was not observed in approximately 6500 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. We interpret c.637_640dupCCCC as a likely pathogenic variant.

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
PhyloP100		6.8

Splicing

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

Other links and lift over

dbSNP: rs606231196; hg19: chrX-48760065;