Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2
The NM_001386795.1(DTNA):c.362C>T(p.Pro121Leu) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000204 in 1,613,832 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).
DTNA (HGNC:3057): (dystrobrevin alpha) The protein encoded by this gene belongs to the dystrobrevin subfamily of the dystrophin family. This protein is a component of the dystrophin-associated protein complex (DPC), which consists of dystrophin and several integral and peripheral membrane proteins, including dystroglycans, sarcoglycans, syntrophins and alpha- and beta-dystrobrevin. The DPC localizes to the sarcolemma and its disruption is associated with various forms of muscular dystrophy. Mutations in this gene are associated with left ventricular noncompaction with congenital heart defects. Multiple alternatively spliced transcript variants encoding different isoforms have been identified for this gene. [provided by RefSeq, Jul 2008]
Left ventricular noncompaction 1 Pathogenic:1Uncertain:1
Pathogenic, no assertion criteria provided
literature only
OMIM
Mar 06, 2001
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Uncertain significance, criteria provided, single submitter
clinical testing
Labcorp Genetics (formerly Invitae), Labcorp
Jul 20, 2022
In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0"). ClinVar contains an entry for this variant (Variation ID: 8306). This missense change has been observed in individual(s) with left ventricular noncompaction with or without congenital heart disease (PMID: 11238270). It has also been observed to segregate with disease in related individuals. This variant is present in population databases (rs104894654, gnomAD 0.01%). This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 121 of the DTNA protein (p.Pro121Leu). -
Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);Loss of disorder (P = 0.0583);