rs1064795760

Positions:

• chr9-92719006-CATT-C

Variant summary

Our verdict is Pathogenic. Variant got 13 ACMG points: 13P and 0B. PM1 PM2 PM4_Supporting PP5_Very_Strong

The NM_001003800.2(BICD2):​c.1636_1638delAAT​(p.Asn546del) variant causes a conservative inframe deletion change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Likely pathogenic (★★).

• Frequency: Genomes: not found (cov: 33)
• Consequence: BICD2 NM_001003800.2 conservative_inframe_deletion
• Clinical Significance: Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:4
• Conservation: PhyloP100: 7.86

Genes affected

BICD2 (HGNC:17208): (BICD cargo adaptor 2) This gene is one of two human homologs of Drosophila bicaudal-D and a member of the Bicoid family. It has been implicated in dynein-mediated, minus end-directed motility along microtubules. It has also been reported to be a phosphorylation target of NIMA related kinase 8. Two alternative splice variants have been described. [provided by RefSeq, Jul 2008]

ACMG classification

Verdict is Pathogenic. Variant got 13 ACMG points.

• PM1: In a region_of_interest Interaction with KIF5A (size 265) in uniprot entity BICD2_HUMAN there are 6 pathogenic changes around while only 2 benign (75%) in NM_001003800.2
• PM2: Very rare variant in population databases, with high coverage
• PM4: Nonframeshift variant in NON repetitive region in NM_001003800.2. Strenght limited to Supporting due to length of the change: 1aa.
• PP5: Variant 9-92719006-CATT-C is Pathogenic according to our data. Variant chr9-92719006-CATT-C is described in ClinVar as [Likely_pathogenic]. Clinvar id is 422408.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
BICD2	NM_001003800.2	c.1636_1638delAAT	p.Asn546del	conservative_inframe_deletion	5/7	ENST00000356884.11	NP_001003800.1
BICD2	NM_015250.4	c.1636_1638delAAT	p.Asn546del	conservative_inframe_deletion	5/8		NP_056065.1
BICD2	XM_017014551.2	c.1717_1719delAAT	p.Asn573del	conservative_inframe_deletion	5/8		XP_016870040.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
BICD2	ENST00000356884.11	c.1636_1638delAAT	p.Asn546del	conservative_inframe_deletion	5/7	1	NM_001003800.2	ENSP00000349351.6
BICD2	ENST00000375512.3	c.1636_1638delAAT	p.Asn546del	conservative_inframe_deletion	5/8	1		ENSP00000364662.3

Frequencies

GnomAD3 genomes Cov.: 33

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome Cov.: 33

ClinVar

Significance: Pathogenic/Likely pathogenic

Submissions summary: Pathogenic:4

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Inborn genetic diseases Pathogenic:1

Pathogenic, criteria provided, single submitter

clinical testing

Ambry Genetics

Jul 19, 2019

- -

not provided Pathogenic:1

Pathogenic, criteria provided, single submitter

clinical testing

GeneDx

Aug 10, 2022

Not observed at significant frequency in large population cohorts (gnomAD); In-frame deletion of 1 amino acid in a non-repeat region; In silico analysis supports a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 33547725, 30054298) -

Recurrent fractures;C0036572:Seizure;C0151611:EEG abnormality;C0151786:Muscle weakness;C0232466:Feeding difficulties;C0235659:Decreased fetal movement;C0240379:Open mouth;C0426886:Tapered finger;C0541794:Muscular atrophy;C1854882:Absent speech;C1866195:Downturned corners of mouth;C2243051:Macrocephaly;C4551583:Cerebral cortical atrophy;C5779613:Arthrogryposis multiplex congenita Pathogenic:1

Likely pathogenic, criteria provided, single submitter

research

Institute for Genomic Medicine, Nationwide Children's Hospital

Apr 04, 2018

The c.1636_1638delAAT variant results in an in-frame 3 base pair deletion and is predicted to cause loss of an evolutionarily conserved Asparagine residue in a non-repetitive region of the protein (p.Asn546del). It has not been reported in large population cohorts such as gnomAD. In silico modeling suggests that removing the Asn546 disrupts protein secondary structure in a region that has been shown (in mice) to bind KIF5A. This mutation occurred de novo in our patient and was reported by GeneDx in an unrelated patient who shared similar features. We therefore interpret the variant as likely pathogenic. -

Spinal muscular atrophy, lower extremity-predominant, 2b, prenatal onset, autosomal dominant Pathogenic:1

Pathogenic, no assertion criteria provided

literature only

OMIM

Jan 30, 2019

- -

Computational scores

Source: dbNSFP v4.3

Splicing

Name	Calibrated prediction	Score	Prediction
SpliceAI score (max)		0.0		Details are displayed if max score is > 0.2

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

Publications

LitVar

Other links and lift over

dbSNP: rs1064795760; hg19: chr9-95481288;