rs1085307446
Variant summary
Our verdict is Pathogenic. The variant received 14 ACMG points: 14P and 0B. PM2PP3_StrongPP5_Very_Strong
The NM_005869.4(CWC27):c.495G>A(p.Glu165Glu) variant causes a splice region, synonymous change. The variant allele was found at a frequency of 0.00000352 in 1,422,264 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Consequence
NM_005869.4 splice_region, synonymous
Scores
Clinical Significance
Conservation
Publications
- metaphyseal chondrodysplasia-retinitis pigmentosa syndromeInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Pathogenic. The variant received 14 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD2 exomes AF: 0.00 AC: 0AN: 231814 AF XY: 0.00
GnomAD4 exome AF: 0.00000352 AC: 5AN: 1422264Hom.: 0 Cov.: 25 AF XY: 0.00000423 AC XY: 3AN XY: 708998 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 32
ClinVar
Submissions by phenotype
Metaphyseal chondrodysplasia-retinitis pigmentosa syndrome Pathogenic:1
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not provided Pathogenic:1
ClinVar contains an entry for this variant (Variation ID: 426071). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Studies have shown that this variant results in inclusion of intron 5 and introduces a premature termination codon (PMID: 28285769). The resulting mRNA is expected to undergo nonsense-mediated decay. For these reasons, this variant has been classified as Pathogenic. This sequence change affects codon 165 of the CWC27 mRNA. It is a 'silent' change, meaning that it does not change the encoded amino acid sequence of the CWC27 protein. RNA analysis indicates that this variant induces altered splicing and may result in an absent or disrupted protein product. This variant is present in population databases (no rsID available, gnomAD no frequency). This variant has been observed in individual(s) with retinitis pigmentosa with or without skeletal abnormalities (PMID: 28285769; Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. It has also been observed to segregate with disease in related individuals. -
Retinitis pigmentosa Pathogenic:1
Variant summary: CWC27 c.495G>A (p.Glu165Glu) alters a conserved nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. Several computational tools predict a significant impact on normal splicing: Four predict the variant abolishes a 5' splicing donor site. Functional studies reveal that the variant results in inclusion of the intron 5 generating a frameshift mutation (Xu_2017). The variant was absent in 231814 control chromosomes (gnomAD). c.495G>A has been reported in the literature in individuals affected with clinical features of CWC27-related conditions (Xu_2017). These data indicate that the variant is likely to be associated with disease. The following publication have been ascertained in the context of this evaluation (PMID: 28285769). ClinVar contains an entry for this variant (Variation ID: 426071). Based on the evidence outlined above, the variant was classified as pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at