rs111252008

Variant summary

Our verdict is Benign. The variant received -15 ACMG points: 1P and 16B. PM4_SupportingBP6_Very_StrongBS1BS2

The NM_013352.4(DSE):​c.2619_2621delGGG​(p.Gly874del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.00295 in 1,614,050 control chromosomes in the GnomAD database, including 91 homozygotes. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. G873G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.015 ( 46 hom., cov: 32)
Exomes 𝑓: 0.0017 ( 45 hom. )

Consequence

DSE
NM_013352.4 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 4.35

Publications

0 publications found
Variant links:
Genes affected
DSE (HGNC:21144): (dermatan sulfate epimerase) The protein encoded by this gene is a tumor-rejection antigen. It is localized to the endoplasmic reticulum and functions to convert D-glucuronic acid to L-iduronic acid during the biosynthesis of dermatan sulfate. This antigen possesses tumor epitopes capable of inducing HLA-A24-restricted and tumor-specific cytotoxic T lymphocytes in cancer patients and may be useful for specific immunotherapy. Mutations in this gene cause inmusculocontractural Ehlers-Danlos syndrome. Alternative splicing results in multiple transcript variants. A related pseudogene has been identified on chromosome 9, and a paralogous gene exists on chromosome 18. [provided by RefSeq, Apr 2016]
DSE Gene-Disease associations (from GenCC):
  • Ehlers-Danlos syndrome, musculocontractural type 2
    Inheritance: AR Classification: STRONG, MODERATE, LIMITED Submitted by: PanelApp Australia, Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, G2P
  • Ehlers-Danlos syndrome, musculocontractural type
    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 -15 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_013352.4. Strenght limited to Supporting due to length of the change: 1aa.
BP6
Variant 6-116437084-TGGG-T is Benign according to our data. Variant chr6-116437084-TGGG-T is described in ClinVar as Benign. ClinVar VariationId is 474683.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.0151 (2291/152192) while in subpopulation AFR AF = 0.0508 (2109/41516). AF 95% confidence interval is 0.049. There are 46 homozygotes in GnomAd4. There are 1113 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 46 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DSENM_013352.4 linkc.2619_2621delGGG p.Gly874del disruptive_inframe_deletion Exon 6 of 6 ENST00000644252.3 NP_037484.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DSEENST00000644252.3 linkc.2619_2621delGGG p.Gly874del disruptive_inframe_deletion Exon 6 of 6 NM_013352.4 ENSP00000494147.2
ENSG00000285446ENST00000644499.1 linkc.766+5894_766+5896delGGG intron_variant Intron 3 of 3 ENSP00000495266.1

Frequencies

GnomAD3 genomes
AF:
0.0149
AC:
2268
AN:
152074
Hom.:
43
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0504
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00674
Gnomad ASJ
AF:
0.00982
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000235
Gnomad OTH
AF:
0.0120
GnomAD2 exomes
AF:
0.00415
AC:
1043
AN:
251340
AF XY:
0.00310
show subpopulations
Gnomad AFR exome
AF:
0.0503
Gnomad AMR exome
AF:
0.00272
Gnomad ASJ exome
AF:
0.00744
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000334
Gnomad OTH exome
AF:
0.00244
GnomAD4 exome
AF:
0.00170
AC:
2478
AN:
1461858
Hom.:
45
AF XY:
0.00152
AC XY:
1109
AN XY:
727226
show subpopulations
African (AFR)
AF:
0.0498
AC:
1668
AN:
33474
American (AMR)
AF:
0.00295
AC:
132
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00777
AC:
203
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.000185
AC:
16
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53420
Middle Eastern (MID)
AF:
0.00503
AC:
29
AN:
5766
European-Non Finnish (NFE)
AF:
0.000150
AC:
167
AN:
1111992
Other (OTH)
AF:
0.00435
AC:
263
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
148
297
445
594
742
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
56
112
168
224
280
<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:
0.0151
AC:
2291
AN:
152192
Hom.:
46
Cov.:
32
AF XY:
0.0150
AC XY:
1113
AN XY:
74428
show subpopulations
African (AFR)
AF:
0.0508
AC:
2109
AN:
41516
American (AMR)
AF:
0.00667
AC:
102
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00982
AC:
34
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10600
Middle Eastern (MID)
AF:
0.0102
AC:
3
AN:
294
European-Non Finnish (NFE)
AF:
0.000235
AC:
16
AN:
67994
Other (OTH)
AF:
0.0118
AC:
25
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
115
230
346
461
576
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
24
48
72
96
120
<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:
0.00232
Hom.:
1
Bravo
AF:
0.0167
Asia WGS
AF:
0.00491
AC:
17
AN:
3478
EpiCase
AF:
0.000327
EpiControl
AF:
0.000296

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Apr 05, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 31, 2017
GeneDx
Significance:Benign
Review Status:flagged submission
Collection Method:clinical testing

- -

DSE-related disorder Benign:1
May 02, 2019
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Ehlers-Danlos syndrome Benign:1
Mar 17, 2022
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Ehlers-Danlos syndrome, musculocontractural type 2 Benign:1
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
4.4
Mutation Taster
=76/24
polymorphism

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

Other links and lift over

dbSNP: rs111252008; hg19: chr6-116758247; COSMIC: COSV59067933; COSMIC: COSV59067933; API