Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2
The NM_016106.4(SCFD1):c.617C>A(p.Ala206Asp) variant causes a missense change. The variant allele was found at a frequency of 0.0000014 in 1,425,002 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
SCFD1 (HGNC:20726): (sec1 family domain containing 1) Predicted to enable syntaxin binding activity. Involved in negative regulation of autophagosome assembly; regulation of protein transport; and response to toxic substance. Located in cis-Golgi network. [provided by Alliance of Genome Resources, Apr 2022]
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
30594
American (AMR)
AF:
0.00
AC:
0
AN:
35788
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25298
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37504
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80398
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53124
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5690
European-Non Finnish (NFE)
AF:
0.00000182
AC:
2
AN:
1097778
Other (OTH)
AF:
0.00
AC:
0
AN:
58828
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
The c.617C>A (p.A206D) alteration is located in exon 8 (coding exon 8) of the SCFD1 gene. This alteration results from a C to A substitution at nucleotide position 617, causing the alanine (A) at amino acid position 206 to be replaced by an aspartic acid (D). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -