rs12484657

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001127649.3(PEX26):​c.457C>G​(p.Leu153Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0152 in 1,614,136 control chromosomes in the GnomAD database, including 232 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.011 ( 21 hom., cov: 33)
Exomes 𝑓: 0.016 ( 211 hom. )

Consequence

PEX26
NM_001127649.3 missense

Scores

8
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 2.22

Publications

33 publications found
Variant links:
Genes affected
PEX26 (HGNC:22965): (peroxisomal biogenesis factor 26) This gene belongs to the peroxin-26 gene family. It is probably required for protein import into peroxisomes. It anchors PEX1 and PEX6 to peroxisome membranes, possibly to form heteromeric AAA ATPase complexes required for the import of proteins into peroxisomes. Defects in this gene are the cause of peroxisome biogenesis disorder complementation group 8 (PBD-CG8). PBD refers to a group of peroxisomal disorders arising from a failure of protein import into the peroxisomal membrane or matrix. The PBD group is comprised of four disorders: Zellweger syndrome (ZWS), neonatal adrenoleukodystrophy (NALD), infantile Refsum disease (IRD), and classical rhizomelic chondrodysplasia punctata (RCDP). Alternatively spliced transcript variants have been identified for this gene. [provided by RefSeq, Dec 2010]
PEX26 Gene-Disease associations (from GenCC):
  • peroxisome biogenesis disorder
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • peroxisome biogenesis disorder 7A (Zellweger)
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • peroxisome biogenesis disorder 7B
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P
  • Zellweger spectrum disorders
    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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009204537).
BP6
Variant 22-18083522-C-G is Benign according to our data. Variant chr22-18083522-C-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 95877.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0106 (1610/152348) while in subpopulation NFE AF = 0.0174 (1181/68030). AF 95% confidence interval is 0.0165. There are 21 homozygotes in GnomAd4. There are 726 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 21 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PEX26NM_001127649.3 linkc.457C>G p.Leu153Val missense_variant Exon 3 of 5 ENST00000399744.8 NP_001121121.1 Q7Z412-1A0A024R100
PEX26NM_017929.6 linkc.457C>G p.Leu153Val missense_variant Exon 4 of 6 NP_060399.1 Q7Z412-1A0A024R100
PEX26NM_001199319.2 linkc.457C>G p.Leu153Val missense_variant Exon 4 of 5 NP_001186248.1 Q7Z412-2Q7Z2D7A0A0S2Z5M7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PEX26ENST00000399744.8 linkc.457C>G p.Leu153Val missense_variant Exon 3 of 5 1 NM_001127649.3 ENSP00000382648.4 Q7Z412-1
PEX26ENST00000329627.11 linkc.457C>G p.Leu153Val missense_variant Exon 4 of 6 1 ENSP00000331106.5 Q7Z412-1
PEX26ENST00000428061.2 linkc.457C>G p.Leu153Val missense_variant Exon 3 of 4 1 ENSP00000412441.2 Q7Z412-2
ENSG00000288683ENST00000474897.6 linkn.457C>G non_coding_transcript_exon_variant Exon 4 of 9 5 ENSP00000434235.2 E9PRC5

Frequencies

GnomAD3 genomes
AF:
0.0106
AC:
1611
AN:
152230
Hom.:
21
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00326
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0132
Gnomad ASJ
AF:
0.0141
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00104
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0174
Gnomad OTH
AF:
0.0143
GnomAD2 exomes
AF:
0.0102
AC:
2557
AN:
251270
AF XY:
0.0104
show subpopulations
Gnomad AFR exome
AF:
0.00351
Gnomad AMR exome
AF:
0.00844
Gnomad ASJ exome
AF:
0.0119
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00166
Gnomad NFE exome
AF:
0.0171
Gnomad OTH exome
AF:
0.0157
GnomAD4 exome
AF:
0.0157
AC:
22897
AN:
1461788
Hom.:
211
Cov.:
32
AF XY:
0.0153
AC XY:
11152
AN XY:
727182
show subpopulations
African (AFR)
AF:
0.00272
AC:
91
AN:
33480
American (AMR)
AF:
0.00926
AC:
414
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0135
AC:
352
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000719
AC:
62
AN:
86252
European-Finnish (FIN)
AF:
0.00183
AC:
98
AN:
53416
Middle Eastern (MID)
AF:
0.00433
AC:
25
AN:
5768
European-Non Finnish (NFE)
AF:
0.0189
AC:
21046
AN:
1111928
Other (OTH)
AF:
0.0134
AC:
809
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
1338
2676
4013
5351
6689
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
802
1604
2406
3208
4010
<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:
0.0106
AC:
1610
AN:
152348
Hom.:
21
Cov.:
33
AF XY:
0.00974
AC XY:
726
AN XY:
74506
show subpopulations
African (AFR)
AF:
0.00325
AC:
135
AN:
41588
American (AMR)
AF:
0.0132
AC:
202
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0141
AC:
49
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4822
European-Finnish (FIN)
AF:
0.00104
AC:
11
AN:
10622
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.0174
AC:
1181
AN:
68030
Other (OTH)
AF:
0.0142
AC:
30
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
78
156
233
311
389
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
22
44
66
88
110
<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:
0.0160
Hom.:
23
Bravo
AF:
0.0119
TwinsUK
AF:
0.0178
AC:
66
ALSPAC
AF:
0.0208
AC:
80
ESP6500AA
AF:
0.00363
AC:
16
ESP6500EA
AF:
0.0176
AC:
151
ExAC
AF:
0.00996
AC:
1209
Asia WGS
AF:
0.00115
AC:
5
AN:
3478
EpiCase
AF:
0.0167
EpiControl
AF:
0.0181

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Jan 19, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 22995991, 20981092, 16257970, 15858711) -

Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PEX26: BS1, BS2 -

Oct 21, 2015
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Aug 28, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:3
Dec 10, 2021
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 12, 2013
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Peroxisome biogenesis disorder 7A (Zellweger) Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Peroxisome biogenesis disorder 7B;C3888385:Peroxisome biogenesis disorder 7A (Zellweger) Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Peroxisome biogenesis disorder 1A (Zellweger) Benign:1
May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Uncertain
-0.050
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.34
.;T;T;.
Eigen
Uncertain
0.44
Eigen_PC
Uncertain
0.48
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.64
T;.;T;.
MetaRNN
Benign
0.0092
T;T;T;T
MetaSVM
Uncertain
0.57
D
MutationAssessor
Uncertain
2.6
M;M;M;M
PhyloP100
2.2
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.5
.;N;N;N
REVEL
Uncertain
0.51
Sift
Benign
0.054
.;T;T;T
Sift4G
Benign
0.12
T;T;T;T
Polyphen
1.0
.;D;D;.
Vest4
0.83
MPC
0.69
ClinPred
0.021
T
GERP RS
5.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.14
gMVP
0.23
Mutation Taster
=92/8
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: rs12484657; hg19: chr22-18566288; API