rs1359635065

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_173660.5(DOK7):​c.1417G>A​(p.Glu473Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000307 in 1,596,228 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000031 ( 0 hom. )

Consequence

DOK7
NM_173660.5 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 2.45
Variant links:
Genes affected
DOK7 (HGNC:26594): (docking protein 7) The protein encoded by this gene is essential for neuromuscular synaptogenesis. The protein functions in aneural activation of muscle-specific receptor kinase, which is required for postsynaptic differentiation, and in the subsequent clustering of the acetylcholine receptor in myotubes. This protein can also induce autophosphorylation of muscle-specific receptor kinase. Mutations in this gene are a cause of familial limb-girdle myasthenia autosomal recessive, which is also known as congenital myasthenic syndrome type 1B. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.26073992).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DOK7NM_173660.5 linkuse as main transcriptc.1417G>A p.Glu473Lys missense_variant 7/7 ENST00000340083.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DOK7ENST00000340083.6 linkuse as main transcriptc.1417G>A p.Glu473Lys missense_variant 7/71 NM_173660.5 P1Q18PE1-1
DOK7ENST00000643608.1 linkuse as main transcriptc.985G>A p.Glu329Lys missense_variant 5/8
DOK7ENST00000515886.5 linkuse as main transcriptc.487G>A p.Glu163Lys missense_variant 4/42
DOK7ENST00000507039.5 linkuse as main transcriptc.*638G>A 3_prime_UTR_variant 7/72 Q18PE1-4

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152186
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000194
AC:
4
AN:
206530
Hom.:
0
AF XY:
0.00000875
AC XY:
1
AN XY:
114222
show subpopulations
Gnomad AFR exome
AF:
0.0000878
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000638
Gnomad SAS exome
AF:
0.0000357
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000115
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000312
AC:
45
AN:
1444042
Hom.:
0
Cov.:
87
AF XY:
0.0000307
AC XY:
22
AN XY:
717076
show subpopulations
Gnomad4 AFR exome
AF:
0.000241
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000769
Gnomad4 SAS exome
AF:
0.000130
Gnomad4 FIN exome
AF:
0.0000198
Gnomad4 NFE exome
AF:
0.0000172
Gnomad4 OTH exome
AF:
0.0000504
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152186
Hom.:
0
Cov.:
34
AF XY:
0.0000403
AC XY:
3
AN XY:
74354
show subpopulations
Gnomad4 AFR
AF:
0.0000483
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000453
ExAC
AF:
0.0000420
AC:
5

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Fetal akinesia deformation sequence 1;C1850792:Congenital myasthenic syndrome 10 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 08, 2024This sequence change replaces glutamic acid, which is acidic and polar, with lysine, which is basic and polar, at codon 473 of the DOK7 protein (p.Glu473Lys). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with DOK7-related conditions. ClinVar contains an entry for this variant (Variation ID: 534121). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityNov 08, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.16
T;.;.
Eigen
Benign
-0.10
Eigen_PC
Benign
-0.18
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.81
T;T;T
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.26
T;T;T
MetaSVM
Benign
-0.65
T
MutationAssessor
Uncertain
2.1
M;.;.
MutationTaster
Benign
1.0
D;N;N
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-2.1
N;.;.
REVEL
Benign
0.19
Sift
Uncertain
0.012
D;.;.
Sift4G
Benign
0.23
T;.;.
Polyphen
0.46
P;.;.
Vest4
0.14
MVP
0.69
MPC
0.0044
ClinPred
0.24
T
GERP RS
2.9
Varity_R
0.094
gMVP
0.12

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

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1359635065; hg19: chr4-3495130; COSMIC: COSV100403535; COSMIC: COSV100403535; API