rs137852736

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PVS1_StrongPM2PP5_Very_Strong

The NM_001034850.3(RETREG1):​c.18_19del​(p.Pro7GlyfsTer133) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000693 in 1,443,900 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (β˜…β˜…). Synonymous variant affecting the same amino acid position (i.e. P6P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000070 ( 0 hom. )

Consequence

RETREG1
NM_001034850.3 frameshift

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:4U:2

Conservation

PhyloP100: -0.593
Variant links:
Genes affected
RETREG1 (HGNC:25964): (reticulophagy regulator 1) The protein encoded by this gene is a cis-Golgi transmembrane protein that may be necessary for the long-term survival of nociceptive and autonomic ganglion neurons. Mutations in this gene are a cause of hereditary sensory and autonomic neuropathy type IIB (HSAN IIB), and this gene may also play a role in susceptibility to vascular dementia. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Nov 2011]
RETREG1-AS1 (HGNC:55551): (RETREG1 antisense RNA 1)

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant located near the start codon (<100nt), not predicted to undergo nonsense mediated mRNA decay. There are 16 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 5-16616952-GGA-G is Pathogenic according to our data. Variant chr5-16616952-GGA-G is described in ClinVar as [Pathogenic]. Clinvar id is 21257.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-16616952-GGA-G is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RETREG1NM_001034850.3 linkuse as main transcriptc.18_19del p.Pro7GlyfsTer133 frameshift_variant 1/9 ENST00000306320.10
RETREG1-AS1NR_109946.1 linkuse as main transcriptn.561+468_561+469del intron_variant, non_coding_transcript_variant
RETREG1XM_011514053.4 linkuse as main transcriptc.18_19del p.Pro7GlyfsTer133 frameshift_variant 1/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RETREG1ENST00000306320.10 linkuse as main transcriptc.18_19del p.Pro7GlyfsTer133 frameshift_variant 1/91 NM_001034850.3 Q9H6L5-1
RETREG1-AS1ENST00000653650.1 linkuse as main transcriptn.329+468_329+469del intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.00000659
AC:
1
AN:
151792
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000697
AC:
9
AN:
1292108
Hom.:
0
AF XY:
0.0000126
AC XY:
8
AN XY:
635298
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000773
Gnomad4 OTH exome
AF:
0.0000188
GnomAD4 genome
AF:
0.00000659
AC:
1
AN:
151792
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74138
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:4Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicApr 22, 2022PM2, PM3_supporting, PVS1 -
Pathogenic, criteria provided, single submitterclinical testingInvitaeNov 12, 2022For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 21257). This premature translational stop signal has been observed in individual(s) with hereditary sensory and autonomic neuropathy (PMID: 19838196). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Pro7Glyfs*133) in the RETREG1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in RETREG1 are known to be pathogenic (PMID: 19838196). -
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingAmbry GeneticsNov 24, 2020The c.18_19delTC pathogenic mutation, located in coding exon 1 of the FAM134B gene, results from a deletion of two nucleotides at nucleotide positions 18 to 19, causing a translational frameshift with a predicted alternate stop codon (p.P7Gfs*133). This variant has been described in the homozygous state in an individual with hereditary sensory and autonomic neuropathy type IIB (HSAN2B) (Kurth I et al. Nat Genet, 2009 Nov;41:1179-81). In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. -
Neuropathy, hereditary sensory and autonomic, type 2B Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMNov 01, 2009- -
Charcot-Marie-Tooth disease Uncertain:1
Uncertain significance, no assertion criteria providedliterature onlyInherited Neuropathy Consortium-- -
Hereditary sensory and autonomic neuropathy type 2 Uncertain:1
Uncertain significance, no assertion criteria providedliterature onlyInherited Neuropathy Consortium Ii, University Of MiamiFeb 17, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs137852736; hg19: chr5-16617061; API