rs143578698

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_017882.3(CLN6):​c.923G>C​(p.Ser308Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00233 in 1,557,662 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0016 ( 1 hom., cov: 31)
Exomes 𝑓: 0.0024 ( 9 hom. )

Consequence

CLN6
NM_017882.3 missense

Scores

7
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:8B:5

Conservation

PhyloP100: 0.754
Variant links:
Genes affected
CLN6 (HGNC:2077): (CLN6 transmembrane ER protein) This gene is one of eight which have been associated with neuronal ceroid lipofuscinoses (NCL). Also referred to as Batten disease, NCL comprises a class of autosomal recessive, neurodegenerative disorders affecting children. The genes responsible likely encode proteins involved in the degradation of post-translationally modified proteins in lysosomes. The primary defect in NCL disorders is thought to be associated with lysosomal storage function. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010468572).
BP6
Variant 15-68208153-C-G is Benign according to our data. Variant chr15-68208153-C-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 198573.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Benign=1, Uncertain_significance=8}. Variant chr15-68208153-C-G is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00162 (243/149982) while in subpopulation NFE AF= 0.0028 (189/67388). AF 95% confidence interval is 0.00248. There are 1 homozygotes in gnomad4. There are 104 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 9 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLN6NM_017882.3 linkc.923G>C p.Ser308Thr missense_variant Exon 7 of 7 ENST00000249806.11 NP_060352.1 Q9NWW5-1A0A024R601
CLN6NM_001411068.1 linkc.1019G>C p.Ser340Thr missense_variant Exon 7 of 7 NP_001397997.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLN6ENST00000249806.11 linkc.923G>C p.Ser308Thr missense_variant Exon 7 of 7 1 NM_017882.3 ENSP00000249806.5 Q9NWW5-1
ENSG00000260007ENST00000562767.2 linkc.84-10525G>C intron_variant Intron 1 of 2 3 ENSP00000456336.1 H3BRN7

Frequencies

GnomAD3 genomes
AF:
0.00162
AC:
243
AN:
149868
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000464
Gnomad AMI
AF:
0.00774
Gnomad AMR
AF:
0.000530
Gnomad ASJ
AF:
0.000291
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00157
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00280
Gnomad OTH
AF:
0.00145
GnomAD3 exomes
AF:
0.00186
AC:
466
AN:
250784
Hom.:
1
AF XY:
0.00185
AC XY:
251
AN XY:
135684
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.0000994
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00236
Gnomad NFE exome
AF:
0.00349
Gnomad OTH exome
AF:
0.00163
GnomAD4 exome
AF:
0.00241
AC:
3386
AN:
1407680
Hom.:
9
Cov.:
39
AF XY:
0.00228
AC XY:
1598
AN XY:
700652
show subpopulations
Gnomad4 AFR exome
AF:
0.000316
Gnomad4 AMR exome
AF:
0.000116
Gnomad4 ASJ exome
AF:
0.000209
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00267
Gnomad4 NFE exome
AF:
0.00292
Gnomad4 OTH exome
AF:
0.00162
GnomAD4 genome
AF:
0.00162
AC:
243
AN:
149982
Hom.:
1
Cov.:
31
AF XY:
0.00142
AC XY:
104
AN XY:
73230
show subpopulations
Gnomad4 AFR
AF:
0.000463
Gnomad4 AMR
AF:
0.000529
Gnomad4 ASJ
AF:
0.000291
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00157
Gnomad4 NFE
AF:
0.00280
Gnomad4 OTH
AF:
0.00144
Alfa
AF:
0.00219
Hom.:
0
Bravo
AF:
0.00151
TwinsUK
AF:
0.00189
AC:
7
ALSPAC
AF:
0.00234
AC:
9
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00233
AC:
20
ExAC
AF:
0.00237
AC:
288

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:8Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:4
Dec 14, 2017
Eurofins Ntd Llc (ga)
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 23, 2020
Mayo Clinic Laboratories, Mayo Clinic
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Nov 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

CLN6: BS2 -

Jul 21, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 25359263, 30548430, 21549341) -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Neuronal ceroid lipofuscinosis Uncertain:1Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Uncertain significance
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. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Uncertain:1
Nov 16, 2016
Genetic Services Laboratory, University of Chicago
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

CLN6-related disorder Uncertain:1
May 31, 2023
PreventionGenetics, part of Exact Sciences
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The CLN6 c.923G>C variant is predicted to result in the amino acid substitution p.Ser308Thr. This variant has been previously reported along with two other variants in the CLN6 gene in an individual with major adult form of neuronal ceroid lipofuscinosis (Family Ku8, Arsov et al. 2011. PubMed ID: 21549341). This variant was also observed in the heterozygous state in a cohort of individuals with suspected lysosomal storage disease and reported as a variant of uncertain significance (Table 3, Gheldof et al. 2019. PubMed ID: 30548430). This variant is reported in 0.34% of alleles in individuals of European (Non-Finnish) descent in gnomAD (http://gnomad.broadinstitute.org/variant/15-68500491-C-G), which is more common than expected for a primary cause of disease. Although we suspect this variant may be benign, at this time, the clinical significance is uncertain due to the absence of conclusive functional and genetic evidence. -

Inborn genetic diseases Uncertain:1
Nov 11, 2018
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The p.S308T variant (also known as c.923G>C), located in coding exon 7 of the CLN6 gene, results from a G to C substitution at nucleotide position 923. The serine at codon 308 is replaced by threonine, an amino acid with similar properties. In one study, this alteration was detected in conjunction with two additional CLN6 alterations c.150C>G (p.T50*) and c.231C>G (p.N77K) in an individual with Kufs disease; however, the phase of these three alterations was not confirmed (Arsov T et al. Am. J. Hum. Genet., 2011 May;88:566-73). This amino acid position is well conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -

Ceroid lipofuscinosis, neuronal, 6A;C5561927:Ceroid lipofuscinosis, neuronal, 6B (Kufs type) Uncertain:1
-
Center for Genomics, Ann and Robert H. Lurie Children's Hospital of Chicago
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

CLN6 NM_017882.2 exon 7 p.Ser308Thr (c.923G>C): This variant has not been reported in the literature and is present in 0.3% (435/128540) of European alleles in the Genome Aggregation Database (http://gnomad.broadinstitute.org/variant/15-68500491-C-G). This variant is present in ClinVar (Variation ID:198573). Evolutionary conservation and computational predictive tools suggest that this variant may not impact the protein. In summary, data on this variant is insufficient for disease classification. Therefore, the clinical significance of this variant is uncertain. -

Adult neuronal ceroid lipofuscinosis;C5551375:Ceroid lipofuscinosis, neuronal, 6A Uncertain:1
May 23, 2017
Fulgent Genetics, Fulgent Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.14
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.64
D;T;T;.;T
Eigen
Benign
0.13
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.68
T;T;T;T;T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.010
T;T;T;T;T
MetaSVM
Uncertain
0.44
D
MutationAssessor
Benign
1.6
L;.;.;.;.
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-0.91
N;N;N;N;.
REVEL
Uncertain
0.34
Sift
Benign
0.11
T;T;T;D;.
Sift4G
Benign
0.26
T;T;T;T;.
Polyphen
0.37
B;.;.;.;.
Vest4
0.20
MVP
0.93
MPC
0.31
ClinPred
0.017
T
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.090
gMVP
0.41

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: rs143578698; hg19: chr15-68500491; COSMIC: COSV99031557; COSMIC: COSV99031557; API