rs146902902

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 2P and 5B. PM1BP4_StrongBP6

The NM_000310.4(PPT1):​c.904A>G​(p.Ile302Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00124 in 1,614,160 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I302M) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00086 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0013 ( 1 hom. )

Consequence

PPT1
NM_000310.4 missense

Scores

4
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:8B:8O:1

Conservation

PhyloP100: 2.02

Publications

16 publications found
Variant links:
Genes affected
PPT1 (HGNC:9325): (palmitoyl-protein thioesterase 1) The protein encoded by this gene is a small glycoprotein involved in the catabolism of lipid-modified proteins during lysosomal degradation. The encoded enzyme removes thioester-linked fatty acyl groups such as palmitate from cysteine residues. Defects in this gene are a cause of infantile neuronal ceroid lipofuscinosis 1 (CLN1, or INCL) and neuronal ceroid lipofuscinosis 4 (CLN4). Two transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Dec 2008]
PPT1 Gene-Disease associations (from GenCC):
  • neuronal ceroid lipofuscinosis
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • neuronal ceroid lipofuscinosis 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Myriad Women’s Health, Genomics England PanelApp, Orphanet, ClinGen, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 9 uncertain in NM_000310.4
BP4
Computational evidence support a benign effect (MetaRNN=0.020713955).
BP6
Variant 1-40074078-T-C is Benign according to our data. Variant chr1-40074078-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 199009.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000310.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PPT1
NM_000310.4
MANE Select
c.904A>Gp.Ile302Val
missense
Exon 9 of 9NP_000301.1P50897-1
PPT1
NM_001363695.2
c.832A>Gp.Ile278Val
missense
Exon 8 of 8NP_001350624.1Q5T0S4
PPT1
NM_001142604.2
c.595A>Gp.Ile199Val
missense
Exon 6 of 6NP_001136076.1P50897-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PPT1
ENST00000642050.2
MANE Select
c.904A>Gp.Ile302Val
missense
Exon 9 of 9ENSP00000493153.1P50897-1
PPT1
ENST00000433473.8
TSL:1
c.901A>Gp.Ile301Val
missense
Exon 9 of 9ENSP00000394863.4A0A2C9F2P4
PPT1
ENST00000530704.6
TSL:1
n.*527A>G
non_coding_transcript_exon
Exon 9 of 9ENSP00000431655.1E9PK48

Frequencies

GnomAD3 genomes
AF:
0.000861
AC:
131
AN:
152194
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.000660
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00146
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00115
AC:
290
AN:
251412
AF XY:
0.00118
show subpopulations
Gnomad AFR exome
AF:
0.000369
Gnomad AMR exome
AF:
0.000954
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00102
Gnomad NFE exome
AF:
0.00172
Gnomad OTH exome
AF:
0.00130
GnomAD4 exome
AF:
0.00128
AC:
1875
AN:
1461848
Hom.:
1
Cov.:
31
AF XY:
0.00130
AC XY:
946
AN XY:
727224
show subpopulations
African (AFR)
AF:
0.0000896
AC:
3
AN:
33478
American (AMR)
AF:
0.000961
AC:
43
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39698
South Asian (SAS)
AF:
0.000881
AC:
76
AN:
86258
European-Finnish (FIN)
AF:
0.00105
AC:
56
AN:
53408
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5764
European-Non Finnish (NFE)
AF:
0.00147
AC:
1634
AN:
1111990
Other (OTH)
AF:
0.00101
AC:
61
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
111
222
333
444
555
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
60
120
180
240
300
<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:
0.000860
AC:
131
AN:
152312
Hom.:
1
Cov.:
32
AF XY:
0.000994
AC XY:
74
AN XY:
74464
show subpopulations
African (AFR)
AF:
0.000409
AC:
17
AN:
41580
American (AMR)
AF:
0.000392
AC:
6
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4826
European-Finnish (FIN)
AF:
0.000660
AC:
7
AN:
10610
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00146
AC:
99
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
7
14
22
29
36
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00120
Hom.:
0
Bravo
AF:
0.000839
TwinsUK
AF:
0.00189
AC:
7
ALSPAC
AF:
0.00285
AC:
11
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000698
AC:
6
ExAC
AF:
0.00131
AC:
159
EpiCase
AF:
0.000763
EpiControl
AF:
0.00113

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
3
Neuronal ceroid lipofuscinosis 1 (7)
-
4
2
not provided (6)
-
-
1
Inborn genetic diseases (1)
-
1
-
Intellectual disability (1)
-
-
1
not specified (1)
-
-
1
PPT1-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
17
DANN
Benign
0.67
DEOGEN2
Uncertain
0.57
D
Eigen
Benign
-0.89
Eigen_PC
Benign
-0.71
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.061
D
MetaRNN
Benign
0.021
T
MetaSVM
Uncertain
-0.26
T
MutationAssessor
Benign
0.23
N
PhyloP100
2.0
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.54
N
REVEL
Uncertain
0.29
Sift
Benign
0.49
T
Sift4G
Benign
0.58
T
Polyphen
0.0010
B
Vest4
0.28
MVP
0.84
MPC
0.11
ClinPred
0.0067
T
GERP RS
2.1
Varity_R
0.093
gMVP
0.27
Mutation Taster
=83/17
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: rs146902902; hg19: chr1-40539750; API