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GeneBe

rs147185207

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS1

The NM_173660.5(DOK7):c.1406C>A(p.Pro469His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000165 in 1,594,708 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00032 ( 5 hom., cov: 35)
Exomes 𝑓: 0.00015 ( 0 hom. )

Consequence

DOK7
NM_173660.5 missense

Scores

6
13

Clinical Significance

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

Conservation

PhyloP100: 1.02
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 Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008318365).
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.000322 (49/152358) while in subpopulation EAS AF= 0.00482 (25/5192). AF 95% confidence interval is 0.00335. There are 5 homozygotes in gnomad4. There are 25 alleles in male gnomad4 subpopulation. Median coverage is 35. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DOK7NM_173660.5 linkuse as main transcriptc.1406C>A p.Pro469His missense_variant 7/7 ENST00000340083.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DOK7ENST00000340083.6 linkuse as main transcriptc.1406C>A p.Pro469His missense_variant 7/71 NM_173660.5 P1Q18PE1-1
DOK7ENST00000643608.1 linkuse as main transcriptc.974C>A p.Pro325His missense_variant 5/8
DOK7ENST00000515886.5 linkuse as main transcriptc.476C>A p.Pro159His missense_variant 4/42
DOK7ENST00000507039.5 linkuse as main transcriptc.*627C>A 3_prime_UTR_variant 7/72 Q18PE1-4

Frequencies

GnomAD3 genomes
AF:
0.000223
AC:
34
AN:
152240
Hom.:
0
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00480
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000357
AC:
72
AN:
201940
Hom.:
0
AF XY:
0.000332
AC XY:
37
AN XY:
111586
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00394
Gnomad SAS exome
AF:
0.000361
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000390
GnomAD4 exome
AF:
0.000148
AC:
214
AN:
1442350
Hom.:
0
Cov.:
89
AF XY:
0.000145
AC XY:
104
AN XY:
716066
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00365
Gnomad4 SAS exome
AF:
0.000368
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000181
Gnomad4 OTH exome
AF:
0.000655
GnomAD4 genome
AF:
0.000322
AC:
49
AN:
152358
Hom.:
5
Cov.:
35
AF XY:
0.000336
AC XY:
25
AN XY:
74508
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00482
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00709
Alfa
AF:
0.0000693
Hom.:
0
Bravo
AF:
0.000174
ExAC
AF:
0.000345
AC:
41
Asia WGS
AF:
0.0150
AC:
53
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityJun 28, 2019- -
Fetal akinesia deformation sequence 1;C1850792:Congenital myasthenic syndrome 10 Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 24, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.090
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.14
Cadd
Benign
19
Dann
Uncertain
0.99
DEOGEN2
Benign
0.14
T;.;.
Eigen
Benign
-0.083
Eigen_PC
Benign
-0.26
FATHMM_MKL
Benign
0.071
N
LIST_S2
Benign
0.42
T;T;T
M_CAP
Benign
0.034
D
MetaRNN
Benign
0.0083
T;T;T
MetaSVM
Benign
-0.81
T
MutationAssessor
Uncertain
2.1
M;.;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.70
T
PROVEAN
Uncertain
-3.3
D;.;.
REVEL
Uncertain
0.37
Sift
Benign
0.052
T;.;.
Sift4G
Uncertain
0.031
D;.;.
Polyphen
0.98
D;.;.
Vest4
0.70
MVP
0.77
MPC
0.015
ClinPred
0.066
T
GERP RS
2.4
Varity_R
0.10
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: rs147185207; hg19: chr4-3495119; API