rs150597413

Variant summary

Our verdict is Pathogenic. The variant received 15 ACMG points: 16P and 1B. PVS1PP5_Very_StrongBS2_Supporting

The NM_002016.2(FLG):​c.9740C>A​(p.Ser3247*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00279 in 1,613,830 control chromosomes in the GnomAD database, including 16 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.0016 ( 1 hom., cov: 30)
Exomes 𝑓: 0.0029 ( 15 hom. )

Consequence

FLG
NM_002016.2 stop_gained

Scores

1
5

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:17O:1

Conservation

PhyloP100: -0.595

Publications

179 publications found
Variant links:
Genes affected
FLG (HGNC:3748): (filaggrin) The protein encoded by this gene is an intermediate filament-associated protein that aggregates keratin intermediate filaments in mammalian epidermis. It is initially synthesized as a polyprotein precursor, profilaggrin (consisting of multiple filaggrin units of 324 aa each), which is localized in keratohyalin granules, and is subsequently proteolytically processed into individual functional filaggrin molecules. Mutations in this gene are associated with ichthyosis vulgaris.[provided by RefSeq, Dec 2009]
CCDST (HGNC:55988): (cervical cancer associated DHX9 suppressive transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 15 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 40 pathogenic variants in the truncated region.
PP5
Variant 1-152305146-G-T is Pathogenic according to our data. Variant chr1-152305146-G-T is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 50930.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAdExome4 at 15 SD,XL,AR,AD geneVariant has number of homozygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002016.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FLG
NM_002016.2
MANE Select
c.9740C>Ap.Ser3247*
stop_gained
Exon 3 of 3NP_002007.1P20930
CCDST
NR_186761.1
n.578-27437G>T
intron
N/A
CCDST
NR_186762.1
n.180-27437G>T
intron
N/A

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FLG
ENST00000368799.2
TSL:1 MANE Select
c.9740C>Ap.Ser3247*
stop_gained
Exon 3 of 3ENSP00000357789.1P20930
CCDST
ENST00000420707.5
TSL:5
n.462+3313G>T
intron
N/A
CCDST
ENST00000593011.5
TSL:4
n.376+3313G>T
intron
N/A

Frequencies

GnomAD3 genomes
AF:
0.00157
AC:
238
AN:
151886
Hom.:
1
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.000677
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000590
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00288
Gnomad OTH
AF:
0.000957
GnomAD2 exomes
AF:
0.00148
AC:
372
AN:
251454
AF XY:
0.00150
show subpopulations
Gnomad AFR exome
AF:
0.000431
Gnomad AMR exome
AF:
0.000260
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000693
Gnomad NFE exome
AF:
0.00286
Gnomad OTH exome
AF:
0.00228
GnomAD4 exome
AF:
0.00292
AC:
4270
AN:
1461828
Hom.:
15
Cov.:
37
AF XY:
0.00280
AC XY:
2039
AN XY:
727208
show subpopulations
African (AFR)
AF:
0.000478
AC:
16
AN:
33480
American (AMR)
AF:
0.000268
AC:
12
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000232
AC:
2
AN:
86232
European-Finnish (FIN)
AF:
0.000599
AC:
32
AN:
53420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.00357
AC:
3975
AN:
1111984
Other (OTH)
AF:
0.00386
AC:
233
AN:
60386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
381
762
1143
1524
1905
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
162
324
486
648
810
<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:
0.00157
AC:
238
AN:
152002
Hom.:
1
Cov.:
30
AF XY:
0.00139
AC XY:
103
AN XY:
74298
show subpopulations
African (AFR)
AF:
0.000675
AC:
28
AN:
41494
American (AMR)
AF:
0.000590
AC:
9
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5140
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4778
European-Finnish (FIN)
AF:
0.000283
AC:
3
AN:
10598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.00288
AC:
196
AN:
67942
Other (OTH)
AF:
0.000947
AC:
2
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
11
23
34
46
57
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:
0.00127
Hom.:
0
Bravo
AF:
0.00172
TwinsUK
AF:
0.00378
AC:
14
ALSPAC
AF:
0.00311
AC:
12
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00337
AC:
29
ExAC
AF:
0.00135
AC:
164
EpiCase
AF:
0.00365
EpiControl
AF:
0.00284

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
8
-
-
Ichthyosis vulgaris (8)
6
-
-
not provided (6)
1
-
-
Dermatitis, atopic, 2 (1)
1
-
-
FLG-related disorder (1)
1
-
-
See cases (1)
-
-
-
Ichthyosis vulgaris;C1853965:Dermatitis, atopic, 2 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.014
T
BayesDel_noAF
Pathogenic
0.21
CADD
Pathogenic
36
DANN
Benign
0.97
Eigen
Benign
-0.17
Eigen_PC
Benign
-0.56
FATHMM_MKL
Benign
0.038
N
PhyloP100
-0.59
Vest4
0.34
GERP RS
-0.016
Mutation Taster
=21/179
disease causing (ClinVar)

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: rs150597413; hg19: chr1-152277622; API