rs154774636

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP5

The NM_017882.3(CLN6):​c.17G>C​(p.Arg6Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000228 in 1,315,504 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Synonymous variant affecting the same amino acid position (i.e. R6R) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0000023 ( 0 hom. )

Consequence

CLN6
NM_017882.3 missense

Scores

6
7
6

Clinical Significance

Pathogenic no assertion criteria provided P:1O:1

Conservation

PhyloP100: 0.370

Publications

6 publications found
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]
CLN6 Gene-Disease associations (from GenCC):
  • ceroid lipofuscinosis, neuronal, 6A
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P, Myriad Women’s Health, Orphanet
  • ceroid lipofuscinosis, neuronal, 6B (Kufs type)
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, G2P, Orphanet
  • neuronal ceroid lipofuscinosis
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 15-68229568-C-G is Pathogenic according to our data. Variant chr15-68229568-C-G is described in ClinVar as Pathogenic. ClinVar VariationId is 30602.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CLN6NM_017882.3 linkc.17G>C p.Arg6Thr missense_variant Exon 1 of 7 ENST00000249806.11 NP_060352.1
CLN6NM_001411068.1 linkc.180-10918G>C intron_variant Intron 1 of 6 NP_001397997.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CLN6ENST00000249806.11 linkc.17G>C p.Arg6Thr missense_variant Exon 1 of 7 1 NM_017882.3 ENSP00000249806.5
ENSG00000260007ENST00000562767.2 linkc.17G>C p.Arg6Thr missense_variant Exon 1 of 3 3 ENSP00000456336.1

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD2 exomes
AF:
0.0000123
AC:
1
AN:
81494
AF XY:
0.0000215
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000341
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000228
AC:
3
AN:
1315504
Hom.:
0
Cov.:
31
AF XY:
0.00000308
AC XY:
2
AN XY:
648824
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
26504
American (AMR)
AF:
0.00
AC:
0
AN:
27244
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22964
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27956
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73282
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
32700
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4114
European-Non Finnish (NFE)
AF:
0.00000287
AC:
3
AN:
1046430
Other (OTH)
AF:
0.00
AC:
0
AN:
54310
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0662318), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.392
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
34

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Ceroid lipofuscinosis, neuronal, 6B (Kufs type) Pathogenic:1
May 13, 2011
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

not provided Other:1
-
SNPedia
Significance:not provided
Review Status:no classification provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
BayesDel_addAF
Pathogenic
0.35
D
BayesDel_noAF
Pathogenic
0.26
CADD
Benign
23
DANN
Benign
0.96
DEOGEN2
Uncertain
0.56
.;D;T;T;T;T;.;.
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.21
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.81
T;T;T;T;T;T;T;T
M_CAP
Pathogenic
0.99
D
MetaRNN
Uncertain
0.50
D;D;D;D;D;D;D;D
MetaSVM
Uncertain
0.19
D
MutationAssessor
Benign
1.5
.;L;.;.;.;.;.;.
PhyloP100
0.37
PrimateAI
Pathogenic
0.91
D
PROVEAN
Pathogenic
-6.0
D;N;N;N;.;.;D;.
REVEL
Uncertain
0.63
Sift
Uncertain
0.0090
.;D;D;D;.;.;D;.
Sift4G
Pathogenic
0.0
D;D;D;D;.;.;D;.
Polyphen
0.13
.;B;.;.;.;.;.;.
Vest4
0.36
MutPred
0.20
Loss of MoRF binding (P = 0.0149);Loss of MoRF binding (P = 0.0149);Loss of MoRF binding (P = 0.0149);Loss of MoRF binding (P = 0.0149);Loss of MoRF binding (P = 0.0149);Loss of MoRF binding (P = 0.0149);Loss of MoRF binding (P = 0.0149);Loss of MoRF binding (P = 0.0149);
MVP
0.86
MPC
0.13
ClinPred
0.96
D
GERP RS
2.4
PromoterAI
0.093
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.19
gMVP
0.36
Mutation Taster
=17/83
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: rs154774636; hg19: chr15-68521906; API