rs1554580153

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PM5PP3_ModeratePP5

The NM_000127.3(EXT1):​c.992C>T​(p.Ala331Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in Lovd as Likely pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A331D) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 32)

Consequence

EXT1
NM_000127.3 missense

Scores

9
8
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 10.0
Variant links:
Genes affected
EXT1 (HGNC:3512): (exostosin glycosyltransferase 1) This gene encodes an endoplasmic reticulum-resident type II transmembrane glycosyltransferase involved in the chain elongation step of heparan sulfate biosynthesis. Mutations in this gene cause the type I form of multiple exostoses. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr8-117837172-G-T is described in Lovd as [Likely_pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.912
PP5
Variant 8-117837172-G-A is Pathogenic according to our data. Variant chr8-117837172-G-A is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
EXT1NM_000127.3 linkc.992C>T p.Ala331Val missense_variant Exon 2 of 11 ENST00000378204.7 NP_000118.2 Q16394

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
EXT1ENST00000378204.7 linkc.992C>T p.Ala331Val missense_variant Exon 2 of 11 1 NM_000127.3 ENSP00000367446.3 Q16394
EXT1ENST00000436216.2 linkn.359C>T non_coding_transcript_exon_variant Exon 2 of 6 3 ENSP00000400372.1 H7C1H6
EXT1ENST00000684189.1 linkn.459C>T non_coding_transcript_exon_variant Exon 2 of 11
EXT1ENST00000437196.1 linkn.74-1621C>T intron_variant Intron 1 of 9 5 ENSP00000407299.1 F8WF54

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.39
D
BayesDel_noAF
Pathogenic
0.32
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.99
D
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.55
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.94
D
M_CAP
Uncertain
0.23
D
MetaRNN
Pathogenic
0.91
D
MetaSVM
Pathogenic
0.82
D
MutationAssessor
Uncertain
2.2
M
PrimateAI
Pathogenic
0.90
D
PROVEAN
Uncertain
-2.6
D
REVEL
Pathogenic
0.67
Sift
Benign
0.032
D
Sift4G
Uncertain
0.051
T
Polyphen
0.070
B
Vest4
0.76
MutPred
0.85
Gain of sheet (P = 0.1208);
MVP
0.91
MPC
0.79
ClinPred
0.97
D
GERP RS
5.8
Varity_R
0.40
gMVP
0.80

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr8-118849411; COSMIC: COSV65483183; API