rs182018947
Variant summary
Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_001194998.2(CEP152):c.2034T>G(p.Tyr678*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000284 in 1,614,094 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. Y678Y) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_001194998.2 stop_gained
Scores
Clinical Significance
Conservation
Publications
- microcephaly with or without short statureInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- Seckel syndrome 5Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
- microcephaly 9, primary, autosomal recessiveInheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- autosomal recessive primary microcephalyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- Seckel syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 16 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| CEP152 | ENST00000380950.7 | c.2034T>G | p.Tyr678* | stop_gained | Exon 16 of 27 | 1 | NM_001194998.2 | ENSP00000370337.2 | ||
| CEP152 | ENST00000399334.7 | c.2034T>G | p.Tyr678* | stop_gained | Exon 16 of 26 | 1 | ENSP00000382271.3 | |||
| CEP152 | ENST00000325747.9 | c.1755T>G | p.Tyr585* | stop_gained | Exon 15 of 25 | 1 | ENSP00000321000.5 |
Frequencies
GnomAD3 genomes AF: 0.000440 AC: 67AN: 152160Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000272 AC: 68AN: 249546 AF XY: 0.000236 show subpopulations
GnomAD4 exome AF: 0.000267 AC: 390AN: 1461816Hom.: 0 Cov.: 33 AF XY: 0.000285 AC XY: 207AN XY: 727196 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000447 AC: 68AN: 152278Hom.: 0 Cov.: 32 AF XY: 0.000430 AC XY: 32AN XY: 74454 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Microcephaly 9, primary, autosomal recessive Pathogenic:5
Stop-gained (nonsense): predicted to result in a loss or disruption of normal protein function through nonsense-mediated decay (NMD) or protein truncation. Multiple pathogenic variants are reported downstream of the variant (PVS1_VS). It is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.000295, PM2). The variant was observed in trans with a pathogenic variant (NM_001194998.1:c.314G>A) as compound heterozygous (3billion dataset, PM3).The variant has been reported as pathogenic (ClinVar ID: VCV000158240.10). Therefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline. -
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not provided Pathogenic:5
This sequence change creates a premature translational stop signal (p.Tyr678*) in the CEP152 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in CEP152 are known to be pathogenic (PMID: 21131973). This variant is present in population databases (rs182018947, gnomAD 0.1%). This premature translational stop signal has been observed in individual(s) with CEP152-related conditions (PMID: 21131973). ClinVar contains an entry for this variant (Variation ID: 158240). For these reasons, this variant has been classified as Pathogenic. -
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Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; This variant is associated with the following publications: (PMID: 30833958, 31980526, 25525159, 21131973, 27219052, 34426522) -
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CEP152: PVS1, PM2, PM3 -
Seckel syndrome 5 Pathogenic:3
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The stop gained c.2034T>G(p.Tyr678Ter) variant in CEP152 gene has been reported previously in compound heterozygous state in individual(s) affected with Seckel syndrome (Kalay E, et. al., 2011; Fujikura K., 2016). The p.Tyr678Ter variant has been reported with allele frequency of 0.03% in gnomAD Exomes. This variant has been reported to the ClinVar database as Uncertain Signifiance / Likely Pathogenic / Pathogenic (multiple submissions). The nucleotide change c.2034T>G in CEP152 is predicted as conserved by GERP++. This sequence change creates a premature translational stop signal (p.Tyr678Ter) in the CEP152 gene. This variant is predicted to cause loss of normal protein function through protein truncation. Loss of function variants have been previously reported to be disease causing. For these reasons, this variant has been classified as Pathogenic. -
CEP152-related disorder Pathogenic:2
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Variant summary: CEP152 c.2034T>G (p.Tyr678X) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant allele was found at a frequency of 0.00027 in 249546 control chromosomes (gnomAD). This frequency is not significantly higher than estimated for a pathogenic variant in CEP152 causing CEP152-Related Disorders, allowing no conclusion about variant significance. c.2034T>G has been reported in the literature in individuals affected with CEP152-Related Disorders (Kalay_2011). To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication have been ascertained in the context of this evaluation (PMID: 21131973). ClinVar contains an entry for this variant (Variation ID: 158240). Based on the evidence outlined above, the variant was classified as pathogenic. -
Inborn genetic diseases Pathogenic:1
The c.2034T>G (p.Y678*) alteration, located in exon 16 (coding exon 15) of the CEP152 gene, consists of a T to G substitution at nucleotide position 2034. This changes the amino acid from a tyrosine (Y) to a stop codon at amino acid position 678. This alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. This alteration has been reported in the compound heterozygous state with a second CEP152 alteration in a patient with clinical features of CEP152-related Seckel syndrome (Kalay, 2011). Based on the available evidence, this alteration is classified as pathogenic. -
Seckel syndrome 5;C3553886:Microcephaly 9, primary, autosomal recessive Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at