rs199422196
Variant names: 
Variant summary
Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_018136.5(ASPM):c.9747_9748delCT(p.Tyr3250GlnfsTer14) variant causes a frameshift change. The variant allele was found at a frequency of 0.000000684 in 1,461,270 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★). Variant results in nonsense mediated mRNA decay.
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  6.8e-7   (  0   hom.  ) 
Consequence
 ASPM
NM_018136.5 frameshift
NM_018136.5 frameshift
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  3.64  
Publications
3 publications found 
Genes affected
 ASPM  (HGNC:19048):  (assembly factor for spindle microtubules) This gene is the human ortholog of the Drosophila melanogaster 'abnormal spindle' gene (asp), which is essential for normal mitotic spindle function in embryonic neuroblasts. Studies in mouse also suggest a role of this gene in mitotic spindle regulation, with a preferential role in regulating neurogenesis. Mutations in this gene are associated with microcephaly primary type 5. Multiple transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, May 2011] 
ASPM Gene-Disease associations (from GenCC):
- microcephaly 5, primary, autosomal recessiveInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
- autosomal recessive primary microcephalyInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen
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ACMG classification
Classification was made for transcript
Our verdict: Pathogenic. The variant received 12 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease. 
PM2
Very rare variant in population databases, with high coverage; 
PP5
Variant 1-197090276-TAG-T is Pathogenic according to our data. Variant chr1-197090276-TAG-T is described in ClinVar as Pathogenic. ClinVar VariationId is 21636.Status of the report is criteria_provided_single_submitter, 1 stars. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| ASPM | NM_018136.5 | c.9747_9748delCT | p.Tyr3250GlnfsTer14 | frameshift_variant | Exon 24 of 28 | ENST00000367409.9 | NP_060606.3 | |
| ASPM | NM_001206846.2 | c.4992_4993delCT | p.Tyr1665GlnfsTer14 | frameshift_variant | Exon 23 of 27 | NP_001193775.1 | 
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
32
GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 250972 AF XY:  0.00000737   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1
AN: 
250972
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  6.84e-7  AC: 1AN: 1461270Hom.:  0   AF XY:  0.00000138  AC XY: 1AN XY: 726934 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
1
AN: 
1461270
Hom.: 
 AF XY: 
AC XY: 
1
AN XY: 
726934
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33452
American (AMR) 
 AF: 
AC: 
0
AN: 
44700
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26114
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39598
South Asian (SAS) 
 AF: 
AC: 
1
AN: 
86242
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53386
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5758
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111674
Other (OTH) 
 AF: 
AC: 
0
AN: 
60346
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.525 
Heterozygous variant carriers
 0 
 0 
 1 
 1 
 2 
 2 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
GnomAD4 genome  
GnomAD4 genome 
Cov.: 
32
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:1Other:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Microcephaly 5, primary, autosomal recessive    Pathogenic:1Other:1 
-
GeneReviews
Significance:not provided
Review Status:no classification provided
Collection Method:literature only
- -
Apr 01, 2020
Revvity Omics, Revvity
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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