rs199830550

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The ENST00000219204.8(ARL2BP):​c.207+1G>A variant causes a splice donor change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000815 in 1,522,354 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★★).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000086 ( 0 hom. )

Consequence

ARL2BP
ENST00000219204.8 splice_donor

Scores

5
1
1
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 9.56
Variant links:
Genes affected
ARL2BP (HGNC:17146): (ADP ribosylation factor like GTPase 2 binding protein) ADP-ribosylation factor (ARF)-like proteins (ARLs) comprise a functionally distinct group of the ARF family of RAS-related GTPases. The protein encoded by this gene binds to ARL2.GTP with high affinity but does not interact with ARL2.GDP, activated ARF, or RHO proteins. The lack of detectable membrane association of this protein or ARL2 upon activation of ARL2 is suggestive of actions distinct from those of the ARFs. This protein is considered to be the first ARL2-specific effector identified, due to its interaction with ARL2.GTP but lack of ARL2 GTPase-activating protein activity. [provided by RefSeq, Jul 2008]
PLLP (HGNC:18553): (plasmolipin) Predicted to be a structural constituent of myelin sheath. Predicted to be involved in myelination. Predicted to be located in compact myelin and membrane raft. Predicted to be integral component of membrane. Biomarker of schizophrenia. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, LoF is a know mechanism of disease, Cryptic splice site detected, with MaxEntScore 5.2, offset of 31, new splice context is: gagGTcaga. Cryptic site results in frameshift change. If cryptic site found is not functional and variant results in exon loss, it results in frameshift change.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 16-57248644-G-A is Pathogenic according to our data. Variant chr16-57248644-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 437946.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-57248644-G-A is described in Lovd as [Pathogenic]. Variant chr16-57248644-G-A is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ARL2BPNM_012106.4 linkuse as main transcriptc.207+1G>A splice_donor_variant ENST00000219204.8 NP_036238.1
LOC124903697XR_007065082.1 linkuse as main transcriptn.1417C>T non_coding_transcript_exon_variant 2/2
ARL2BPXM_047433883.1 linkuse as main transcriptc.111+1G>A splice_donor_variant XP_047289839.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ARL2BPENST00000219204.8 linkuse as main transcriptc.207+1G>A splice_donor_variant 1 NM_012106.4 ENSP00000219204 P1Q9Y2Y0-1
ARL2BPENST00000563234.1 linkuse as main transcriptc.199+1G>A splice_donor_variant 2 ENSP00000454237
ARL2BPENST00000562023.5 linkuse as main transcriptc.101-1136G>A intron_variant 3 ENSP00000457465
PLLPENST00000564376.1 linkuse as main transcriptn.321-18C>T intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152140
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000121
AC:
26
AN:
215538
Hom.:
0
AF XY:
0.0000940
AC XY:
11
AN XY:
117078
show subpopulations
Gnomad AFR exome
AF:
0.0000714
Gnomad AMR exome
AF:
0.0000401
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000520
Gnomad NFE exome
AF:
0.000126
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000861
AC:
118
AN:
1370214
Hom.:
0
Cov.:
20
AF XY:
0.0000820
AC XY:
56
AN XY:
682746
show subpopulations
Gnomad4 AFR exome
AF:
0.0000331
Gnomad4 AMR exome
AF:
0.0000278
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000269
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000343
Gnomad4 NFE exome
AF:
0.0000874
Gnomad4 OTH exome
AF:
0.0000879
GnomAD4 genome
AF:
0.0000394
AC:
6
AN:
152140
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74320
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000243
Hom.:
0
Bravo
AF:
0.0000264
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.000115
AC:
14

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

ARL2BP-related disorder Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesMay 25, 2023The ARL2BP c.207+1G>A variant is predicted to disrupt the GT donor site and interfere with normal splicing. This variant has been reported in the homozygous state in individuals with retinal dystrophy (Patient G005193 in Table S2, Carss et al. 2017. PubMed ID: 28041643; Fiorentino et al. 2018. PubMed ID: 30210231; Supplementary Table 2 in Turro et al. 2020. PubMed ID: 32581362). This variant was reported in the homozygous state in a male patient with retinal pigmentosa and abnormal sperm morphology (P1 in Moye et al. 2019. PubMed ID: 31425546). Functional studies showed that this variant led to skipping of exon 3 (Fiorentino et al. 2018. PubMed ID: 30210231; Moye et al. 2019. PubMed ID: 31425546). This variant is reported in 0.049% of alleles in individuals of European (Finnish) descent in gnomAD (http://gnomad.broadinstitute.org/variant/16-57282556-G-A). Variants that disrupt the consensus splice donor site in ARL2BP are expected to be pathogenic. This variant is interpreted as pathogenic. -
Retinitis pigmentosa with or without situs inversus Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMAug 27, 2024- -
not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 03, 2023This sequence change affects a donor splice site in intron 3 of the ARL2BP gene. RNA analysis indicates that disruption of this splice site induces altered splicing and may result in an absent or disrupted protein product. This variant is present in population databases (rs199830550, gnomAD 0.04%). Disruption of this splice site has been observed in individuals with inherited retinal dystrophy (PMID: 27790702, 28041643, 30210231, 32581362). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 437946). Studies have shown that disruption of this splice site results in skipping of exon 3 and introduces a premature termination codon (PMID: 30210231). The resulting mRNA is expected to undergo nonsense-mediated decay. For these reasons, this variant has been classified as Pathogenic. -
Retinal dystrophy Pathogenic:1
Likely pathogenic, no assertion criteria providedresearchNIHR Bioresource Rare Diseases, University of CambridgeJan 01, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.46
D
BayesDel_noAF
Pathogenic
0.43
CADD
Pathogenic
34
DANN
Uncertain
1.0
Eigen
Pathogenic
1.3
Eigen_PC
Pathogenic
1.1
FATHMM_MKL
Pathogenic
0.99
D
MutationTaster
Benign
1.0
D;D
GERP RS
5.8

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.94
SpliceAI score (max)
1.0
Details are displayed if max score is > 0.2
DS_DL_spliceai
1.0
Position offset: -1

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs199830550; hg19: chr16-57282556; COSMIC: COSV54656481; COSMIC: COSV54656481; API