rs202003795
Variant summary
Our verdict is Likely pathogenic. Variant got 9 ACMG points: 10P and 1B. PM2PP5_Very_StrongBP4
The NM_016401.4(HIKESHI):c.160G>C(p.Val54Leu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000892 in 1,613,666 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Consequence
NM_016401.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_pathogenic. Variant got 9 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000920 AC: 14AN: 152160Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.000143 AC: 36AN: 251456Hom.: 0 AF XY: 0.000155 AC XY: 21AN XY: 135902
GnomAD4 exome AF: 0.0000889 AC: 130AN: 1461506Hom.: 1 Cov.: 31 AF XY: 0.000106 AC XY: 77AN XY: 727098
GnomAD4 genome AF: 0.0000920 AC: 14AN: 152160Hom.: 0 Cov.: 32 AF XY: 0.0000942 AC XY: 7AN XY: 74330
ClinVar
Submissions by phenotype
Hypomyelinating leukodystrophy 13 Pathogenic:2
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Variant summary: HIKESHI c.160G>C (p.Val54Leu) results in a conservative amino acid change located in the Hikeshi-like, N-terminal domain (IPR008493) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a global frequency of 8.9e-05 and at a frequency of 0.003 among the Ashkenazi-Jewish subpopulation (including 1 homozygote) in 1613666 control chromosomes in the gnomAD database. This variant has been proposed as a founder variant among individuals of Ashkenazi-Jewish descent (example, Edvardson_2016, Helman_2021). c.160G>C has been reported in the literature in numerous homozygous individuals affected with Hypomyelinating Leukodystrophy 13 (example, Edvardson_2016, Helman_2020, Helman_2021, Sukenik-Halevy_2022). These data indicate that the variant is very likely to be associated with disease. In patient-derived fibroblasts, this variant was associated with undetectable levels of HIKESHI-encoded protein (example, Edvardson_2016) however follow up experiments in rat oligodendrocytes did not find any impact to protein expression (example, Miyamoto_2023). Markers of rat oligodendrocyte differentiation were reduced vs. wild type in this model (example, Miyamoto_2023). The following publications have been ascertained in the context of this evaluation (PMID: 26545878, 31912665, 34111619, 37965292, 35032046, 37267771). ClinVar contains an entry for this variant (Variation ID: 224891). Based on the evidence outlined above, the variant was classified as pathogenic. -
not provided Pathogenic:1
This sequence change replaces valine, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 54 of the HIKESHI protein (p.Val54Leu). This variant is present in population databases (rs202003795, gnomAD 0.3%). This missense change has been observed in individual(s) with congenital leukodystrophy (PMID: 26545878, 31912665). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 224891). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. Experimental studies have shown that this missense change affects HIKESHI function (PMID: 26545878). For these reasons, this variant has been classified as Pathogenic. -
HIKESHI-related disorder Pathogenic:1
The HIKESHI c.160G>C variant is predicted to result in the amino acid substitution p.Val54Leu. This variant has been reported in the homozygous state in multiple individuals with hypomyelinating leukodystrophy-13, and segregated with disease in families (Edvardson et al. 2016. PubMed ID: 26545878). In addition, Edvardson et al. demonstrated that homozygous patients had undetectable levels of the HIKESHI protein in fibroblasts. This variant is reported in 0.27% of alleles in individuals of Ashkenazi Jewish descent in gnomAD (http://gnomad.broadinstitute.org/variant/11-86017416-G-C). This variant is interpreted as pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at