rs2076303

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_004415.4(DSP):​c.1904-49T>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.427 in 1,583,700 control chromosomes in the GnomAD database, including 150,193 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.42 ( 14099 hom., cov: 32)
Exomes 𝑓: 0.43 ( 136094 hom. )

Consequence

DSP
NM_004415.4 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.222

Publications

6 publications found
Variant links:
Genes affected
DSP (HGNC:3052): (desmoplakin) This gene encodes a protein that anchors intermediate filaments to desmosomal plaques and forms an obligate component of functional desmosomes. Mutations in this gene are the cause of several cardiomyopathies and keratodermas, including skin fragility-woolly hair syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016]
DSP Gene-Disease associations (from GenCC):
  • arrhythmogenic right ventricular dysplasia 8
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • keratosis palmoplantaris striata 2
    Inheritance: AD Classification: DEFINITIVE, STRONG, LIMITED Submitted by: G2P, Ambry Genetics, Genomics England PanelApp
  • skin fragility-woolly hair-palmoplantar keratoderma syndrome
    Inheritance: AD, AR Classification: DEFINITIVE, STRONG, SUPPORTIVE, LIMITED Submitted by: Orphanet, G2P, Genomics England PanelApp, Ambry Genetics
  • arrhythmogenic cardiomyopathy with wooly hair and keratoderma
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Genomics England PanelApp, ClinGen, Orphanet, Ambry Genetics
  • cardiomyopathy, dilated, with wooly hair, keratoderma, and tooth agenesis
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
  • lethal acantholytic epidermolysis bullosa
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: PanelApp Australia, Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • striate palmoplantar keratoderma
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • severe dermatitis-multiple allergies-metabolic wasting syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BP6
Variant 6-7571793-T-A is Benign according to our data. Variant chr6-7571793-T-A is described in ClinVar as Benign. ClinVar VariationId is 259382.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.748 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DSPNM_004415.4 linkc.1904-49T>A intron_variant Intron 14 of 23 ENST00000379802.8 NP_004406.2
DSPNM_001319034.2 linkc.1904-49T>A intron_variant Intron 14 of 23 NP_001305963.1
DSPNM_001008844.3 linkc.1904-49T>A intron_variant Intron 14 of 23 NP_001008844.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DSPENST00000379802.8 linkc.1904-49T>A intron_variant Intron 14 of 23 1 NM_004415.4 ENSP00000369129.3

Frequencies

GnomAD3 genomes
AF:
0.420
AC:
63797
AN:
151920
Hom.:
14095
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.376
Gnomad AMI
AF:
0.526
Gnomad AMR
AF:
0.514
Gnomad ASJ
AF:
0.372
Gnomad EAS
AF:
0.767
Gnomad SAS
AF:
0.499
Gnomad FIN
AF:
0.315
Gnomad MID
AF:
0.373
Gnomad NFE
AF:
0.411
Gnomad OTH
AF:
0.422
GnomAD2 exomes
AF:
0.462
AC:
112461
AN:
243280
AF XY:
0.458
show subpopulations
Gnomad AFR exome
AF:
0.380
Gnomad AMR exome
AF:
0.578
Gnomad ASJ exome
AF:
0.373
Gnomad EAS exome
AF:
0.763
Gnomad FIN exome
AF:
0.319
Gnomad NFE exome
AF:
0.412
Gnomad OTH exome
AF:
0.433
GnomAD4 exome
AF:
0.428
AC:
613045
AN:
1431662
Hom.:
136094
Cov.:
29
AF XY:
0.430
AC XY:
306946
AN XY:
714076
show subpopulations
African (AFR)
AF:
0.370
AC:
12227
AN:
33008
American (AMR)
AF:
0.569
AC:
25450
AN:
44692
Ashkenazi Jewish (ASJ)
AF:
0.371
AC:
9629
AN:
25988
East Asian (EAS)
AF:
0.797
AC:
31535
AN:
39568
South Asian (SAS)
AF:
0.486
AC:
41643
AN:
85652
European-Finnish (FIN)
AF:
0.321
AC:
15101
AN:
46994
Middle Eastern (MID)
AF:
0.422
AC:
2418
AN:
5736
European-Non Finnish (NFE)
AF:
0.412
AC:
449347
AN:
1090498
Other (OTH)
AF:
0.432
AC:
25695
AN:
59526
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
18809
37618
56426
75235
94044
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
13942
27884
41826
55768
69710
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.420
AC:
63829
AN:
152038
Hom.:
14099
Cov.:
32
AF XY:
0.425
AC XY:
31550
AN XY:
74302
show subpopulations
African (AFR)
AF:
0.376
AC:
15575
AN:
41458
American (AMR)
AF:
0.515
AC:
7861
AN:
15268
Ashkenazi Jewish (ASJ)
AF:
0.372
AC:
1290
AN:
3464
East Asian (EAS)
AF:
0.767
AC:
3974
AN:
5178
South Asian (SAS)
AF:
0.500
AC:
2408
AN:
4820
European-Finnish (FIN)
AF:
0.315
AC:
3325
AN:
10572
Middle Eastern (MID)
AF:
0.384
AC:
113
AN:
294
European-Non Finnish (NFE)
AF:
0.411
AC:
27914
AN:
67964
Other (OTH)
AF:
0.422
AC:
890
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1837
3674
5511
7348
9185
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
594
1188
1782
2376
2970
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.403
Hom.:
2328
Bravo
AF:
0.436
Asia WGS
AF:
0.550
AC:
1910
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Arrhythmogenic cardiomyopathy with wooly hair and keratoderma Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiomyopathy, dilated, with wooly hair, keratoderma, and tooth agenesis Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Lethal acantholytic epidermolysis bullosa Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Woolly hair-skin fragility syndrome Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Jun 15, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Keratosis palmoplantaris striata 2 Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
2.3
DANN
Benign
0.38
PhyloP100
0.22
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs2076303; hg19: chr6-7572026; COSMIC: COSV65791877; API