rs267607166
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2
The NM_005148.4(UNC119):c.169A>T(p.Lys57*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000225 in 1,551,476 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.00015 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00023 ( 1 hom. )
Consequence
UNC119
NM_005148.4 stop_gained
NM_005148.4 stop_gained
Scores
2
4
1
Clinical Significance
Conservation
PhyloP100: 2.60
Genes affected
UNC119 (HGNC:12565): (unc-119 lipid binding chaperone) This gene is specifically expressed in the photoreceptors in the retina. The encoded product shares strong homology with the C. elegans unc119 protein and it can functionally complement the C. elegans unc119 mutation. It has been localized to the photoreceptor synapses in the outer plexiform layer of the retina, and suggested to play a role in the mechanism of photoreceptor neurotransmitter release through the synaptic vesicle cycle. Two transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -4 ACMG points.
BS2
High AC in GnomAd4 at 23 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
UNC119 | NM_005148.4 | c.169A>T | p.Lys57* | stop_gained | 1/5 | ENST00000335765.9 | NP_005139.1 | |
UNC119 | NM_054035.2 | c.169A>T | p.Lys57* | stop_gained | 1/4 | NP_473376.1 | ||
UNC119 | XM_011525459.3 | c.169A>T | p.Lys57* | stop_gained | 1/3 | XP_011523761.1 | ||
UNC119 | NM_001330166.2 | c.-145A>T | 5_prime_UTR_variant | 1/6 | NP_001317095.1 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000151 AC: 23AN: 152022Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.0000855 AC: 13AN: 152098Hom.: 0 AF XY: 0.0000709 AC XY: 6AN XY: 84626
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GnomAD4 exome AF: 0.000233 AC: 326AN: 1399454Hom.: 1 Cov.: 31 AF XY: 0.000228 AC XY: 158AN XY: 692786
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GnomAD4 genome AF: 0.000151 AC: 23AN: 152022Hom.: 0 Cov.: 31 AF XY: 0.000135 AC XY: 10AN XY: 74252
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ClinVar
Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Cone-rod dystrophy 24 Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Oct 01, 2000 | - - |
Cone-rod dystrophy Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Oct 24, 2018 | The UNC119 c.169A>T (p.Lys57Ter) variant is a stop-gained variant that has been reported in one patient with late-onset cone-rod dystrophy (CRD) in a heterozygous state (Kobayashi et al. 2000). The variant was also found in the patient's 36-year-old daughter who shared a history of seeing bright flashes with her mother but did not as yet have a clinical diagnosis of CRD (Kobayashi et al. 2000). The p.Lys57Ter variant was absent from 100 controls but is reported at a frequency of 0.000378 in the European (Finnish) population of the Genome Aggregation Database. Functional studies in transgenic mice showed age-dependent fundus lesions compared with controls. In addition, electroretinogram analysis showed significant reduction in b-wave in transgenic mice older than one year compared to controls, light microscopy analysis showed changes to the retina, and electron microscopy showed changes consistent with retinal degeneration affecting the photoreceptor ribbon synapses (Kobayashi et al. 2000). Due to the potential impact of stop-gained variants and the evidence from the literature, the p.Lys57Ter variant is classified as a variant of unknown significance but suspicious for pathogenicity for cone-rod dystrophy. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. - |
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 18, 2024 | This sequence change creates a premature translational stop signal (p.Lys57*) in the UNC119 gene. It is expected to result in an absent or disrupted protein product. However, the current clinical and genetic evidence is not sufficient to establish whether loss-of-function variants in UNC119 cause disease. This variant is present in population databases (rs267607166, gnomAD 0.04%). This premature translational stop signal has been observed in individual(s) with cone-rod dystrophy (PMID: 11006213). ClinVar contains an entry for this variant (Variation ID: 5882). Algorithms developed to predict the effect of variants on protein structure and function are not available or were not evaluated for this variant. Experimental studies have shown that this premature translational stop signal affects UNC119 function (PMID: 11006213). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. - |
Computational scores
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Name
Calibrated prediction
Score
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BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Uncertain
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Uncertain
D
Vest4
GERP RS
RBP_binding_hub_radar
RBP_regulation_power_radar
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at