rs281865084

Variant summary

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

The NM_000195.5(HPS1):​c.1189delC​(p.Gln397fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000911 in 1,613,148 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000088 ( 0 hom. )

Consequence

HPS1
NM_000195.5 frameshift

Scores

Not classified

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:16O:1

Conservation

PhyloP100: 2.01
Variant links:
Genes affected
HPS1 (HGNC:5163): (HPS1 biogenesis of lysosomal organelles complex 3 subunit 1) This gene encodes a protein that may play a role in organelle biogenesis associated with melanosomes, platelet dense granules, and lysosomes. The encoded protein is a component of three different protein complexes termed biogenesis of lysosome-related organelles complex (BLOC)-3, BLOC4, and BLOC5. Mutations in this gene are associated with Hermansky-Pudlak syndrome type 1. Alternative splicing results in multiple transcript variants. A pseudogene related to this gene is located on chromosome 22. [provided by RefSeq, Aug 2015]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 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 10-98425686-TG-T is Pathogenic according to our data. Variant chr10-98425686-TG-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 21091.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr10-98425686-TG-T is described in Lovd as [Pathogenic]. Variant chr10-98425686-TG-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HPS1NM_000195.5 linkuse as main transcriptc.1189delC p.Gln397fs frameshift_variant 13/20 ENST00000361490.9 NP_000186.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HPS1ENST00000361490.9 linkuse as main transcriptc.1189delC p.Gln397fs frameshift_variant 13/201 NM_000195.5 ENSP00000355310.4 Q92902-1
ENSG00000289758ENST00000699159.1 linkuse as main transcriptn.*548delC non_coding_transcript_exon_variant 12/24 ENSP00000514167.1 A0A8V8TP71
ENSG00000289758ENST00000699159.1 linkuse as main transcriptn.*548delC 3_prime_UTR_variant 12/24 ENSP00000514167.1 A0A8V8TP71

Frequencies

GnomAD3 genomes
AF:
0.000118
AC:
18
AN:
152188
Hom.:
0
Cov.:
33
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000720
AC:
18
AN:
249956
Hom.:
0
AF XY:
0.0000813
AC XY:
11
AN XY:
135294
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000159
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000883
AC:
129
AN:
1460960
Hom.:
0
Cov.:
32
AF XY:
0.0000771
AC XY:
56
AN XY:
726706
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000114
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.000118
AC:
18
AN:
152188
Hom.:
0
Cov.:
33
AF XY:
0.000135
AC XY:
10
AN XY:
74344
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:
0.00
Gnomad4 NFE
AF:
0.000250
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000182
Hom.:
0
Bravo
AF:
0.000110
EpiCase
AF:
0.000109
EpiControl
AF:
0.000237

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:16Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hermansky-Pudlak syndrome 1 Pathogenic:9Other:1
Pathogenic, criteria provided, single submitterclinical testingCentre for Mendelian Genomics, University Medical Centre LjubljanaSep 16, 2019This variant was classified as: Pathogenic. The following ACMG criteria were applied in classifying this variant: PVS1,PS1,PM2,PM3,PP4. This variant was detected in homozygous state. -
not provided, no classification providedliterature onlyGeneReviews-- -
Likely pathogenic, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017The HPS1 c.1189delC (p.Gln397SerfsTer2) variant results in a frameshift and is predicted to cause a premature termination of the protein. The variant is reported in six studies in which it is found in a total of nine out of 43 individuals with Hermansky-Pudlak syndrome (HPS), including two homozygotes, one hemizygote, and six compound heterozygotes, and in four unaffected heterozygous family members (Oh et al. 1998; Shotelersuk et al. 1998; Griffin et al. 2005; Huizing et al. 2007; Sandrock et al. 2010; Westmoreland et al. 2016). Control data are unavailable for this variant, which is reported at a frequency of 0.00012 in the European (non-Finnish) population of the Exome Aggregation Consortium. Northern blot analysis of fibroblasts from the hemizygous individual showed significantly reduced HPS RNA (Shotelersuk et al. 1998). Based on the collective evidence, the p.Gln397SerfsTer2 variant is classified as pathogenic for Hermansky-Pudlak syndrome. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. -
Pathogenic, no assertion criteria providedresearchISTH-SSC Genomics in Thrombosis and Hemostasis, KU Leuven, Center for Molecular and Vascular Biology-- -
Pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 19, 2022- -
Pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsMar 26, 2024- -
Pathogenic, criteria provided, single submitterclinical testingLaboratory of Medical Genetics, National & Kapodistrian University of AthensFeb 15, 2024PVS1, PM2, PP5 - The variant has been reported in ClinVar as Pathogenic by other laboratories (Variation ID 21091). This variant has been previously reported as causative (PMID:31619213). -
Pathogenic, criteria provided, single submitterclinical testingRevvity Omics, RevvityJul 01, 2021- -
Pathogenic, criteria provided, single submitterclinical testingPittsburgh Clinical Genomics Laboratory, University of Pittsburgh Medical CenterAug 16, 2023This sequence variant is a single nucleotide deletion (delC) at coding position 1189 of the HPS1 gene that results in an early termition sigl 2 codons downstream of the frameshift at Gln397. As it occurs in exon 13 of 20, this variant is predicted to generate a non-functiol allele through either the expression of a truncated protein or a loss of HPS1 expression due to nonsense-mediated decay. This is a previously reported variant (ClinVar 21091) that has been observed in homozygous or compound heterozygous state in many individuals and families affected by Hermansky-Pudlak syndrome (PMID: 9497254, 9705234, 12442288, 15952982, 20514622, 26806224). This variant is present in 19 of 281342 alleles (0.0068%) in the gnomAD population dataset. Haploinsufficiency in HPS1 is a known mechanism of disease. Based upon the evidence, we consider this variant to be pathogenic. ACMG Criteria: PM3, PS4, PVS1 -
Pathogenic, criteria provided, single submitterclinical testingInstitute of Medical Genetics and Applied Genomics, University Hospital TübingenFeb 20, 2024- -
Hermansky-Pudlak syndrome Pathogenic:3
Pathogenic, criteria provided, single submittercurationBroad Center for Mendelian Genomics, Broad Institute of MIT and HarvardNov 29, 2021The p.Gln397fs variant in HPS1 has been reported in at least 9 individuals with Hermansky-Pudlak syndrome (PMID: 31619213, 26806224, 28081892, 20514622, 9497254, 15952982), segregated with disease in 2 affected relatives from 2 families (PMID: 20514622) and has been identified in 0.01% (19/128472) of European (non-Finnish) chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP ID: rs281865084). Although this variant has been seen in the general population in a heterozygous state, its frequency is not high enough to rule out a pathogenic role. This variant has also been reported in ClinVar (Variation ID#: 21091) and has been interpreted as Likely Pathogenic or Pathogenic by Illumina Clinical Services Laboratory (Illumina), Centre for Mendelian Genomics (University Medical Centre Ljubljana), NIHR Bioresource Rare Diseases (University of Cambridge), Invitae, and GeneReviews. Of the at least 9 affected individuals, 2 of those were homozygotes, and 1 were compound heterozygote that carried a reported likely pathogenic variants in trans, which increases the likelihood that the p.Gln397fs variant is pathogenic (PMID: 17365864, 9497254, 20514622). This variant is predicted to cause a frameshift, which alters the protein’s amino acid sequence beginning at position 397 and leads to a premature termination codon 2 amino acids downstream. This alteration is then predicted to lead to a truncated or absent protein. Loss of function of the HPS1 gene is an established disease mechanism in autosomal recessive Hermansky-Pudlak syndrome. In summary, this variant meets criteria to be classified as pathogenic for autosomal recessive Hermansky-Pudlak syndrome. ACMG/AMP Criteria applied: PM3_strong, PVS1, PP1_moderate (Richards 2015). -
Pathogenic, no assertion criteria providedclinical testingNatera, Inc.Jul 24, 2020- -
Pathogenic, criteria provided, single submitterresearchNIHR Bioresource Rare Diseases, University of CambridgeFeb 01, 2019- -
not provided Pathogenic:3
Pathogenic, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024This sequence change creates a premature translational stop signal (p.Gln397Serfs*2) in the HPS1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in HPS1 are known to be pathogenic (PMID: 12442288, 16185271). This variant is present in population databases (rs281865084, gnomAD 0.02%). This premature translational stop signal has been observed in individuals with HPS1-related conditions (PMID: 9497254, 20514622, 28081892). This variant is also known as E397delC. ClinVar contains an entry for this variant (Variation ID: 21091). For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
HPS1-related disorder Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 30, 2024The HPS1 c.1189delC variant is predicted to result in a frameshift and premature protein termination (p.Gln397Serfs*2). This variant has been reported in individuals with Hermansky-Pudlak syndrome in the compound heterozygous states (Marti et al. 2017. PubMed ID: 28976636; supplemental Table 3, Downes et al. 2019. PubMed ID: 31064749) This variant is reported in 0.015% of alleles in individuals of European (Non-Finnish) descent in gnomAD. Frameshift variants in HPS1 are expected to be pathogenic. This variant is interpreted as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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

LitVar

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

Other links and lift over

dbSNP: rs281865084; hg19: chr10-100185443; API