rs281865084
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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
NM_000195.5 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 2.01
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 |
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HPS1 | NM_000195.5 | c.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 |
---|---|---|---|---|---|---|---|---|---|---|
HPS1 | ENST00000361490.9 | c.1189delC | p.Gln397fs | frameshift_variant | 13/20 | 1 | NM_000195.5 | ENSP00000355310.4 | ||
ENSG00000289758 | ENST00000699159.1 | n.*548delC | non_coding_transcript_exon_variant | 12/24 | ENSP00000514167.1 | |||||
ENSG00000289758 | ENST00000699159.1 | n.*548delC | 3_prime_UTR_variant | 12/24 | ENSP00000514167.1 |
Frequencies
GnomAD3 genomes AF: 0.000118 AC: 18AN: 152188Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.0000720 AC: 18AN: 249956Hom.: 0 AF XY: 0.0000813 AC XY: 11AN XY: 135294
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GnomAD4 exome AF: 0.0000883 AC: 129AN: 1460960Hom.: 0 Cov.: 32 AF XY: 0.0000771 AC XY: 56AN XY: 726706
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GnomAD4 genome AF: 0.000118 AC: 18AN: 152188Hom.: 0 Cov.: 33 AF XY: 0.000135 AC XY: 10AN XY: 74344
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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 submitter | clinical testing | Centre for Mendelian Genomics, University Medical Centre Ljubljana | Sep 16, 2019 | This 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 provided | literature only | GeneReviews | - | - - |
Likely pathogenic, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Apr 27, 2017 | The 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 provided | research | ISTH-SSC Genomics in Thrombosis and Hemostasis, KU Leuven, Center for Molecular and Vascular Biology | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | Apr 19, 2022 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 26, 2024 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory of Medical Genetics, National & Kapodistrian University of Athens | Feb 15, 2024 | PVS1, 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 submitter | clinical testing | Revvity Omics, Revvity | Jul 01, 2021 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Pittsburgh Clinical Genomics Laboratory, University of Pittsburgh Medical Center | Aug 16, 2023 | This 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 submitter | clinical testing | Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen | Feb 20, 2024 | - - |
Hermansky-Pudlak syndrome Pathogenic:3
Pathogenic, criteria provided, single submitter | curation | Broad Center for Mendelian Genomics, Broad Institute of MIT and Harvard | Nov 29, 2021 | The 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 provided | clinical testing | Natera, Inc. | Jul 24, 2020 | - - |
Pathogenic, criteria provided, single submitter | research | NIHR Bioresource Rare Diseases, University of Cambridge | Feb 01, 2019 | - - |
not provided Pathogenic:3
Pathogenic, no assertion criteria provided | clinical testing | Clinical Genetics, Academic Medical Center | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 29, 2024 | This 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 provided | clinical testing | Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center | - | - - |
HPS1-related disorder Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Jul 30, 2024 | The 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
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at