rs281865527
Variant summary
Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_000372.5(TYR):c.929dupC(p.Arg311LysfsTer7) variant causes a frameshift change. The variant allele was found at a frequency of 0.0000285 in 1,613,522 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. P310P) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_000372.5 frameshift
Scores
Clinical Significance
Conservation
Publications
- oculocutaneous albinism type 1Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- oculocutaneous albinism type 1AInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
- Waardenburg syndrome type 2Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- minimal pigment oculocutaneous albinism type 1Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- oculocutaneous albinism type 1BInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- temperature-sensitive oculocutaneous albinism type 1Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 16 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00000658 AC: 1AN: 151880Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000438 AC: 11AN: 251178 AF XY: 0.0000516 show subpopulations
GnomAD4 exome AF: 0.0000308 AC: 45AN: 1461524Hom.: 0 Cov.: 31 AF XY: 0.0000371 AC XY: 27AN XY: 727048 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00000658 AC: 1AN: 151998Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74308 show subpopulations
ClinVar
Submissions by phenotype
Oculocutaneous albinism type 1A Pathogenic:4
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Frameshift: predicted to result in a loss or disruption of normal protein function through nonsense-mediated decay (NMD) or protein truncation. Multiple pathogenic variants are reported downstream of the variant (PVS1_VS). It is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.00004379, PM2). The variant has been reported multiple times as an established pathogenic variant (ClinVar ID: VCV000264684.5). Patient's phenotype is considered compatible with Albinism, Oculicutaneous, Type 1A (3billion dataset, PP4). Therefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline. -
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not provided Pathogenic:2Other:1
This sequence change creates a premature translational stop signal (p.Arg311Lysfs*7) in the TYR gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in TYR are known to be pathogenic (PMID: 23504663). This variant is present in population databases (rs371141427, gnomAD 0.06%). This premature translational stop signal has been observed in individuals with clinical features of oculocutaneous albinism (PMID: 27829221; Invitae). It has also been observed to segregate with disease in related individuals. This variant is also known as c.929_930insC. ClinVar contains an entry for this variant (Variation ID: 3771). For these reasons, this variant has been classified as Pathogenic. -
Observed in homozygous state in patients with oculocutaneous albinism in the literature and not observed in homozygous state in controls (PMID: 2511845, 19865097); Frameshift variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; This variant is associated with the following publications: (PMID: 26252096, 1970634, 32552135, 34934729, 27829221, 2511845, 19865097, 23504663, 18590551, 1903591, 18463683, 11284711, 22042571, 16767664, 31199599, 31077556, 38145795, 36729443, 35870188, 37471664, 32901917, 10929771, 34838614, 33124154, 35923705, 35052368, 33834455, 35488210, 33502066) -
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Inborn genetic diseases Pathogenic:1
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Oculocutaneous albinism type 1B;C2677190:SKIN/HAIR/EYE PIGMENTATION 3, LIGHT/DARK SKIN;C4551504:Oculocutaneous albinism type 1A Pathogenic:1
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TYR-related disorder Pathogenic:1
The TYR c.929dupC variant is predicted to result in a frameshift and premature protein termination (p.Arg311Lysfs*7). This variant has been reported many times in individuals with oculocutaneous albinism (see for examples: Wang et al. 2016. PubMed ID: 27829221; Lin et al. 2019. PubMed ID: 31199599; Moon et al. 2022. PubMed ID: 35052368). This variant is reported in 0.060% of alleles in individuals of East Asian descent in gnomAD. Frameshift variants in TYR are an established mechanism of disease. Given the evidence, we interpret this variant as pathogenic. -
SKIN/HAIR/EYE PIGMENTATION 3, LIGHT/DARK SKIN Pathogenic:1
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Oculocutaneous albinism type 1B;C4551504:Oculocutaneous albinism type 1A Pathogenic:1
PVS1+PM3_VeryStrong+PP4+PM2_Supporting -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at