rs312262766
Variant names: 
Variant summary
Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5
The NM_025137.4(SPG11):c.5410_5411delTG(p.Cys1804ProfsTer25) variant causes a frameshift change. The variant allele was found at a frequency of 0.00000137 in 1,461,666 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  0.0000014   (  0   hom.  ) 
Consequence
 SPG11
NM_025137.4 frameshift
NM_025137.4 frameshift
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  5.29  
Publications
4 publications found 
Genes affected
 SPG11  (HGNC:11226):  (SPG11 vesicle trafficking associated, spatacsin) The protein encoded by this gene is a potential transmembrane protein that is phosphorylated upon DNA damage. Defects in this gene are a cause of spastic paraplegia type 11 (SPG11). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2009] 
SPG11 Gene-Disease associations (from GenCC):
- hereditary spastic paraplegia 11Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Illumina, G2P
 - amyotrophic lateral sclerosis type 5Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp
 - Charcot-Marie-Tooth disease axonal type 2XInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp
 - juvenile amyotrophic lateral sclerosisInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
 
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ACMG classification
Classification was made for transcript
Our verdict: Pathogenic. The variant received 11 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 15-44584268-GCA-G is Pathogenic according to our data. Variant chr15-44584268-GCA-G is described in ClinVar as Pathogenic. ClinVar VariationId is 41323.Status of the report is no_assertion_criteria_provided, 0 stars. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| SPG11 | NM_025137.4  | c.5410_5411delTG | p.Cys1804ProfsTer25 | frameshift_variant | Exon 30 of 40 | ENST00000261866.12 | NP_079413.3 | 
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 32 
GnomAD3 genomes 
Cov.: 
32
GnomAD2 exomes  AF:  0.00000398  AC: 1AN: 251160 AF XY:  0.00000737   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1
AN: 
251160
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.00000137  AC: 2AN: 1461666Hom.:  0   AF XY:  0.00000138  AC XY: 1AN XY: 727100 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
2
AN: 
1461666
Hom.: 
 AF XY: 
AC XY: 
1
AN XY: 
727100
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33460
American (AMR) 
 AF: 
AC: 
0
AN: 
44704
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26126
East Asian (EAS) 
 AF: 
AC: 
2
AN: 
39686
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86254
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53414
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5766
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111868
Other (OTH) 
 AF: 
AC: 
0
AN: 
60388
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.475 
Heterozygous variant carriers
 0 
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 1 
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 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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Age
GnomAD4 genome  Cov.: 32 
GnomAD4 genome 
Cov.: 
32
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:1Other:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
Hereditary spastic paraplegia 11    Pathogenic:1Other:1 
-
GeneReviews
Significance:not provided
Review Status:no classification provided
Collection Method:literature only
- -
Feb 11, 2019
Department of Rehabilitation Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:research
The proband has another variant, NM_025137.3: c.3291+1G>T. -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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