rs312262784
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Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_025137.4(SPG11):c.6832_6833del(p.Ser2278LeufsTer61) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000124 in 1,614,046 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000013 ( 0 hom. )
Consequence
SPG11
NM_025137.4 frameshift
NM_025137.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 7.46
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]
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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 15-44566226-ACT-A is Pathogenic according to our data. Variant chr15-44566226-ACT-A is described in ClinVar as [Pathogenic]. Clinvar id is 41351.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
SPG11 | NM_025137.4 | c.6832_6833del | p.Ser2278LeufsTer61 | frameshift_variant | 37/40 | ENST00000261866.12 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
SPG11 | ENST00000261866.12 | c.6832_6833del | p.Ser2278LeufsTer61 | frameshift_variant | 37/40 | 1 | NM_025137.4 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152166Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.00000398 AC: 1AN: 251356Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135842
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GnomAD4 exome AF: 0.0000130 AC: 19AN: 1461880Hom.: 0 AF XY: 0.0000124 AC XY: 9AN XY: 727242
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152166Hom.: 0 Cov.: 32 AF XY: 0.0000134 AC XY: 1AN XY: 74350
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:9Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Hereditary spastic paraplegia 11 Pathogenic:5Other:1
Pathogenic, criteria provided, single submitter | clinical testing | Consultorio y Laboratorio de Neurogenética, Hospital JM Ramos Mejia | - | - - |
Pathogenic, criteria provided, single submitter | curation | Broad Center for Mendelian Genomics, Broad Institute of MIT and Harvard | Jan 25, 2023 | The homozygous p.Ser2278LeufsTer61 variant in SPG11 was identified by our study in one individual with spastic paraplegia. The p.Ser2278LeufsTer61 variant in SPG11 has been previously reported in 4 unrelated individuals with hereditary spastic paraplegia 11 (PMID: 27084228, PMID: 26556829, PMID: 22237444, PMID: 18079167) and segregated with disease in 4 affected relatives from 2 families (PMID: 26556829, PMID: 18079167), but has been identified in 0.005% (1/18390) of East Asian chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP ID: rs312262784). Although this variant has been seen in the general population in a heterozygous state, its frequency is low enough to be consistent with a recessive carrier frequency. Of these 4 affected unrelated individuals PMID: 27084228, PMID: 26556829, PMID: 22237444, PMID: 18079167), two were homozygotes (PMID: 18079167, PMID: 26556829), one was a compound heterozygote who carried a likely pathogenic variant in trans (PMID: 27084228) and one was a compound heterozygote who carried a likely pathogenic variant in unknown phase (PMID: 22237444). This variant has also been reported in ClinVar (Variation ID: 41351) and has been interpreted as pathogenic by multiple submitters. This variant is predicted to cause a frameshift, which alters the protein’s amino acid sequence beginning at position 2278 and leads to a premature termination codon 61 amino acids downstream. This alteration is then predicted to lead to a truncated or absent protein. Loss of function of the SPG11 gene is an established disease mechanism in autosomal recessive spastic paraplegia 11. In summary, this variant meets criteria to be classified as pathogenic for autosomal recessive spastic paraplegia 11. ACMG/AMP Criteria applied: PVS1, PM2_Supporting, PM3_Strong, PP1_Moderate (Richards 2015). - |
not provided, no classification provided | literature only | GeneReviews | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Mendelics | May 28, 2019 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 03, 2024 | This sequence change creates a premature translational stop signal (p.Ser2278Leufs*61) in the SPG11 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SPG11 are known to be pathogenic (PMID: 19105190, 20110243, 22154821, 26556829). This variant is present in population databases (rs312262784, gnomAD 0.006%). This premature translational stop signal has been observed in individuals with SPG11-related conditions (PMID: 18079167, 21035867, 22237444, 26556829, 27084228). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 41351). For these reasons, this variant has been classified as Pathogenic. - |
Pathogenic, criteria provided, single submitter | clinical testing | Genome-Nilou Lab | - | - - |
not provided Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | Revvity Omics, Revvity | Mar 06, 2021 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Athena Diagnostics | Dec 22, 2021 | This variant is expected to result in the loss of a functional protein. The frequency of this variant in the general population is consistent with pathogenicity (http://gnomad.broadinstitute.org). This variant has been identified in at least one individual with clinical features associated with this gene. - |
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Ambry Genetics | Nov 15, 2021 | The c.6832_6833delAG pathogenic mutation, located in coding exon 37 of the SPG11 gene, results from a deletion of two nucleotides at nucleotide positions 6832 to 6833, causing a translational frameshift with a predicted alternate stop codon (p.S2278Lfs*61). This variant has been reported in the homozygous and compound heterozygous states in multiple patients with hereditary spastic paraplegia and/or Charcot-Marie-Tooth disease (Stevanin G et al. Brain, 2008 Mar;131:772-84; Conceição Pereira M et al. Genet Med, 2012 Jan;14:143-51; Balicza P et al. J Neurol Sci, 2016 May;364:116-21; Montecchiani C et al. Brain, 2016 Jan;139:73-85). This variant is considered to be rare based on population cohorts in the Genome Aggregation Database (gnomAD). In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. - |
Hereditary spastic paraplegia Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Sep 17, 2018 | The p.Ser2278LeufsX61 variant in SPG11 has been reported in the homozygous or compound heterozygous state in at least 3 individuals with hereditary spastic paraplegia (HSP) and 1 individual with Charcot-Marie-Tooth hereditary neuropathy type 2 (CMT2; Stevanin 2008, Conceicao Pereira 2012, Montecchiani 2016, Balicza 2016). It segregated with disease in two affected members of two families; one with HSP and one with CMT2. This variant has also been identified in 0.01% (1/17244) of East Asian chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org). This variant is predicted to cause a frameshift, which alters the protein’s amino acid sequence beginning at position 2278 and leads to a premature termination codon 61 amino acids downstream. This alteration is then predicted to lead to a truncated or absent protein. In summary, this variant meets criteria to be classified as pathogenic for spastic paraplegia in an autosomal recessive manner. ACMG/AMP Criteria applied: PVS1, PM3_Strong, PM2_Supporting, PP1. - |
Computational scores
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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