rs367543061
Variant summary
Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong
The NM_001384732.1(CPLANE1):c.4006C>T(p.Arg1336Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000192 in 1,613,324 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1336Q) has been classified as Uncertain significance.
Frequency
Consequence
NM_001384732.1 missense
Scores
Clinical Significance
Conservation
Publications
- Joubert syndrome 17Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, ClinGen, G2P, Illumina, Labcorp Genetics (formerly Invitae)
- orofaciodigital syndrome type 6Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P
- Joubert syndromeInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 10 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| CPLANE1 | NM_001384732.1 | c.4006C>T | p.Arg1336Trp | missense_variant | Exon 23 of 53 | ENST00000651892.2 | NP_001371661.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| CPLANE1 | ENST00000651892.2 | c.4006C>T | p.Arg1336Trp | missense_variant | Exon 23 of 53 | NM_001384732.1 | ENSP00000498265.2 |
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152008Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000161 AC: 4AN: 248782 AF XY: 0.0000148 show subpopulations
GnomAD4 exome AF: 0.0000185 AC: 27AN: 1461316Hom.: 0 Cov.: 30 AF XY: 0.0000220 AC XY: 16AN XY: 726978 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000263 AC: 4AN: 152008Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74216 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Joubert syndrome 17 Pathogenic:3Other:1
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not provided Pathogenic:3
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Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 31981491, 20301500, 26092869, 22425360, 26477546, 10488899, 25877302, 36789003, 31771860, 39125556) -
This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 1336 of the CPLANE1 protein (p.Arg1336Trp). This variant is present in population databases (rs367543061, gnomAD 0.004%). This missense change has been observed in individual(s) with Joubert syndrome (PMID: 22425360). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 31219). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt CPLANE1 protein function with a positive predictive value of 95%. For these reasons, this variant has been classified as Pathogenic. -
Orofaciodigital syndrome type 6;C3553264:Joubert syndrome 17 Pathogenic:1
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Joubert syndrome 1 Pathogenic:1
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Joubert syndrome and related disorders Pathogenic:1
Variant summary: CPLANE1 c.4006C>T (p.Arg1336Trp) results in a non-conservative amino acid change in the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 2.1e-05 in 280178 control chromosomes. c.4006C>T has been reported in the literature as a compound heterozygous genotype in multiple individuals affected with Joubert Syndrome (example, Srour_2012, Bachmann-Gagescu_2015). These data indicate that the variant is very likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Two clinical diagnostic laboratories, a research program and the Gene Reviews database have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All submitters classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at