Our verdict is Benign. The variant received -13 ACMG points: 3P and 16B. PM5PP3BP6_Very_StrongBS1BS2
The NM_001130438.3(SPTAN1):c.6763C>T(p.Arg2255Cys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000106 in 1,612,914 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R2255H) has been classified as Likely pathogenic.
SPTAN1 (HGNC:11273): (spectrin alpha, non-erythrocytic 1) Spectrins are a family of filamentous cytoskeletal proteins that function as essential scaffold proteins that stabilize the plasma membrane and organize intracellular organelles. Spectrins are composed of alpha and beta dimers that associate to form tetramers linked in a head-to-head arrangement. This gene encodes an alpha spectrin that is specifically expressed in nonerythrocytic cells. The encoded protein has been implicated in other cellular functions including DNA repair and cell cycle regulation. Mutations in this gene are the cause of early infantile epileptic encephalopathy-5. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Sep 2010]
SPTAN1 Gene-Disease associations (from GenCC):
developmental and epileptic encephalopathy, 5
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
genetic developmental and epileptic encephalopathy
Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
infantile spasms
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Our verdict: Benign. The variant received -13 ACMG points.
PM5
Other missense variant is known to change same aminoacid residue: Variant chr9-128632128-G-A is described in CliVar as Conflicting_classifications_of_pathogenicity. Clinvar id is 1685144.
PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.
BP6
Variant 9-128632127-C-T is Benign according to our data. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-128632127-C-T is described in CliVar as Benign/Likely_benign. Clinvar id is 238540.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0000854 (13/152184) while in subpopulation NFE AF = 0.000176 (12/68040). AF 95% confidence interval is 0.000102. There are 0 homozygotes in GnomAd4. There are 6 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Developmental and epileptic encephalopathyBenign:1
Nov 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
SPTAN1-related disorderBenign:1
Aug 10, 2021
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing
This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not providedBenign:1
Mar 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
SPTAN1: PP2, BS1, BS2 -
Developmental and epileptic encephalopathy, 5Benign:1