Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBP6
The NM_017739.4(POMGNT1):c.1285-6C>T variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000235 in 1,614,124 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
POMGNT1 (HGNC:19139): (protein O-linked mannose N-acetylglucosaminyltransferase 1 (beta 1,2-)) This gene encodes a type II transmembrane protein that resides in the Golgi apparatus. It participates in O-mannosyl glycosylation and is specific for alpha linked terminal mannose. Mutations in this gene may be associated with muscle-eye-brain disease and several congenital muscular dystrophies. Alternatively spliced transcript variants that encode different protein isoforms have been described. [provided by RefSeq, Feb 2014]
Verdict is Likely_benign. Variant got -3 ACMG points.
PM2
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PM2 - Absent from controls (or at extremely low frequency if recessive) in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium
Very rare variant in population databases, with high coverage;
BP4
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BP4 - Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary, splicing impact, etc.)
Computational evidence support a benign effect (BayesDel_noAF=-0.71).
BP6
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BP6 - Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation
Variant 1-46192442-G-A is Benign according to our data. Variant chr1-46192442-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 211938.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=2, Likely_benign=1}.
Uncertain significance, criteria provided, single submitter
clinical testing
Genetic Services Laboratory, University of Chicago
Jul 08, 2014
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Autosomal recessive limb-girdle muscular dystrophy type 2O Uncertain:1
Uncertain significance, criteria provided, single submitter
clinical testing
Neuberg Centre For Genomic Medicine, NCGM
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The splice site c.1285-6C>T variant has not been reported previously as a pathogenic variant nor as a benign variant, to our knowledge. The variant is observed in 0.004 % alleles in gnomAD Exomes and is novel (not in any individuals) in 1000 Genomes. The variant has been reported in ClinVar as uncertain significance. This sequence change falls in intron 15 of the POMGNT1 gene. It does not directly change the encoded amino acid sequence of the POMGNT1 protein. The available evidence is currently insufficient to determine the role of this variant in disease. For these reasons, it has been classified as a Variant of Uncertain Significance -
Muscle eye brain disease Uncertain:1
Uncertain significance, no assertion criteria provided
clinical testing
Natera, Inc.
Oct 28, 2019
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Muscular dystrophy-dystroglycanopathy (congenital with intellectual disability), type B3;C3150417:Autosomal recessive limb-girdle muscular dystrophy type 2O Benign:1
Likely benign, criteria provided, single submitter