rs386834066
Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_152564.5(VPS13B):c.11620_11623delAGTG(p.Ser3876ArgfsTer40) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000867 in 1,614,200 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_152564.5 frameshift
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 18 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
VPS13B | NM_017890.5 | c.11695_11698delAGTG | p.Ser3901ArgfsTer40 | frameshift_variant | Exon 61 of 62 | ENST00000358544.7 | NP_060360.3 | |
VPS13B | NM_152564.5 | c.11620_11623delAGTG | p.Ser3876ArgfsTer40 | frameshift_variant | Exon 61 of 62 | ENST00000357162.7 | NP_689777.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
VPS13B | ENST00000358544.7 | c.11695_11698delAGTG | p.Ser3901ArgfsTer40 | frameshift_variant | Exon 61 of 62 | 1 | NM_017890.5 | ENSP00000351346.2 | ||
VPS13B | ENST00000357162.7 | c.11620_11623delAGTG | p.Ser3876ArgfsTer40 | frameshift_variant | Exon 61 of 62 | 1 | NM_152564.5 | ENSP00000349685.2 |
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152200Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.0000159 AC: 4AN: 251458Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135904
GnomAD4 exome AF: 0.00000752 AC: 11AN: 1461882Hom.: 0 AF XY: 0.00000550 AC XY: 4AN XY: 727242
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152318Hom.: 0 Cov.: 33 AF XY: 0.0000269 AC XY: 2AN XY: 74482
ClinVar
Submissions by phenotype
Cohen syndrome Pathogenic:4
Variant summary: VPS13B c.11695_11698delAGTG (p.Ser3901ArgfsX40) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. Truncations downstream of this position have been classified as pathogenic by our laboratory. The variant allele was found at a frequency of 1.6e-05 in 251458 control chromosomes. c.11695_11698delAGTG has been reported in the literature in individuals affected with Cohen Syndrome (example, El Chehadeh-Djebbar_2013, Parri_2010, Duplomb_2019). To our knowledge, no variant specific experimental evidence demonstrating an impact on protein function has been reported, although one patient with this variant in a compound heterozygous genotype was included in a study that reported decreased expression of Serpin B1 gene in the neutrophils of patients with Cohen syndrome as well as in VPS13B-deficient cells (Duplomb_2019). Two clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -
This sequence change creates a premature translational stop signal (p.Ser3901Argfs*40) in the VPS13B gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 122 amino acid(s) of the VPS13B protein. This variant is present in population databases (rs771209878, gnomAD 0.006%). This premature translational stop signal has been observed in individual(s) with Cohen syndrome (PMID: 20461111, 23188044). In at least one individual the variant was observed to be de novo. This variant is also known as c.11695delAGTG, p.S3899fsX42. ClinVar contains an entry for this variant (Variation ID: 56640). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. For these reasons, this variant has been classified as Pathogenic. -
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not provided Pathogenic:1
Frameshift variant predicted to result in protein truncation, as the last 122 amino acids are replaced with 39 different amino acids, and other loss-of-function variants have been reported downstream in the Human Gene Mutation Database (Stenson et al., 2014); Not observed at a significant frequency in large population cohorts (Lek et al., 2016); This variant is associated with the following publications: (PMID: 20461111, 23188044) -
VPS13B-related disorder Pathogenic:1
The VPS13B c.11620_11623delAGTG variant is predicted to result in a frameshift and premature protein termination (p.Ser3876Argfs*40). This variant has previously been reported to be causative for Cohen syndrome (reported as c.11695delAGTG in Parri et al. 2010. PubMed ID: 20461111; reported as c.11695_11698delAGTG in Duplomb et al. 2014. PubMed ID: 24334764). This variant is reported in 0.0054% of alleles in individuals of East Asian descent in gnomAD. Frameshift variants in VPS13B are expected to be pathogenic. This variant is interpreted as pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at