rs397515328
Variant summary
Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP5
The NM_001382.4(DPAGT1):c.85A>T(p.Ile29Phe) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000601 in 1,614,100 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_001382.4 missense
Scores
Clinical Significance
Conservation
Publications
- congenital myasthenic syndrome 13Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Genomics England PanelApp, G2P
- DPAGT1-congenital disorder of glycosylationInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Orphanet, G2P
- congenital myasthenic syndromes with glycosylation defectInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Uncertain_significance. The variant received 1 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
DPAGT1 | NM_001382.4 | c.85A>T | p.Ile29Phe | missense_variant | Exon 1 of 9 | ENST00000354202.9 | NP_001373.2 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152210Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000103 AC: 26AN: 251472 AF XY: 0.000155 show subpopulations
GnomAD4 exome AF: 0.0000650 AC: 95AN: 1461890Hom.: 0 Cov.: 31 AF XY: 0.0000921 AC XY: 67AN XY: 727246 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152210Hom.: 0 Cov.: 32 AF XY: 0.0000134 AC XY: 1AN XY: 74352 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
DPAGT1-congenital disorder of glycosylation Pathogenic:2Uncertain:1
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The heterozygous variant c.85A>T (p.Ile29Phe) has been observed in a proband with global developmental delay, microcephaly, central hypotonia, cortical blindness, camptodactyly, clinodactyly, MRI showed mild thinning of boady and splenium of corpus callosum, prominent bilateral lateral ventricles and fundus showed mild retinitis pigmentosa in a compound heterozygous state with the other variant c.160A>T (p.Ile54Phe). This variant is observed in 0.0103% gnomAD (aggregated) database (PM2_moderate). DPAGT1 has low rate of benign missense variants with 22 reported pathogenic missense variants (PP2_supporting). It has been previously reported PMID: 25500013 (PP5_supporting). This variant has been segregated in the parents. -
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DPAGT1-congenital disorder of glycosylation;C3553645:Congenital myasthenic syndrome 13 Pathogenic:1
Experimental studies have shown that this missense change affects DPAGT1 function (PMID: 25500013). This sequence change replaces isoleucine, which is neutral and non-polar, with phenylalanine, which is neutral and non-polar, at codon 29 of the DPAGT1 protein (p.Ile29Phe). This variant is present in population databases (rs397515328, gnomAD 0.08%). This missense change has been observed in individuals with congenital disorder of glycosylation and/or congenital myasthenic syndrome (PMID: 23249953, 25500013; Invitae). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 65470). 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 not expected to disrupt DPAGT1 protein function. For these reasons, this variant has been classified as Pathogenic. -
Congenital myasthenic syndrome 13 Pathogenic:1
The heterozygous variant c.85A>T (p.Ile29Phe) has been observed in a proband with motor developmental delay, frequent falls with gait abnormalities, myopathic facies, hypotonia and mild lordotic pressure in a compound heterozygous state with the other variant c.1139C>T (p.Thr380Ile). This variant is observed in 0.0103% gnomAD (aggregated) database (PM2_moderate). DPAGT1 has low rate of benign missense variants with 22 reported pathogenic missense variants (PP2_supporting). It has been previously reported PMID: 25500013 (PP5_supporting) -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at