rs398122409
Variant summary
Our verdict is Pathogenic. Variant got 13 ACMG points: 13P and 0B. PM1PM2PM4_SupportingPP5_Very_Strong
The NM_031448.6(C19orf12):c.164_166del(p.Gly55del) variant causes a inframe deletion change. The variant allele was found at a frequency of 0.0000178 in 1,461,810 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. G55G) has been classified as Likely benign.
Frequency
Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000018 ( 0 hom. )
Failed GnomAD Quality Control
Consequence
C19orf12
NM_031448.6 inframe_deletion
NM_031448.6 inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 4.37
Genes affected
C19orf12 (HGNC:25443): (chromosome 19 open reading frame 12) This gene encodes a small transmembrane protein. Mutations in this gene are a cause of neurodegeneration with brain iron accumulation-4 (NBIA4), but the specific function of the encoded protein is unknown. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Dec 2011]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 13 ACMG points.
PM1
In a transmembrane_region Helical (size 20) in uniprot entity CS012_HUMAN there are 10 pathogenic changes around while only 0 benign (100%) in NM_031448.6
PM2
Very rare variant in population databases, with high coverage;
PM4
Nonframeshift variant in NON repetitive region in NM_031448.6. Strenght limited to Supporting due to length of the change: 1aa.
PP5
Variant 19-29702971-GCCC-G is Pathogenic according to our data. Variant chr19-29702971-GCCC-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 88866.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-29702971-GCCC-G is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
C19orf12 | NM_031448.6 | c.164_166del | p.Gly55del | inframe_deletion | 3/3 | ENST00000323670.14 | NP_113636.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
C19orf12 | ENST00000323670.14 | c.164_166del | p.Gly55del | inframe_deletion | 3/3 | 2 | NM_031448.6 | ENSP00000313332 | P1 |
Frequencies
GnomAD3 genomes AF: 0.0000264 AC: 4AN: 151632Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000121 AC: 3AN: 248898Hom.: 0 AF XY: 0.0000148 AC XY: 2AN XY: 134812
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GnomAD4 exome AF: 0.0000178 AC: 26AN: 1461810Hom.: 0 AF XY: 0.0000151 AC XY: 11AN XY: 727212
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GnomAD4 genome Data not reliable, filtered out with message: AS_VQSR AF: 0.0000264 AC: 4AN: 151632Hom.: 0 Cov.: 32 AF XY: 0.0000270 AC XY: 2AN XY: 74036
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ClinVar
Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Pathogenic:4
Pathogenic, no assertion criteria provided | clinical testing | Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Jan 27, 2022 | Not observed at significant frequency in large population cohorts (gnomAD); In-frame deletion of 1 amino acid in a non-repeat region; Published functional studies demonstrate abnormal subcellular protein distribution (Landoure et al., 2013); In silico analysis supports a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 23857908, 22584950) - |
Pathogenic, no assertion criteria provided | clinical testing | Genome Diagnostics Laboratory, Amsterdam University Medical Center | - | - - |
Pathogenic, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Sep 01, 2020 | - - |
Neurodegeneration with brain iron accumulation 4 Pathogenic:3
Pathogenic, criteria provided, single submitter | clinical testing | Institute of Human Genetics Munich, Klinikum Rechts Der Isar, TU München | Nov 08, 2022 | - - |
Pathogenic, no assertion criteria provided | literature only | OMIM | Oct 01, 2013 | - - |
Likely pathogenic, no assertion criteria provided | clinical testing | Diagnostics Centre, Carl Von Ossietzky University Oldenburg | Oct 23, 2023 | The variant C19orf12:c.164_166delGGG, p.(Gly55del), which is located in the coding exon 3 of the C19orf12 gene, results from a three-base deletion at nucleotide position c.164_166. The glycine at protein position 55 is deleted. This amino acid position is located in a transmembrane domain of the protein and is evolutionarily highly conserved. The variant has been consistenly classified as Pathogenic or Likely pathogenic in seven entries in ClinVar (ClinVar ID: 88866). The variant has been described in compound heterozygosity with another pathogenic deletion (PMID: 22584950). Experimental studies showed a deleterious effect in the protein since the variant affected the proper subcellular localisation of the altered protein (PMID: 23857908). The variant is classified as rare in the overall population (allele frequency= 0.00001859 in gnomAD v4.1.0). In summary, this variant is classified as Likely pathogenic. - |
Neurodegeneration with brain iron accumulation Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Mar 29, 2023 | Variant summary: C19orf12 c.164_166delGGG/p.Gly55del (legacy name: c.197_199delGGG/p.Gly66del) results in an in-frame deletion that is predicted to remove one amino acid from the transmembrane domain of the encoded protein. The variant allele was found at a frequency of 1.2e-05 in 248898 control chromosomes. c.164_166delGGG has been reported in the literature as a compound heterozygous genotype in at-least three individuals affected with Neurodegeneration With Brain Iron Accumulation (example, Deschauer_2012 cited in Dusek_2020). These data indicate that the variant may be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Two clinical diagnostic laboratory has submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation and classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as likely pathogenic. - |
Neurofibromatosis, type 1 Pathogenic:1
Likely pathogenic, no assertion criteria provided | clinical testing | Diagnostics Centre, Carl Von Ossietzky University Oldenburg | Oct 19, 2023 | The variant C19orf12:c.164_166delGGG, p.(Gly55del), which is located in the coding exon 3 of the C19orf12 gene, results from a three-base deletion at nucleotide position c.164_166. The glycine at protein position 55 is deleted. This amino acid position is located in a transmembrane domain of the protein and is evolutionarily highly conserved. The variant has been consistenly classified as Pathogenic or Likely pathogenic in seven entries in ClinVar (ClinVar ID: 88866). The variant has been described in compound heterozygosity with another pathogenic deletion (PMID: 22584950). Experimental studies showed a deleterious effect in the protein since the variant affected the proper subcellular localisation of the altered protein (PMID: 23857908). The variant is classified as rare in the overall population (allele frequency= 0.00001859 in gnomAD v4.1.0). In summary, this variant is classified as Likely pathogenic. - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at