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

Scores

Not classified

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:9

Conservation

PhyloP100: 4.37
Variant links:
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]

Genome browser will be placed here

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
C19orf12NM_031448.6 linkuse as main transcriptc.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
C19orf12ENST00000323670.14 linkuse as main transcriptc.164_166del p.Gly55del inframe_deletion 3/32 NM_031448.6 ENSP00000313332 P1Q9NSK7-4

Frequencies

GnomAD3 genomes
AF:
0.0000264
AC:
4
AN:
151632
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000589
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000121
AC:
3
AN:
248898
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
134812
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000270
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000178
AC:
26
AN:
1461810
Hom.:
0
AF XY:
0.0000151
AC XY:
11
AN XY:
727212
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000234
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000264
AC:
4
AN:
151632
Hom.:
0
Cov.:
32
AF XY:
0.0000270
AC XY:
2
AN XY:
74036
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000589
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000378

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 providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Pathogenic, criteria provided, single submitterclinical testingGeneDxJan 27, 2022Not 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 providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2020- -
Neurodegeneration with brain iron accumulation 4 Pathogenic:3
Pathogenic, criteria provided, single submitterclinical testingInstitute of Human Genetics Munich, Klinikum Rechts Der Isar, TU MünchenNov 08, 2022- -
Pathogenic, no assertion criteria providedliterature onlyOMIMOct 01, 2013- -
Likely pathogenic, no assertion criteria providedclinical testingDiagnostics Centre, Carl Von Ossietzky University OldenburgOct 23, 2023The 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 submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 29, 2023Variant 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 providedclinical testingDiagnostics Centre, Carl Von Ossietzky University OldenburgOct 19, 2023The 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

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs398122409; hg19: chr19-30193878; API