rs398123538
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Variant summary
Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PVS1_StrongPM2PP5_Very_Strong
The NM_001023570.4(IQCB1):c.1518_1519del(p.His506GlnfsTer13) variant causes a frameshift change. The variant allele was found at a frequency of 0.0000973 in 1,614,136 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Genomes: 𝑓 0.000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00010 ( 0 hom. )
Consequence
IQCB1
NM_001023570.4 frameshift
NM_001023570.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 4.09
Genes affected
IQCB1 (HGNC:28949): (IQ motif containing B1) This gene encodes a nephrocystin protein that interacts with calmodulin and the retinitis pigmentosa GTPase regulator protein. The encoded protein has a central coiled-coil region and two calmodulin-binding IQ domains. It is localized to the primary cilia of renal epithelial cells and connecting cilia of photoreceptor cells. The protein is thought to play a role in ciliary function. Defects in this gene result in Senior-Loken syndrome type 5. Alternative splicing results in multiple transcript variants. A pseudogene of this gene is found on chromosome 6. [provided by RefSeq, Jan 2016]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 14 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most 50 bp of the penultimate exon, not predicted to undergo nonsense mediated mRNA decay. There are 6 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 3-121772604-CTG-C is Pathogenic according to our data. Variant chr3-121772604-CTG-C is described in ClinVar as [Pathogenic]. Clinvar id is 93469.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr3-121772604-CTG-C is described in Lovd as [Likely_pathogenic]. Variant chr3-121772604-CTG-C is described in Lovd as [Likely_pathogenic]. Variant chr3-121772604-CTG-C is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
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IQCB1 | NM_001023570.4 | c.1518_1519del | p.His506GlnfsTer13 | frameshift_variant | 14/15 | ENST00000310864.11 | NP_001018864.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
IQCB1 | ENST00000310864.11 | c.1518_1519del | p.His506GlnfsTer13 | frameshift_variant | 14/15 | 1 | NM_001023570.4 | ENSP00000311505 | P1 | |
IQCB1 | ENST00000349820.10 | c.1119_1120del | p.His373GlnfsTer13 | frameshift_variant | 11/12 | 1 | ENSP00000323756 | |||
IQCB1 | ENST00000393650.7 | c.*496_*497del | 3_prime_UTR_variant, NMD_transcript_variant | 13/14 | 5 | ENSP00000377261 |
Frequencies
GnomAD3 genomes AF: 0.0000657 AC: 10AN: 152242Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000795 AC: 20AN: 251420Hom.: 0 AF XY: 0.000103 AC XY: 14AN XY: 135884
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GnomAD4 exome AF: 0.000101 AC: 147AN: 1461894Hom.: 0 AF XY: 0.000107 AC XY: 78AN XY: 727248
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GnomAD4 genome AF: 0.0000657 AC: 10AN: 152242Hom.: 0 Cov.: 32 AF XY: 0.0000672 AC XY: 5AN XY: 74378
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Senior-Loken syndrome 5 Pathogenic:5
Pathogenic, criteria provided, single submitter | clinical testing | 3billion | Jan 03, 2022 | Frameshift: predicted to result in a loss or disruption of normal protein function through protein truncation. Multiple pathogenic variants are reported in the predicted truncated region (PVS1_VS) The variant has been reported at least twice as pathogenic/likely pathogenic with clinical assertions and evidence for the classification (ClinVar ID: VCV000093469, PMID:15723066). It is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.000085, PM2_M). Therefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline. - |
Pathogenic, criteria provided, single submitter | clinical testing | Undiagnosed Diseases Network, NIH | May 23, 2017 | The paternally-inherited c.1518_1519delCA is a frameshift variant, which is predicted to result in loss of function in the IQCB1 gene where loss of function is a known mechanism of Senior-Loken syndrome 5, OMIM 609254. The c.1518_1519delCA variant was observed to be in trans with a c.1465C>T pathogenic variant based on segregation analysis in the family. Both varaints are also present in the patient's similarly affected sister. - |
Pathogenic, criteria provided, single submitter | research | Ocular Genomics Institute, Massachusetts Eye and Ear | Apr 08, 2021 | The IQCB1 c.1518_1519del variant was identified in an individual with retinitis pigmentosa with a presumed recessive inheritance pattern. Through a review of available evidence we were able to apply the following criteria: PVS1, PM3, PP1. Based on this evidence we have classified this variant as Pathogenic. - |
Pathogenic, no assertion criteria provided | literature only | OMIM | Jan 01, 2011 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 22, 2024 | - - |
not provided Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen | Oct 23, 2020 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Eurofins Ntd Llc (ga) | Jun 21, 2013 | - - |
Nephronophthisis Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 04, 2024 | This sequence change creates a premature translational stop signal (p.His506Glnfs*13) in the IQCB1 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 93 amino acid(s) of the IQCB1 protein. This variant is present in population databases (rs398123538, gnomAD 0.02%). This premature translational stop signal has been observed in individuals with Senior-Loken syndrome or Leber congenital amaurosis (PMID: 15723066, 20881296). ClinVar contains an entry for this variant (Variation ID: 93469). For these reasons, this variant has been classified as Pathogenic. - |
IQCB1-related disorder Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | May 07, 2024 | The IQCB1 c.1518_1519delCA variant is predicted to result in a frameshift and premature protein termination (p.His506Glnfs*13). This variant has been reported to be pathogenic for Senior-Loken syndrome (see for example at Otto et al. 2005. PubMed ID: 15723066; Barbelanne et al. 2013. PubMed ID: 23446637; Sallum et al. 2020. PubMed ID: 32865313). This variant is reported in 0.017% of alleles in individuals of European (Non-Finnish) descent in gnomAD. Frameshift variants in IQCB1 are expected to be pathogenic. This variant is interpreted as pathogenic. - |
Retinitis pigmentosa Pathogenic:1
Likely pathogenic, no assertion criteria provided | research | Department of Clinical Genetics, Copenhagen University Hospital, Rigshospitalet | Apr 01, 2018 | - - |
Computational scores
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at