rs398123779

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 2P and 16B. PM4BP6_Very_StrongBA1

The NM_001130987.2(DYSF):​c.3245_3250dupCGGAGG​(p.Ala1082_Glu1083dup) variant causes a disruptive inframe insertion change. The variant allele was found at a frequency of 0.05 in 1,613,284 control chromosomes in the GnomAD database, including 2,265 homozygotes. Variant has been reported in ClinVar as Benign (★★★). Synonymous variant affecting the same amino acid position (i.e. G1084G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.040 ( 157 hom., cov: 32)
Exomes 𝑓: 0.051 ( 2108 hom. )

Consequence

DYSF
NM_001130987.2 disruptive_inframe_insertion

Scores

Not classified

Clinical Significance

Benign reviewed by expert panel B:15

Conservation

PhyloP100: 4.19

Publications

7 publications found
Variant links:
Genes affected
DYSF (HGNC:3097): (dysferlin) The protein encoded by this gene belongs to the ferlin family and is a skeletal muscle protein found associated with the sarcolemma. It is involved in muscle contraction and contains C2 domains that play a role in calcium-mediated membrane fusion events, suggesting that it may be involved in membrane regeneration and repair. In addition, the protein encoded by this gene binds caveolin-3, a skeletal muscle membrane protein which is important in the formation of caveolae. Specific mutations in this gene have been shown to cause autosomal recessive limb girdle muscular dystrophy type 2B (LGMD2B) as well as Miyoshi myopathy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2008]
DYSF Gene-Disease associations (from GenCC):
  • autosomal recessive limb-girdle muscular dystrophy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • neuromuscular disease caused by qualitative or quantitative defects of dysferlin
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • autosomal recessive limb-girdle muscular dystrophy type 2B
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • distal myopathy with anterior tibial onset
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • congenital myopathy, Paradas type
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Miyoshi myopathy
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_001130987.2.
BP6
Variant 2-71574204-C-CAGGCGG is Benign according to our data. Variant chr2-71574204-C-CAGGCGG is described in ClinVar as Benign. ClinVar VariationId is 94301.Status of the report is reviewed_by_expert_panel, 3 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0571 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DYSFNM_001130987.2 linkc.3245_3250dupCGGAGG p.Ala1082_Glu1083dup disruptive_inframe_insertion Exon 30 of 56 ENST00000410020.8 NP_001124459.1 O75923-13
DYSFNM_003494.4 linkc.3191_3196dupCGGAGG p.Ala1064_Glu1065dup disruptive_inframe_insertion Exon 30 of 55 ENST00000258104.8 NP_003485.1 O75923-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DYSFENST00000410020.8 linkc.3245_3250dupCGGAGG p.Ala1082_Glu1083dup disruptive_inframe_insertion Exon 30 of 56 1 NM_001130987.2 ENSP00000386881.3 O75923-13
DYSFENST00000258104.8 linkc.3191_3196dupCGGAGG p.Ala1064_Glu1065dup disruptive_inframe_insertion Exon 30 of 55 1 NM_003494.4 ENSP00000258104.3 O75923-1

Frequencies

GnomAD3 genomes
AF:
0.0405
AC:
6164
AN:
152198
Hom.:
157
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0113
Gnomad AMI
AF:
0.101
Gnomad AMR
AF:
0.0561
Gnomad ASJ
AF:
0.0449
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0225
Gnomad FIN
AF:
0.0337
Gnomad MID
AF:
0.0601
Gnomad NFE
AF:
0.0587
Gnomad OTH
AF:
0.0532
GnomAD2 exomes
AF:
0.0395
AC:
9796
AN:
248130
AF XY:
0.0412
show subpopulations
Gnomad AFR exome
AF:
0.00835
Gnomad AMR exome
AF:
0.0359
Gnomad ASJ exome
AF:
0.0488
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.0299
Gnomad NFE exome
AF:
0.0560
Gnomad OTH exome
AF:
0.0490
GnomAD4 exome
AF:
0.0510
AC:
74557
AN:
1460968
Hom.:
2108
Cov.:
33
AF XY:
0.0505
AC XY:
36713
AN XY:
726802
show subpopulations
African (AFR)
AF:
0.00875
AC:
293
AN:
33480
American (AMR)
AF:
0.0379
AC:
1695
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0462
AC:
1208
AN:
26136
East Asian (EAS)
AF:
0.000101
AC:
4
AN:
39700
South Asian (SAS)
AF:
0.0240
AC:
2070
AN:
86256
European-Finnish (FIN)
AF:
0.0299
AC:
1573
AN:
52622
Middle Eastern (MID)
AF:
0.0718
AC:
414
AN:
5764
European-Non Finnish (NFE)
AF:
0.0577
AC:
64199
AN:
1111908
Other (OTH)
AF:
0.0514
AC:
3101
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
3722
7444
11167
14889
18611
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2304
4608
6912
9216
11520
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0405
AC:
6163
AN:
152316
Hom.:
157
Cov.:
32
AF XY:
0.0399
AC XY:
2971
AN XY:
74486
show subpopulations
African (AFR)
AF:
0.0113
AC:
470
AN:
41592
American (AMR)
AF:
0.0561
AC:
858
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.0449
AC:
156
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5182
South Asian (SAS)
AF:
0.0226
AC:
109
AN:
4832
European-Finnish (FIN)
AF:
0.0337
AC:
358
AN:
10618
Middle Eastern (MID)
AF:
0.0646
AC:
19
AN:
294
European-Non Finnish (NFE)
AF:
0.0587
AC:
3989
AN:
68004
Other (OTH)
AF:
0.0527
AC:
111
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
307
614
920
1227
1534
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
72
144
216
288
360
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0486
Hom.:
26
Asia WGS
AF:
0.0120
AC:
44
AN:
3478
EpiCase
AF:
0.0632
EpiControl
AF:
0.0611

ClinVar

Significance: Benign
Submissions summary: Benign:15
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not specified Benign:5
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 24, 2015
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Dec 19, 2014
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

p.Ala1082_Glu1083dup in exon 30 of DYSF: This variant is a duplication of 2 amin o acids at position 1082 and is not predicted to alter the protein reading-frame . This variant is not expected to have clinical significance because it has been identified in 5.6% (453/8150) of European American chromosomes by the NHLBI Exo me Sequencing Project (http://evs.gs.washington.edu/EVS/). -

not provided Benign:2
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 07, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 19528035, 15469449, 14678801, 31862442) -

Autosomal recessive limb-girdle muscular dystrophy type 2B Benign:2
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Autosomal recessive limb-girdle muscular dystrophy Benign:1
Mar 14, 2025
ClinGen Limb Girdle Muscular Dystrophy Variant Curation Expert Panel, ClinGen
Significance:Benign
Review Status:reviewed by expert panel
Collection Method:curation

The NM_003494.4: c.3191_3196dup p.(Glu1065_Gly1066insAlaGlu) variant in DYSF, which is also known as NM_001130987.2: c.3245_3250dup p.(Glu1083_Gly1084insAlaGlu), is predicted to cause a change in the length of the protein due to an in-frame insertion of two amino acids in a non-repeat region (PM4). The filtering allele frequency for this variant is 0.05714 in the European (non-Finnish) population of gnomAD v4.1.0 (the lower threshold of the 95% CI of 3989/68004 genome chromosomes), which is greater than the ClinGen LGMD VCEP threshold of ≥0.003 for BA1 (BA1). In summary, this variant meets the criteria to be classified as Benign for autosomal recessive limb girdle muscular dystrophy. Although there are both pathogenic and benign types of evidence for this variant, the pathogenic evidence is not considered inconsistent with the final classification. ACMG/AMP criteria applied, as specified by the ClinGen LGMD VCEP (LGMD VCEP specifications version 1.0.0; 03/14/2025): BA1, PM4. -

Limb-girdle muscular dystrophy, recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Distal myopathy with anterior tibial onset Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Neuromuscular disease caused by qualitative or quantitative defects of dysferlin Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Miyoshi muscular dystrophy 1 Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Miyoshi myopathy Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
4.2
Mutation Taster
=63/37
polymorphism (auto)

Splicing

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

Publications

Other links and lift over

dbSNP: rs398123779; hg19: chr2-71801334; COSMIC: COSV50298542; COSMIC: COSV50298542; API