Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_001242896.3(DEPDC5):c.715C>T(p.Arg239*) variant causes a stop gained change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
DEPDC5 (HGNC:18423): (DEP domain containing 5, GATOR1 subcomplex subunit) This gene encodes a member of the IML1 family of proteins involved in G-protein signaling pathways. The mechanistic target of rapamycin complex 1 (mTORC1) pathway regulates cell growth by sensing the availability of nutrients. The protein encoded by this gene is a component of the GATOR1 (GAP activity toward Rags) complex which inhibits the amino acid-sensing branch of the mTORC1 pathway. Mutations in this gene are associated with autosomal dominant familial focal epilepsy with variable foci. A single nucleotide polymorphism in an intron of this gene has been associated with an increased risk of hepatocellular carcinoma in individuals with chronic hepatitis C virus infection. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2014]
DEPDC5 Gene-Disease associations (from GenCC):
epilepsy, familial focal, with variable foci 1
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine, Ambry Genetics, Illumina, G2P
focal epilepsy
Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
autosomal dominant epilepsy with auditory features
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Our verdict: Pathogenic. The variant received 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 22-31792765-C-T is Pathogenic according to our data. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr22-31792765-C-T is described in CliVar as Pathogenic. Clinvar id is 50824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Epilepsy, familial focal, with variable foci 1Pathogenic:2Other:1
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GeneReviews
Significance:not provided
Review Status:no classification provided
Collection Method:literature only
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Apr 01, 2015
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only
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Juno Genomics, Hangzhou Juno Genomics, Inc
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
PVS1+PM2_Supporting+PS4_Supporting -
not providedPathogenic:2
Apr 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
DEPDC5: PVS1, PM2 -
May 29, 2024
GeneDx
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
Identified in a patient with focal cortical dysplasia and a family with familial focal epilepsy with variable foci (FFEVF); however, asymptomatic family members also carried the variant, indicating incomplete penetrance (PMID: 23542701, 31444548); Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; Not observed at significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 25623524, 30093711, 31444548, 29761115, 32848577, 10825362, 23542697, 34055363, 33461085, 35163267, 37489029, 23542701) -
SeizurePathogenic:2
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Diagnostic Laboratory, Strasbourg University Hospital
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:clinical testing
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Nov 27, 2023
Génétique des Maladies du Développement, Hospices Civils de Lyon
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
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Familial focal epilepsy with variable fociPathogenic:1
Apr 05, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
This sequence change creates a premature translational stop signal (p.Arg239*) in the DEPDC5 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in DEPDC5 are known to be pathogenic (PMID: 23542697, 23542701). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with familial focal epilepsy with variable foci (PMID: 23542701). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 50824). For these reasons, this variant has been classified as Pathogenic. -