rs72547551

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PM2PP3_ModeratePP5_Very_Strong

The NM_003119.4(SPG7):​c.1715C>T​(p.Ala572Val) variant causes a missense change. The variant allele was found at a frequency of 0.0000682 in 1,613,970 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★).

Frequency

Genomes: 𝑓 0.00015 ( 1 hom., cov: 33)
Exomes 𝑓: 0.000060 ( 0 hom. )

Consequence

SPG7
NM_003119.4 missense

Scores

10
5
1

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:11

Conservation

PhyloP100: 6.05
Variant links:
Genes affected
SPG7 (HGNC:11237): (SPG7 matrix AAA peptidase subunit, paraplegin) This gene encodes a mitochondrial metalloprotease protein that is a member of the AAA family. Members of this protein family share an ATPase domain and have roles in diverse cellular processes including membrane trafficking, intracellular motility, organelle biogenesis, protein folding, and proteolysis. Mutations in this gene cause autosomal recessive spastic paraplegia 7. Two transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, Mar 2014]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.884
PP5
Variant 16-89550545-C-T is Pathogenic according to our data. Variant chr16-89550545-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 217269.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SPG7NM_003119.4 linkuse as main transcriptc.1715C>T p.Ala572Val missense_variant 13/17 ENST00000645818.2 NP_003110.1
SPG7NM_001363850.1 linkuse as main transcriptc.1715C>T p.Ala572Val missense_variant 13/18 NP_001350779.1
SPG7XM_047434537.1 linkuse as main transcriptc.842C>T p.Ala281Val missense_variant 8/13 XP_047290493.1
SPG7XM_047434540.1 linkuse as main transcriptc.401C>T p.Ala134Val missense_variant 5/9 XP_047290496.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SPG7ENST00000645818.2 linkuse as main transcriptc.1715C>T p.Ala572Val missense_variant 13/17 NM_003119.4 ENSP00000495795 P2Q9UQ90-1

Frequencies

GnomAD3 genomes
AF:
0.000151
AC:
23
AN:
152244
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000916
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000358
AC:
9
AN:
251306
Hom.:
0
AF XY:
0.0000294
AC XY:
4
AN XY:
135850
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.0000578
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000352
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.0000595
AC:
87
AN:
1461608
Hom.:
0
Cov.:
31
AF XY:
0.0000605
AC XY:
44
AN XY:
727120
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000504
Gnomad4 OTH exome
AF:
0.000248
GnomAD4 genome
AF:
0.000151
AC:
23
AN:
152362
Hom.:
1
Cov.:
33
AF XY:
0.000107
AC XY:
8
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000915
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000648
Hom.:
0
Bravo
AF:
0.000280
ExAC
AF:
0.00000824
AC:
1
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Hereditary spastic paraplegia 7 Pathogenic:6
Pathogenic, criteria provided, single submitterresearchPROSPAX: an integrated multimodal progression chart in spastic ataxias, Center for Neurology; Hertie-Institute for Clinical Brain ResearchJan 01, 2022- -
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 572 of the SPG7 protein (p.Ala572Val). This variant is present in population databases (rs72547551, gnomAD 0.005%). This missense change has been observed in individuals with autosomal recessive hereditary spastic paraplegia (PMID: 14985266, 23065789, 25681447, 26626314). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 217269). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt SPG7 protein function with a negative predictive value of 80%. For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, criteria provided, single submitterclinical testing3billionSep 01, 2022The variant is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.004%). In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.83; 3Cnet: 0.97). Same nucleotide change resulting in same amino acid change has been previously reported as pathogenic/likely pathogenic with strong evidence (ClinVar ID: VCV000217269). The variant has been reported to be in trans with a pathogenic variant as either compound heterozygous or homozygous in at least 2 similarly affected unrelated individuals (PMID: 14985266 , 23065789 , 25681447 , 26626314). Therefore, this variant is classified as Pathogenic according to the recommendation of ACMG/AMP guideline. -
Pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpOct 26, 2023Variant summary: SPG7 c.1715C>T (p.Ala572Val) results in a non-conservative amino acid change in the encoded protein sequence. Four of four in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 3.6e-05 in 251306 control chromosomes. c.1715C>T has been reported in the literature as biallelic homozygous or compound heterozygous genotypes in multiple individuals affected with Hereditary Spastic Paraplegia 7 (example, Vural_2021, Burguez_2017). These data indicate that the variant is very likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Eight submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. All submitters classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -
Pathogenic, criteria provided, single submittercase-controlNeurogenetics of motion laboratory, Montreal Neurological Institute-- -
Pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsAug 15, 2021- -
not provided Pathogenic:4
Pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2018- -
Pathogenic, criteria provided, single submitterclinical testingGeneDxAug 09, 2024In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 14985266, 23065789, 25681447, 26626314, 22571692, 25497598, Campins-Romeu2021[Case Report], 29246610, Haj Saleem2021[Case report], 29482223, 30533525, 32816195, 33059505, 34405107, 33624863, 37090936) -
Pathogenic, criteria provided, single submitterclinical testingAthena DiagnosticsMar 11, 2022The frequency of this variant in the general population is consistent with pathogenicity (http://gnomad.broadinstitute.org). This variant is statistically more frequent in affected individuals than in the general population and/or healthy controls. In multiple individuals, this variant has been seen with a single recessive pathogenic variant in the same gene, suggesting this variant may also be pathogenic. Computational tools predict that this variant is damaging. The variant is located in a region that is considered important for protein function and/or structure. -
Pathogenic, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoApr 21, 2021DNA sequence analysis of the SPG7 gene demonstrated a sequence change, c.1715C>T variant in exon 13 that results in an amino acid change, p.Ala572Val. This sequence change has been described in the gnomAD database with a low population frequency of 0.0036% (dbSNP rs72547551). This pathogenic sequence change has previously been described in several patients with SPG7-related spastic paraplegia and ataxia (Wilkinson et al., 2004; Klebe et al., 2012; Pfeffer et al., 2015; Choquet et al., 2015). The p.Ala572Val change affects a highly conserved amino acid residue located in a domain of the SPG7 protein that is known to be functional. The p.Ala572Val substitution appears to be deleterious using several in-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL). -
Hereditary spastic paraplegia Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenNov 16, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.61
BayesDel_addAF
Pathogenic
0.36
D
BayesDel_noAF
Pathogenic
0.46
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.91
.;.;D;.;.;.;.;.;.
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.40
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
0.99
D;D;D;D;D;D;D;D;D
M_CAP
Pathogenic
0.54
D
MetaRNN
Pathogenic
0.88
D;D;D;D;D;D;D;D;D
MetaSVM
Uncertain
0.73
D
MutationAssessor
Pathogenic
3.6
.;.;H;.;.;.;.;.;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.58
T
REVEL
Pathogenic
0.83
Polyphen
0.99
.;.;D;.;.;.;.;.;.
MVP
0.95
MPC
0.78
ClinPred
0.98
D
GERP RS
5.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.80
gMVP
0.83

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: rs72547551; hg19: chr16-89616953; COSMIC: COSV51953430; COSMIC: COSV51953430; API