rs727503764

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_031229.4(RBCK1):​c.896_899delAGTG​(p.Glu299ValfsTer46) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000148 in 1,415,042 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 27)
Exomes 𝑓: 0.000015 ( 0 hom. )

Consequence

RBCK1
NM_031229.4 frameshift

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 9.69

Publications

7 publications found
Variant links:
Genes affected
RBCK1 (HGNC:15864): (RANBP2-type and C3HC4-type zinc finger containing 1) Enables several functions, including identical protein binding activity; protein sequestering activity; and ubiquitin binding activity. Involved in several processes, including T cell receptor signaling pathway; cellular protein metabolic process; and regulation of DNA-binding transcription factor activity. Part of LUBAC complex. Implicated in glycogen storage disease. [provided by Alliance of Genome Resources, Apr 2022]
RBCK1 Gene-Disease associations (from GenCC):
  • polyglucosan body myopathy 1 with or without immunodeficiency
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, PanelApp Australia
  • autoinflammatory syndrome with pyogenic bacterial infection and amylopectinosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • polyglucosan body myopathy type 1
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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 20-421006-CGTGA-C is Pathogenic according to our data. Variant chr20-421006-CGTGA-C is described in ClinVar as Pathogenic. ClinVar VariationId is 140625.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_031229.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RBCK1
NM_031229.4
MANE Select
c.896_899delAGTGp.Glu299ValfsTer46
frameshift
Exon 7 of 12NP_112506.2
RBCK1
NM_001410770.1
c.947_950delAGTGp.Glu316ValfsTer46
frameshift
Exon 7 of 12NP_001397699.1
RBCK1
NM_006462.6
c.770_773delAGTGp.Glu257ValfsTer46
frameshift
Exon 6 of 11NP_006453.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RBCK1
ENST00000356286.10
TSL:1 MANE Select
c.896_899delAGTGp.Glu299ValfsTer46
frameshift
Exon 7 of 12ENSP00000348632.6
RBCK1
ENST00000353660.7
TSL:1
c.770_773delAGTGp.Glu257ValfsTer46
frameshift
Exon 6 of 11ENSP00000254960.5
RBCK1
ENST00000382181.2
TSL:1
n.631-1117_631-1114delAGTG
intron
N/AENSP00000371616.3

Frequencies

GnomAD3 genomes
Cov.:
27
GnomAD2 exomes
AF:
0.0000114
AC:
2
AN:
175738
AF XY:
0.0000211
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000357
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000214
GnomAD4 exome
AF:
0.0000148
AC:
21
AN:
1415042
Hom.:
0
AF XY:
0.0000143
AC XY:
10
AN XY:
699810
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32350
American (AMR)
AF:
0.0000256
AC:
1
AN:
39088
Ashkenazi Jewish (ASJ)
AF:
0.0000396
AC:
1
AN:
25266
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37096
South Asian (SAS)
AF:
0.0000372
AC:
3
AN:
80644
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48164
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4868
European-Non Finnish (NFE)
AF:
0.0000138
AC:
15
AN:
1089040
Other (OTH)
AF:
0.0000171
AC:
1
AN:
58526
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.454
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
27

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Polyglucosan body myopathy type 1 Pathogenic:4
Jun 07, 2019
Institute of Human Genetics Munich, TUM University Hospital
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Dec 01, 2013
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

Feb 08, 2021
Institute of Human Genetics, Clinical Exome/Genome Diagnostics Group, University Hospital Bonn
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PVS1, PS4_moderate, PM2

Jul 30, 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.Glu299Valfs*46) in the RBCK1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in RBCK1 are known to be pathogenic (PMID: 2379848, 23104095, 23889995). This variant is present in population databases (rs727503764, gnomAD 0.004%). This premature translational stop signal has been observed in individuals with clinical features of polyglucosan body myopathy with or without immunodeficiency (PMID: 23798481, 29260357, 31407473). ClinVar contains an entry for this variant (Variation ID: 140625). For these reasons, this variant has been classified as Pathogenic.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
9.7
Mutation Taster
=3/197
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs727503764; hg19: chr20-401650; API