Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_003119.4(SPG7):c.1408C>T(p.Arg470*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000041 in 1,461,786 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.
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]
Verdict is Pathogenic. Variant got 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 16-89544731-C-T is Pathogenic according to our data. Variant chr16-89544731-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 216088.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-89544731-C-T is described in Lovd as [Pathogenic].
Likely pathogenic, criteria provided, single submitter
clinical testing
MGZ Medical Genetics Center
Jul 06, 2021
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Pathogenic, criteria provided, single submitter
clinical testing
Labcorp Genetics (formerly Invitae), Labcorp
Jan 17, 2024
This sequence change creates a premature translational stop signal (p.Arg470*) in the SPG7 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SPG7 are known to be pathogenic (PMID: 21623769, 22964162). This variant is present in population databases (rs748555510, gnomAD 0.002%). This premature translational stop signal has been observed in individual(s) with SPG7-related conditions (PMID: 29482223). ClinVar contains an entry for this variant (Variation ID: 216088). For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, criteria provided, single submitter
research
PROSPAX: an integrated multimodal progression chart in spastic ataxias, Center for Neurology; Hertie-Institute for Clinical Brain Research