Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PM5PP2PP3_Moderate
The NM_001244008.2(KIF1A):c.947G>T(p.Arg316Leu) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R316Q) has been classified as Likely pathogenic.
KIF1A (HGNC:888): (kinesin family member 1A) The protein encoded by this gene is a member of the kinesin family and functions as an anterograde motor protein that transports membranous organelles along axonal microtubules. Mutations at this locus have been associated with spastic paraplegia-30 and hereditary sensory neuropathy IIC. Alternatively spliced transcript variants encoding distinct isoforms have been described. [provided by RefSeq, Apr 2012]
Verdict is Likely_pathogenic. Variant got 7 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-240775862-C-T is described in Lovd as [Likely_pathogenic].
PP2
Missense variant in the KIF1A gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 112 curated pathogenic missense variants (we use a threshold of 10). The gene has 150 curated benign missense variants. Gene score misZ: 5.1579 (above the threshold of 3.09). Trascript score misZ: 5.0191 (above the threshold of 3.09). GenCC associations: The gene is linked to neuropathy, hereditary sensory, type 2C, hereditary spastic paraplegia 30, syndromic intellectual disability, intellectual disability, autosomal dominant 9, PEHO syndrome, autosomal dominant non-syndromic intellectual disability, hereditary sensory and autonomic neuropathy type 2.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.936
Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);.;Loss of catalytic residue at R316 (P = 0.0685);Loss of catalytic residue at R316 (P = 0.0685);