rs750035706

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM4PP5_Very_Strong

The NM_024298.5(MBOAT7):​c.758_778delAGTGCGGCTGCATTGCCGCCG​(p.Glu253_Ala259del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.0000525 in 1,579,556 control chromosomes in the GnomAD database, with no homozygous occurrence. It is difficult to determine the true allele frequency of this variant because it is of type DEL_BIG, and the frequency of such variant types in population databases may be underestimated and unreliable. Variant has been reported in ClinVar as Pathogenic (★★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000057 ( 0 hom. )

Consequence

MBOAT7
NM_024298.5 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:8

Conservation

PhyloP100: 5.56

Publications

1 publications found
Variant links:
Genes affected
MBOAT7 (HGNC:15505): (membrane bound O-acyltransferase domain containing 7) This gene encodes a member of the membrane-bound O-acyltransferases family of integral membrane proteins that have acyltransferase activity. The encoded protein is a lysophosphatidylinositol acyltransferase that has specificity for arachidonoyl-CoA as an acyl donor. This protein is involved in the reacylation of phospholipids as part of the phospholipid remodeling pathway known as the Land cycle. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2009]
MBOAT7 Gene-Disease associations (from GenCC):
  • intellectual disability, autosomal recessive 57
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
  • autosomal recessive non-syndromic intellectual disability
    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 10 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in NM_024298.5.
PP5
Variant 19-54180848-CCGGCGGCAATGCAGCCGCACT-C is Pathogenic according to our data. Variant chr19-54180848-CCGGCGGCAATGCAGCCGCACT-C is described in ClinVar as Pathogenic. ClinVar VariationId is 268112.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MBOAT7NM_024298.5 linkc.758_778delAGTGCGGCTGCATTGCCGCCG p.Glu253_Ala259del disruptive_inframe_deletion Exon 6 of 8 ENST00000245615.6 NP_077274.3 Q96N66-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MBOAT7ENST00000245615.6 linkc.758_778delAGTGCGGCTGCATTGCCGCCG p.Glu253_Ala259del disruptive_inframe_deletion Exon 6 of 8 1 NM_024298.5 ENSP00000245615.1 Q96N66-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152202
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000219
AC:
4
AN:
182932
AF XY:
0.0000301
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.00
GnomAD4 exome
AF:
0.0000574
AC:
82
AN:
1427354
Hom.:
0
AF XY:
0.0000622
AC XY:
44
AN XY:
707032
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33150
American (AMR)
AF:
0.00
AC:
0
AN:
37782
Ashkenazi Jewish (ASJ)
AF:
0.0000393
AC:
1
AN:
25414
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38614
South Asian (SAS)
AF:
0.000146
AC:
12
AN:
82024
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47944
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5370
European-Non Finnish (NFE)
AF:
0.0000619
AC:
68
AN:
1097818
Other (OTH)
AF:
0.0000169
AC:
1
AN:
59238
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.416
Heterozygous variant carriers
0
6
11
17
22
28
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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
AF:
0.00000657
AC:
1
AN:
152202
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74356
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41450
American (AMR)
AF:
0.00
AC:
0
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68038
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000189

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Intellectual disability, autosomal recessive 57 Pathogenic:5
Feb 02, 2022
Victorian Clinical Genetics Services, Murdoch Childrens Research Institute
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as Pathogenic. Following criteria are met: 0102 - Loss of function is a known mechanism of disease in this gene and is associated with intellectual disability 57 (MIM#617188). (I) 0106 - This gene is associated with autosomal recessive disease. (I) 0213 - In-frame deletion in a non-repetitive region that has moderate conservation. (SP) 0252 - This variant is homozygous. (I) 0304 - Variant is present in gnomAD <0.01 for a recessive condition (v2: 5 heterozygotes, 0 homozygotes). (SP) 0600 - Variant is located in the annotated catalytic acyltransferase domain (PMID: 27616480). (I) 0705 - No comparable in-frame deletion variants have previous evidence for pathogenicity. (I) 0802 - This variant has moderate previous evidence of pathogenicity in unrelated individuals. This variant has been reported in five consanguineous families with neurodevelopmental disorders. It should be noted that all the families are from Pakistan, with four of the families originating from the Khyber Pakhtunkhwa Province (PMIDs: 27616480, 31852446, 33335874). (SP) 0901 - This variant has strong evidence for segregation with disease. This variant has been demonstrated to be homozygous in affected individuals only, with unaffected individuals shown to be heterozygous for the variant (PMID: 31852446). (SP) 1007 - No published functional evidence has been identified for this variant. (I) 1209 - This variant has been shown to be both maternally and paternally inherited (biallelic) (by trio analysis). (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign -

Mar 22, 2022
3billion
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The variant was co-segregated with Mental retardation, autosomal recessive 57 in multiple affected family members with additional meioses meeting moderate evidence levels (PMID: 31852446, 27616480). The variant has been observed in multiple (>3) similarly affected unrelated individuals (PMID: 31852446, 27616480). It is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency:0.0000272). Inframe deletion located in a nonrepeat region: predicted to change the length of the protein and disrupt normal protein function(PM4_M). Therefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline. -

Jan 26, 2022
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Mar 22, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: MBOAT7 c.758_778del21 (p.Glu253_Ala259del) results in an in-frame deletion that is predicted to remove seven amino acids from the encoded protein. The variant allele was found at a frequency of 2.2e-05 in 182932 control chromosomes. c.758_778del21 has been reported in the literature in multiple homozygous individuals affected with Mental Retardation, Autosomal Recessive 57 and has been reported as a founder mutation in the Pakistani population (e.g. Khan_2019). 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. The following publication has been ascertained in the context of this evaluation (PMID: 31852446). ClinVar contains an entry for this variant (Variation ID: 268112). Based on the evidence outlined above, the variant was classified as pathogenic. -

Dec 18, 2024
Institute of Human Genetics Munich, TUM University Hospital
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Pathogenic:2
Sep 25, 2023
GeneDx
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In-frame deletion of 7 amino acids in a non-repeat region; In silico analysis supports a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 31852446, 27616480, 33335874) -

Sep 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

MBOAT7: PP1:Strong, PM1, PM4, PM2:Supporting, PM3:Supporting, PP4 -

Inborn genetic diseases Pathogenic:1
Jul 15, 2022
Ambry Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.758_778del21 (p.E253_A259del) alteration, located in exon 6 (coding exon 5) of the MBOAT7 gene, results from an in-frame deletion of 21 nucleotides between nucleotide positions c.758 and c.778. This results in the deletion of 7 amino acids from codons 253 to 259. Based on data from gnomAD, this alteration has an overall frequency of 0.002% (5/214278) total alleles studied. The highest observed frequency was 0.016% (4/25456) of South Asian alleles. This alteration has been reported in multiple patients from consanguineous families with moderate to severe neurodevelopmental disorders (Johansen, 2016; Khan, 2019; Sun, 2020). There is evidence to suggest that it is a founder mutation in the Pakistani population (Khan, 2019; Sun, 2020). Based on the available evidence, this alteration is classified as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
5.6
Mutation Taster
=2/198
disease causing (ClinVar)

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs750035706; hg19: chr19-54684565; API