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
Consequence
NM_024298.5 disruptive_inframe_deletion
Scores
Clinical Significance
Conservation
Publications
- intellectual disability, autosomal recessive 57Inheritance: AR Classification: STRONG, MODERATE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
- autosomal recessive non-syndromic intellectual disabilityInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 10 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152202Hom.: 0 Cov.: 31 show subpopulations
GnomAD2 exomes AF: 0.0000219 AC: 4AN: 182932 AF XY: 0.0000301 show subpopulations
GnomAD4 exome AF: 0.0000574 AC: 82AN: 1427354Hom.: 0 AF XY: 0.0000622 AC XY: 44AN XY: 707032 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00000657 AC: 1AN: 152202Hom.: 0 Cov.: 31 AF XY: 0.00 AC XY: 0AN XY: 74356 show subpopulations
ClinVar
Submissions by phenotype
Intellectual disability, autosomal recessive 57 Pathogenic:5
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 -
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. -
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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. -
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not provided Pathogenic:2
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) -
MBOAT7: PP1:Strong, PM1, PM4, PM2:Supporting, PM3:Supporting, PP4 -
Inborn genetic diseases Pathogenic:1
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:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at