rs750035706

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PM2PM4PP5_Very_Strong

The NM_024298.5(MBOAT7):​c.758_778del​(p.Glu253_Ala259del) variant causes a 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. Variant has been reported in ClinVar as Pathogenic (β˜…β˜…).

Frequency

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

Consequence

MBOAT7
NM_024298.5 inframe_deletion

Scores

Not classified

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:7

Conservation

PhyloP100: 5.56
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]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
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 id is 268112.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-54180848-CCGGCGGCAATGCAGCCGCACT-C is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MBOAT7NM_024298.5 linkuse as main transcriptc.758_778del p.Glu253_Ala259del inframe_deletion 6/8 ENST00000245615.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MBOAT7ENST00000245615.6 linkuse as main transcriptc.758_778del p.Glu253_Ala259del inframe_deletion 6/81 NM_024298.5 P1Q96N66-1

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
GnomAD3 exomes
AF:
0.0000219
AC:
4
AN:
182932
Hom.:
0
AF XY:
0.0000301
AC XY:
3
AN XY:
99710
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 SAS exome
AF:
0.000157
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
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000393
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000146
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000619
Gnomad4 OTH exome
AF:
0.0000169
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
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000189

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Intellectual disability, autosomal recessive 57 Pathogenic:4
Pathogenic, no assertion criteria providedliterature onlyOMIMJan 26, 2022- -
Pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 22, 2024Variant 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. -
Pathogenic, criteria provided, single submitterclinical testingVictorian Clinical Genetics Services, Murdoch Childrens Research InstituteFeb 02, 2022Based 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 -
Pathogenic, criteria provided, single submitterclinical testing3billionMar 22, 2022The 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. -
not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2022MBOAT7: PP1:Strong, PM1, PM4, PM2:Supporting, PM3:Supporting, PP4 -
Pathogenic, criteria provided, single submitterclinical testingGeneDxSep 25, 2023In-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) -
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingAmbry GeneticsJul 15, 2022The 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

Splicing

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs750035706; hg19: chr19-54684565; API