rs750056424
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Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_014967.5(FAN1):βc.2616delβ(p.Asp873ThrfsTer17) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000571 in 1,612,588 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (β β ). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: π 0.000066 ( 0 hom., cov: 32)
Exomes π: 0.000056 ( 0 hom. )
Consequence
FAN1
NM_014967.5 frameshift
NM_014967.5 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: -3.60
Genes affected
FAN1 (HGNC:29170): (FANCD2 and FANCI associated nuclease 1) This gene plays a role in DNA interstrand cross-link repair and encodes a protein with 5' flap endonuclease and 5'-3' exonuclease activity. Mutations in this gene cause karyomegalic interstitial nephritis. Alternatively spliced transcript variants encoding distinct isoforms have been described. [provided by RefSeq, Feb 2016]
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ACMG classification
Classification made for transcript
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 15-30929225-CA-C is Pathogenic according to our data. Variant chr15-30929225-CA-C is described in ClinVar as [Pathogenic]. Clinvar id is 437429.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
FAN1 | NM_014967.5 | c.2616del | p.Asp873ThrfsTer17 | frameshift_variant | 12/15 | ENST00000362065.9 | NP_055782.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
FAN1 | ENST00000362065.9 | c.2616del | p.Asp873ThrfsTer17 | frameshift_variant | 12/15 | 1 | NM_014967.5 | ENSP00000354497 | P1 |
Frequencies
GnomAD3 genomes AF: 0.0000657 AC: 10AN: 152128Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000922 AC: 23AN: 249482Hom.: 0 AF XY: 0.000148 AC XY: 20AN XY: 134954
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GnomAD4 exome AF: 0.0000561 AC: 82AN: 1460460Hom.: 0 Cov.: 31 AF XY: 0.0000812 AC XY: 59AN XY: 726600
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GnomAD4 genome AF: 0.0000657 AC: 10AN: 152128Hom.: 0 Cov.: 32 AF XY: 0.000121 AC XY: 9AN XY: 74306
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Karyomegalic interstitial nephritis Pathogenic:4
Pathogenic, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | May 17, 2022 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Center of Genomic medicine, Geneva, University Hospital of Geneva | Sep 21, 2016 | - - |
Pathogenic, no assertion criteria provided | literature only | OMIM | Jul 08, 2012 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Victorian Clinical Genetics Services, Murdoch Childrens Research Institute | Oct 09, 2018 | A homozygous frameshift deletion variant, NM_014967.4(FAN1):c.2616delA, has been identified in exon 12 of 15 of the FAN1 gene. This deletion is predicted to create a frameshift starting at amino acid position 873, introducing a stop codon 17 residues downstream (NP_055782.3(FAN1):p.(Asp873Thrfs*17)). This variant is predicted to result in loss of protein function through nonsense mediated decay, which is a reported mechanism of pathogenicity for this gene. The variant is present in the gnomAD database at a frequency of 0.01% (25 heterozygotes, 0 homozygotes). The variant has been previously described as pathogenic in two patients with chronic kidney disease (ClinVar, Zhou, W. et al (2012)). Other upstream LoF variants have also been reported as pathogenic (ClinVar). Based on the information available at the time of curation, this variant has been classified as PATHOGENIC. - |
not provided Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Apr 01, 2023 | FAN1: PVS1, PM2, PM3, PP1:Moderate - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Nov 02, 2023 | This sequence change creates a premature translational stop signal (p.Asp873Thrfs*17) in the FAN1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in FAN1 are known to be pathogenic (PMID: 22772369). This variant is present in population databases (rs750056424, gnomAD 0.05%). This premature translational stop signal has been observed in individual(s) with interstitial nephritis (PMID: 22772369, 27196444, 32220227). ClinVar contains an entry for this variant (Variation ID: 437429). For these reasons, this variant has been classified as Pathogenic. - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at