rs757316102
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.
This summary comes from the ClinGen Evidence Repository: NM_001033855.3(DCLRE1C):c.350C>T is a missense variant predicted to cause substitution of Proline by Leucine at amino acid 117 (p.Pro117Leu). The filtering allele frequency (the upper threshold of the 95% CI of 50/1178836) of the c.350C>T variant in DCLRE1C is 0.00003376 for European (non-Finnish) chromosomes by gnomAD v4, which is higher than the ClinGen SCID VCEP threshold (<0.00003266) for PM2_Supporting, and therefore do not meet this criterion.To our knowledge, this variant has not been reported in the literature in individuals affected with SCID/DCLRE1C-related conditions or in functional studies.In summary, this variant meets the criteria to be classified as a Variant of Uncertain Significance for autosomal recessive severe combined immunodeficiency due to DCLRE1C deficiency based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP (specification version 1.0): No criteria were applied. LINK:https://erepo.genome.network/evrepo/ui/classification/CA5416895/MONDO:0011225/116
Frequency
Consequence
NM_001033855.3 missense
Scores
Clinical Significance
Conservation
Publications
- Omenn syndromeInheritance: AR Classification: DEFINITIVE, SUPPORTIVE, LIMITED Submitted by: G2P, Ambry Genetics, Orphanet
- severe combined immunodeficiency due to DCLRE1C deficiencyInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics, ClinGen
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ACMG classification
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000198 AC: 3AN: 151770Hom.: 0 Cov.: 31 show subpopulations
GnomAD2 exomes AF: 0.0000279 AC: 7AN: 251150 AF XY: 0.0000368 show subpopulations
GnomAD4 exome AF: 0.0000370 AC: 54AN: 1460542Hom.: 0 Cov.: 29 AF XY: 0.0000385 AC XY: 28AN XY: 726656 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000198 AC: 3AN: 151770Hom.: 0 Cov.: 31 AF XY: 0.0000270 AC XY: 2AN XY: 74094 show subpopulations
ClinVar
Submissions by phenotype
Severe combined immunodeficiency due to DCLRE1C deficiency Uncertain:2
NM_001033855.3(DCLRE1C):c.350C>T is a missense variant predicted to cause substitution of Proline by Leucine at amino acid 117 (p.Pro117Leu). The filtering allele frequency (the upper threshold of the 95% CI of 50/1178836) of the c.350C>T variant in DCLRE1C is 0.00003376 for European (non-Finnish) chromosomes by gnomAD v4, which is higher than the ClinGen SCID VCEP threshold (<0.00003266) for PM2_Supporting, and therefore do not meet this criterion. To our knowledge, this variant has not been reported in the literature in individuals affected with SCID/DCLRE1C-related conditions or in functional studies. In summary, this variant meets the criteria to be classified as a Variant of Uncertain Significance for autosomal recessive severe combined immunodeficiency due to DCLRE1C deficiency based on the ACMG/AMP criteria applied, as specified by the ClinGen SCID VCEP (specification version 1.0): No criteria were applied. -
This sequence change replaces proline with leucine at codon 117 of the DCLRE1C protein (p.Pro117Leu). The proline residue is highly conserved and there is a moderate physicochemical difference between proline and leucine. This variant is present in population databases (rs757316102, ExAC 0.003%). This variant has not been reported in the literature in individuals affected with DCLRE1C-related conditions. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
not specified Uncertain:1
Variant summary: DCLRE1C c.350C>T (p.Pro117Leu) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 2.8e-05 in 251150 control chromosomes. The available data on variant occurrences in the general population are insufficient to allow any conclusion about variant significance. To our knowledge, no occurrence of c.350C>T in individuals affected with Severe Combined Immunodeficiency and no experimental evidence demonstrating its impact on protein function have been reported. Two ClinVar submitters (evaluation after 2014) cite the variant as uncertain significance and one ClinVar submitter (evaluation after 2014) cites it as likely pathogenic. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Inborn genetic diseases Uncertain:1
The c.350C>T (p.P117L) alteration is located in exon 5 (coding exon 5) of the DCLRE1C gene. This alteration results from a C to T substitution at nucleotide position 350, causing the proline (P) at amino acid position 117 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Athabaskan severe combined immunodeficiency Uncertain:1
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Histiocytic medullary reticulosis Uncertain:1
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not provided Uncertain:1
In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at