rs765403861
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_001164507.2(NEB):c.8395_8396insTATC(p.Arg2799LeufsTer3) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000186 in 1,612,464 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )
Consequence
NEB
NM_001164507.2 frameshift
NM_001164507.2 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 3.30
Genes affected
NEB (HGNC:7720): (nebulin) This gene encodes nebulin, a giant protein component of the cytoskeletal matrix that coexists with the thick and thin filaments within the sarcomeres of skeletal muscle. In most vertebrates, nebulin accounts for 3 to 4% of the total myofibrillar protein. The encoded protein contains approximately 30-amino acid long modules that can be classified into 7 types and other repeated modules. Protein isoform sizes vary from 600 to 800 kD due to alternative splicing that is tissue-, species-,and developmental stage-specific. Of the 183 exons in the nebulin gene, at least 43 are alternatively spliced, although exons 143 and 144 are not found in the same transcript. Of the several thousand transcript variants predicted for nebulin, the RefSeq Project has decided to create three representative RefSeq records. Mutations in this gene are associated with recessive nemaline myopathy. [provided by RefSeq, Sep 2009]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 12 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 2-151640644-C-CGATA is Pathogenic according to our data. Variant chr2-151640644-C-CGATA is described in ClinVar as [Likely_pathogenic]. Clinvar id is 552414.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
NEB | NM_001164507.2 | c.8395_8396insTATC | p.Arg2799LeufsTer3 | frameshift_variant | 61/182 | ENST00000427231.7 | |
NEB | NM_001164508.2 | c.8395_8396insTATC | p.Arg2799LeufsTer3 | frameshift_variant | 61/182 | ENST00000397345.8 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
NEB | ENST00000397345.8 | c.8395_8396insTATC | p.Arg2799LeufsTer3 | frameshift_variant | 61/182 | 5 | NM_001164508.2 | P5 | |
NEB | ENST00000427231.7 | c.8395_8396insTATC | p.Arg2799LeufsTer3 | frameshift_variant | 61/182 | 5 | NM_001164507.2 | A2 | |
NEB | ENST00000409198.5 | c.8395_8396insTATC | p.Arg2799LeufsTer3 | frameshift_variant | 61/150 | 5 |
Frequencies
GnomAD3 genomes AF: 0.00000658 AC: 1AN: 151980Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.00000805 AC: 2AN: 248552Hom.: 0 AF XY: 0.0000148 AC XY: 2AN XY: 134792
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GnomAD4 exome AF: 0.00000137 AC: 2AN: 1460484Hom.: 0 Cov.: 32 AF XY: 0.00000275 AC XY: 2AN XY: 726374
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GnomAD4 genome AF: 0.00000658 AC: 1AN: 151980Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74232
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ClinVar
Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Nemaline myopathy 2 Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | Counsyl | Jun 09, 2017 | - - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at