rs765587961
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate
The NM_001371596.2(MFSD8):c.1262C>T(p.Thr421Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000681 in 1,614,094 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. T421T) has been classified as Likely benign.
Frequency
Consequence
NM_001371596.2 missense
Scores
Clinical Significance
Conservation
Publications
- neuronal ceroid lipofuscinosisInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
- neuronal ceroid lipofuscinosis 7Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet, G2P
- macular dystrophy with central cone involvementInheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| MFSD8 | NM_001371596.2 | c.1262C>T | p.Thr421Ile | missense_variant | Exon 11 of 12 | ENST00000641686.2 | NP_001358525.1 | 
Ensembl
Frequencies
GnomAD3 genomes  0.00000657  AC: 1AN: 152224Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.0000358  AC: 9AN: 251386 AF XY:  0.0000294   show subpopulations 
GnomAD4 exome  AF:  0.00000684  AC: 10AN: 1461870Hom.:  0  Cov.: 32 AF XY:  0.00000413  AC XY: 3AN XY: 727234 show subpopulations 
Age Distribution
GnomAD4 genome  0.00000657  AC: 1AN: 152224Hom.:  0  Cov.: 32 AF XY:  0.0000134  AC XY: 1AN XY: 74360 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
Late-infantile neuronal ceroid lipofuscinosis    Uncertain:1 
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not provided    Uncertain:1 
A variant of uncertain significance has been identified in the MFSD8 gene. The T421I variant has notbeen published as a pathogenic variant, nor has it been reported as a benign variant to our knowledge. This variant is observed in 8/33572 (0.02%) alleles from individuals of Latino background in large population cohorts (Lek et al., 2016). The T421I variant is a non-conservative amino acid substitution, which is likely to impact secondary protein structure as these residues differ in polarity, charge, size and/or other properties. However, in-silico analyses, including protein predictors and evolutionary conservation, support that this variant does not alter protein structure/function. Therefore, based on the currently available information, it is unclear whether this variant is a pathogenic variant or a rare benign variant. -
Neuronal ceroid lipofuscinosis 7    Uncertain:1 
This sequence change replaces threonine, which is neutral and polar, with isoleucine, which is neutral and non-polar, at codon 421 of the MFSD8 protein (p.Thr421Ile). This variant is present in population databases (rs765587961, gnomAD 0.02%). This variant has not been reported in the literature in individuals affected with MFSD8-related conditions. ClinVar contains an entry for this variant (Variation ID: 206163). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is not expected to disrupt MFSD8 protein function with a negative predictive value of 80%. 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. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at