rs769277893
Variant summary
Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP6
The NM_012114.3(CASP14):c.462_463delCA(p.Asp154GlufsTer27) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000196 in 1,614,050 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_012114.3 frameshift
Scores
Clinical Significance
Conservation
Publications
- ichthyosis, congenital, autosomal recessive 12Inheritance: AR Classification: MODERATE Submitted by: PanelApp Australia
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ACMG classification
Our verdict: Likely_benign. The variant received -1 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| CASP14 | ENST00000427043.4 | c.462_463delCA | p.Asp154GlufsTer27 | frameshift_variant | Exon 5 of 7 | 1 | NM_012114.3 | ENSP00000393417.2 | ||
| CASP14 | ENST00000598738.1 | n.315_316delCA | non_coding_transcript_exon_variant | Exon 1 of 3 | 2 | |||||
| ENSG00000302149 | ENST00000784685.1 | n.233-2521_233-2520delGT | intron_variant | Intron 2 of 3 |
Frequencies
GnomAD3 genomes AF: 0.000427 AC: 65AN: 152072Hom.: 1 Cov.: 31 show subpopulations
GnomAD2 exomes AF: 0.000482 AC: 121AN: 251294 AF XY: 0.000435 show subpopulations
GnomAD4 exome AF: 0.000172 AC: 251AN: 1461860Hom.: 0 AF XY: 0.000171 AC XY: 124AN XY: 727230 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000427 AC: 65AN: 152190Hom.: 1 Cov.: 31 AF XY: 0.000524 AC XY: 39AN XY: 74406 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Ichthyosis, congenital, autosomal recessive 12 Pathogenic:1
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not specified Uncertain:1
Variant summary: CASP14 c.462_463delCA (p.Asp154GlufsX27) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant allele was found at a frequency of 0.00043 in 150844 control chromosomes, predominantly within the Latino subpopulation at a frequency of 0.0035 in the gnomAD database (v3.1 genomes dataset), including 1 homozygote. The observed variant frequency within Latino control individuals in the gnomAD database is approximately 14 fold of the estimated maximal expected allele frequency for a pathogenic variant in CASP14 causing (severe) Lamellar Ichthyosis phenotype (0.00025), suggesting that the variant is likely not associated with a severe, highly penetrant ichthyotic phenotype. On the other hand, the variant, c.462_463delCA, has also been reported in the literature in three homozygous individuals, from two families, who were affected with a mild form of ichthyosis, although phenotype details were provided only for one of these patients, describing whitish scales over body, without erythema or other symptoms (Kirchmeier_2017). These data indicate that the variant might be associated with a milder disease, possibly with incomplete penetrance. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. No other truncations have been reported in affected individuals (HGMD). Two submitters have provided clinical-significance assessments for this variant in ClinVar after 2014 without evidence for independent evaluation, and classified the variant as pathogenic (n=1) or likely benign (n=1). Based on the evidence outlined above, the variant was classified as VUS-possibly pathogenic for a milder disease phenotype. -
not provided Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at