rs775769424
Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_024649.5(BBS1):c.1514_1515delTG(p.Leu505ProfsTer52) variant causes a frameshift change. The variant allele was found at a frequency of 0.0000142 in 1,614,130 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_024649.5 frameshift
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 18 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
BBS1 | ENST00000318312.12 | c.1514_1515delTG | p.Leu505ProfsTer52 | frameshift_variant | Exon 15 of 17 | 1 | NM_024649.5 | ENSP00000317469.7 | ||
ENSG00000256349 | ENST00000419755.3 | c.1625_1626delTG | p.Leu542ProfsTer52 | frameshift_variant | Exon 15 of 17 | 2 | ENSP00000398526.3 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152242Hom.: 0 Cov.: 32
GnomAD4 exome AF: 0.0000144 AC: 21AN: 1461888Hom.: 0 AF XY: 0.0000124 AC XY: 9AN XY: 727244
GnomAD4 genome AF: 0.0000131 AC: 2AN: 152242Hom.: 0 Cov.: 32 AF XY: 0.0000134 AC XY: 1AN XY: 74368
ClinVar
Submissions by phenotype
Bardet-Biedl syndrome 1 Pathogenic:6
The BBS1 c.1514_1515del variant was identified in an individual with retinitis pigmentosa with a presumed recessive inheritance pattern. Through a review of available evidence we were able to apply the following criteria: PM2, PVS1, PP1. Based on this evidence we have classified this variant as Pathogenic. -
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Bardet-Biedl syndrome Pathogenic:2
This sequence change creates a premature translational stop signal (p.Leu505Profs*52) in the BBS1 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 89 amino acid(s) of the BBS1 protein. This variant is present in population databases (rs775769424, gnomAD 0.002%). This premature translational stop signal has been observed in individual(s) with Bardet-Biedl syndrome (PMID: 12524598). ClinVar contains an entry for this variant (Variation ID: 371133). This variant disrupts a region of the BBS1 protein in which other variant(s) (p.Leu548Trpfs*31) have been determined to be pathogenic (PMID: 12677556, 12837689). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -
Variant summary: BBS1 c.1514_1515delTG (p.Leu505ProfsX52) 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. Truncations downstream of this position have been classified as pathogenic by our laboratory. The variant was absent in 251494 control chromosomes. c.1514_1515delTG has been reported in the literature in individuals affected with Bardet-Biedl Syndrome (Examples: Carrigan_2016, Deveault_2011, Jiman_2020 and Mykytyn_2003 etc.). These data indicate that the variant is likely to be associated with disease. Five clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after and classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -
BBS1-related disorder Pathogenic:1
The BBS1 c.1514_1515delTG variant is predicted to result in a frameshift and premature protein termination (p.Leu505Profs*52). This variant has been reported to be causative for Bardet-Biedl syndrome (Mykytyn et al. 2003. PubMed ID: 12524598; Grudzinska Pechhacker et al. 2021. PubMed ID: 34940782). This variant is reported in 0.0065% of alleles in individuals of European (Non-Finnish) descent in gnomAD. Frameshift variants in BBS1 are expected to be pathogenic. Given the evidence, we interpret this variant as pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at