rs777245164

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS1

The NM_001371279.1(REEP1):​c.518C>T​(p.Pro173Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000838 in 1,611,318 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P173R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000079 ( 0 hom. )

Consequence

REEP1
NM_001371279.1 missense

Scores

6
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:2

Conservation

PhyloP100: 3.82

Publications

2 publications found
Variant links:
Genes affected
REEP1 (HGNC:25786): (receptor accessory protein 1) This gene encodes a mitochondrial protein that functions to enhance the cell surface expression of odorant receptors. Mutations in this gene cause spastic paraplegia autosomal dominant type 31, a neurodegenerative disorder. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
REEP1 Gene-Disease associations (from GenCC):
  • hereditary spastic paraplegia 31
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics
  • neuronopathy, distal hereditary motor, type 5B
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • neuronopathy, distal hereditary motor, type 5A
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • spinal muscular atrophy, distal, autosomal recessive, 6
    Inheritance: AR Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.23607996).
BP6
Variant 2-86232702-G-A is Benign according to our data. Variant chr2-86232702-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 465821.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.000131 (20/152342) while in subpopulation SAS AF = 0.000207 (1/4824). AF 95% confidence interval is 0.000102. There are 0 homozygotes in GnomAd4. There are 10 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001371279.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
REEP1
NM_001371279.1
MANE Select
c.518C>Tp.Pro173Leu
missense
Exon 6 of 9NP_001358208.1A0A1C7CYY3
REEP1
NM_001410855.1
c.518C>Tp.Pro173Leu
missense
Exon 6 of 8NP_001397784.1A0A2R8Y6K6
REEP1
NM_001410856.1
c.518C>Tp.Pro173Leu
missense
Exon 6 of 8NP_001397785.1A0A8I5QKJ2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
REEP1
ENST00000538924.7
TSL:5 MANE Select
c.518C>Tp.Pro173Leu
missense
Exon 6 of 9ENSP00000438346.3A0A1C7CYY3
REEP1
ENST00000165698.9
TSL:1
c.518C>Tp.Pro173Leu
missense
Exon 6 of 7ENSP00000165698.5Q9H902-1
REEP1
ENST00000908467.1
c.668C>Tp.Pro223Leu
missense
Exon 7 of 9ENSP00000578526.1

Frequencies

GnomAD3 genomes
AF:
0.000131
AC:
20
AN:
152224
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000857
AC:
21
AN:
245128
AF XY:
0.0000674
show subpopulations
Gnomad AFR exome
AF:
0.0000626
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000546
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000173
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000788
AC:
115
AN:
1458976
Hom.:
0
Cov.:
32
AF XY:
0.0000785
AC XY:
57
AN XY:
725948
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33478
American (AMR)
AF:
0.00
AC:
0
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26126
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86254
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5756
European-Non Finnish (NFE)
AF:
0.0000971
AC:
108
AN:
1111960
Other (OTH)
AF:
0.0000828
AC:
5
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
8
16
23
31
39
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000131
AC:
20
AN:
152342
Hom.:
0
Cov.:
33
AF XY:
0.000134
AC XY:
10
AN XY:
74494
show subpopulations
African (AFR)
AF:
0.000168
AC:
7
AN:
41588
American (AMR)
AF:
0.00
AC:
0
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000176
AC:
12
AN:
68016
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.542
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000158
Hom.:
0
Bravo
AF:
0.000106
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.000115
AC:
14
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Hereditary spastic paraplegia 31 (1)
-
-
1
Inborn genetic diseases (1)
-
-
1
not specified (1)
-
1
-
REEP1-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.24
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.025
T
Eigen
Benign
0.058
Eigen_PC
Benign
0.035
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.92
D
M_CAP
Uncertain
0.22
D
MetaRNN
Benign
0.24
T
MetaSVM
Uncertain
0.021
D
MutationAssessor
Benign
1.0
L
PhyloP100
3.8
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-2.0
N
REVEL
Benign
0.15
Sift
Benign
0.34
T
Sift4G
Benign
0.18
T
Polyphen
0.012
B
Vest4
0.28
MVP
0.54
MPC
1.9
ClinPred
0.064
T
GERP RS
4.6
Varity_R
0.065
gMVP
0.54
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs777245164; hg19: chr2-86459825; COSMIC: COSV99382520; COSMIC: COSV99382520; API