rs794726688
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_019032.6(ADAMTSL4):βc.826_836delβ(p.Arg276SerfsTer21) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000632 in 1,613,868 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Pathogenic (β ). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: π 0.000072 ( 0 hom., cov: 30)
Exomes π: 0.000062 ( 1 hom. )
Consequence
ADAMTSL4
NM_019032.6 frameshift
NM_019032.6 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.415
Genes affected
ADAMTSL4 (HGNC:19706): (ADAMTS like 4) This gene is a member of ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs)-like gene family and encodes a protein with seven thrombospondin type 1 repeats. The thrombospondin type 1 repeat domain is found in many proteins with diverse biological functions including cellular adhesion, angiogenesis, and patterning of the developing nervous system. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Sep 2014]
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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 1-150553815-TCCGTGCATCCC-T is Pathogenic according to our data. Variant chr1-150553815-TCCGTGCATCCC-T is described in ClinVar as [Pathogenic]. Clinvar id is 39556.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
ADAMTSL4 | NM_019032.6 | c.826_836del | p.Arg276SerfsTer21 | frameshift_variant | 6/19 | ENST00000271643.9 | NP_061905.2 | |
ADAMTSL4-AS2 | XR_001738229.2 | n.210+2128_210+2138del | intron_variant, non_coding_transcript_variant |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
ADAMTSL4 | ENST00000271643.9 | c.826_836del | p.Arg276SerfsTer21 | frameshift_variant | 6/19 | 5 | NM_019032.6 | ENSP00000271643 | P1 | |
ADAMTSL4-AS2 | ENST00000442435.3 | n.476+709_476+719del | intron_variant, non_coding_transcript_variant | 5 |
Frequencies
GnomAD3 genomes AF: 0.0000724 AC: 11AN: 152022Hom.: 0 Cov.: 30
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GnomAD3 exomes AF: 0.000155 AC: 39AN: 251250Hom.: 1 AF XY: 0.0000810 AC XY: 11AN XY: 135832
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GnomAD4 exome AF: 0.0000623 AC: 91AN: 1461846Hom.: 1 AF XY: 0.0000454 AC XY: 33AN XY: 727224
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GnomAD4 genome AF: 0.0000724 AC: 11AN: 152022Hom.: 0 Cov.: 30 AF XY: 0.0000673 AC XY: 5AN XY: 74270
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Ectopia lentis 2, isolated, autosomal recessive Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Aug 01, 2010 | - - |
not provided Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Dec 14, 2023 | This sequence change creates a premature translational stop signal (p.Arg276Serfs*21) in the ADAMTSL4 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in ADAMTSL4 are known to be pathogenic (PMID: 20564469, 28642162). This variant is present in population databases (rs754883702, gnomAD 0.1%), including at least one homozygous and/or hemizygous individual. This premature translational stop signal has been observed in individual(s) with ectopia lentis (PMID: 20564469). ClinVar contains an entry for this variant (Variation ID: 39556). For these reasons, this variant has been classified as Pathogenic. - |
Ectopia lentis et pupillae Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Aug 01, 2010 | - - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at