rs797044461
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Variant summary
Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate
The NM_181741.4(ORC4):c.873_874insAACA(p.Ala292AsnfsTer20) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000192 in 1,611,872 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
Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000021 ( 0 hom. )
Consequence
ORC4
NM_181741.4 frameshift
NM_181741.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: -0.472
Genes affected
ORC4 (HGNC:8490): (origin recognition complex subunit 4) The origin recognition complex (ORC) is a highly conserved six subunit protein complex essential for the initiation of the DNA replication in eukaryotic cells. Studies in yeast demonstrated that ORC binds specifically to origins of replication and serves as a platform for the assembly of additional initiation factors such as Cdc6 and Mcm proteins. This gene encodes a subunit of the ORC complex. Several alternatively spliced transcript variants, some of which encode the same protein, have been reported for this gene. [provided by RefSeq, Oct 2010]
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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 2-147939224-C-CTGTT is Pathogenic according to our data. Variant chr2-147939224-C-CTGTT is described in ClinVar as [Pathogenic]. Clinvar id is 30296.Status of the report is criteria_provided_single_submitter, 1 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
ORC4 | NM_181741.4 | c.873_874insAACA | p.Ala292AsnfsTer20 | frameshift_variant | 11/14 | ENST00000392857.10 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
ORC4 | ENST00000392857.10 | c.873_874insAACA | p.Ala292AsnfsTer20 | frameshift_variant | 11/14 | 1 | NM_181741.4 | P1 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152092Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.0000119 AC: 3AN: 251060Hom.: 0 AF XY: 0.00000737 AC XY: 1AN XY: 135668
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GnomAD4 exome AF: 0.0000206 AC: 30AN: 1459780Hom.: 0 Cov.: 29 AF XY: 0.0000151 AC XY: 11AN XY: 726308
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GnomAD4 genome AF: 0.00000657 AC: 1AN: 152092Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74276
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Apr 09, 2021 | For these reasons, this variant has been classified as Pathogenic. This variant has been observed in individual(s) with Meier-Gorlin syndrome (PMID: 21358631, 21358632). In at least one individual the data is consistent with the variant being in trans (on the opposite chromosome) from a pathogenic variant. This variant is also known as c.874_875insAACA. ClinVar contains an entry for this variant (Variation ID: 30296). This variant is not present in population databases (ExAC no frequency). This sequence change creates a premature translational stop signal (p.Ala292Asnfs*20) in the ORC4 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in ORC4 are known to be pathogenic (PMID: 21358631, 22333897, 21358632). - |
Meier-Gorlin syndrome 2 Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Feb 27, 2011 | - - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at