rs863224189
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 0P and 0B.
The NM_001371279.1(REEP1):c.10T>G(p.Trp4Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000462 in 1,297,818 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_001371279.1 missense
Scores
Clinical Significance
Conservation
Publications
- hereditary spastic paraplegia 31Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Orphanet
- neuronopathy, distal hereditary motor, type 5BInheritance: AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
- neuronopathy, distal hereditary motor, type 5AInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- spinal muscular atrophy, distal, autosomal recessive, 6Inheritance: AR Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
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ACMG classification
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| REEP1 | NM_001371279.1 | c.10T>G | p.Trp4Gly | missense_variant | Exon 1 of 9 | ENST00000538924.7 | NP_001358208.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| REEP1 | ENST00000538924.7 | c.10T>G | p.Trp4Gly | missense_variant | Exon 1 of 9 | 5 | NM_001371279.1 | ENSP00000438346.3 |
Frequencies
GnomAD3 genomes AF: 0.00000665 AC: 1AN: 150314Hom.: 0 Cov.: 32 show subpopulations
GnomAD4 exome AF: 0.00000436 AC: 5AN: 1147504Hom.: 0 Cov.: 30 AF XY: 0.00000538 AC XY: 3AN XY: 557588 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00000665 AC: 1AN: 150314Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 73370 show subpopulations ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
Age Distribution
ClinVar
Submissions by phenotype
REEP1-related disorder Uncertain:1
The REEP1 c.2T>G variant is predicted to disrupt the translation initiation site (Start loss). This variant was reported in an individual with mental decline, gait anomalies, muscle anomalies, and positive Babinski sign (Case 13, Table 1, Cui et al. 2020. PubMed ID: 32501971). This variant has not been reported in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Hereditary spastic paraplegia 31 Uncertain:1
ClinVar contains an entry for this variant (Variation ID: 215086). This variant has not been reported in the literature in individuals affected with REEP1-related conditions. This variant is not present in population databases (gnomAD no frequency). This sequence change replaces tryptophan, which is neutral and slightly polar, with glycine, which is neutral and non-polar, at codon 4 of the REEP1 protein (p.Trp4Gly). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
not provided Uncertain:1
p.Trp4Gly (TGG>GGG): c.10 T>G in exon 1 of the REEP1 gene (*NM_022912.2) The W4G variant has not been published as a mutation, nor has it been reported as a benign polymorphism to our knowledge. It was not observed in approximately 3,900 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. The W4G variant is a semi-conservative amino acid substitution, which may impact secondary protein structure as these residues differ in some properties. This substitution occurs at a position that is conserved across species. However, in silico analysis is inconsistent in its predictions as to whether or not the variant is damaging to the protein structure/function. Therefore, based on the currently available information, it is unclear whether this variant is a pathogenic mutation or a rare benign variant. The variant is found in NEUROPATHY panel(s). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at