Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong
The NM_003119.4(SPG7):c.376G>A(p.Glu126Lys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00000138 in 1,452,280 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
SPG7 (HGNC:11237): (SPG7 matrix AAA peptidase subunit, paraplegin) This gene encodes a mitochondrial metalloprotease protein that is a member of the AAA family. Members of this protein family share an ATPase domain and have roles in diverse cellular processes including membrane trafficking, intracellular motility, organelle biogenesis, protein folding, and proteolysis. Mutations in this gene cause autosomal recessive spastic paraplegia 7. Two transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, Mar 2014]
.;Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);Gain of methylation at E126 (P = 0.0061);